Gómez-Huelgas, RicardoLara-Rojas, Carmen MLopez-Carmona, Maria DJansen-Chaparro, SergioBarba, RaquelZapatero, AntonioGuijarro-Merino, RicardoTinahones, Francisco JPerez-Belmonte, Luis MBernal-Lopez, M Rosa2023-01-252023-01-252019-04-11Gómez-Huelgas R, Lara-Rojas CM, López-Carmona MD, Jansen-Chaparro S, Barba R, Zapatero A, et al. Trends in Diabetes-Related Potentially Preventable Hospitalizations in Adult Population in Spain, 1997⁻2015: A Nation-Wide Population-Based Study. J Clin Med. 2019 Apr 11;8(4):4922077-0383http://hdl.handle.net/10668/13820We aimed to assess national trends in the rates of diabetes-related potentially preventable hospitalizations (overall and by preventable condition) in the total adult population of Spain. We performed a population-based study of all adult patients with diabetes who were hospitalized from 1997 to 2015. Overall potentially preventable hospitalizations and hospitalizations by diabetes-related preventable conditions (short-term complications, long-term complications, uncontrolled diabetes, and lower-extremity amputations) were examined. Annual rates adjusted for age and sex were analyzed and trends were calculated. Over 19-years-period, 424,874 diabetes-related potentially preventable hospitalizations were recorded. Overall diabetes-related potentially preventable hospitalizations decreased significantly, with an average annual percentage change of 5.1 (95%CI: -5.6-(-4.7%); ptrend < 0.001). Among preventable conditions, the greatest decrease was observed in uncontrolled diabetes ( 5.6%; 95%CI: 6.7–( 4.7%); ptrend < 0.001), followed by short-term complications ( 5.4%; 95%CI: 6.1–( 4.9%); ptrend < 0.001), long-term complications ( 4.6%; 95%CI: 5.1–( 3.9%); ptrend < 0.001), and lower-extremity amputations ( 1.9%; 95%CI: 3.0–( 1.3%); ptrend < 0.001). These reductions were observed in all age strata for overall DM-related PPH and by preventable condition but lower-extremity amputations for those <65 years old. There was a greater reduction in overall DM-related PPH, uncontrolled DM, long-term-complications, and lower extremity amputations in females than in males (all p < 0.01). No significant di erence was shown for short-term complications (p = 0.101). Our study shows a significant reduction in national trends for diabetes-related potentially preventable hospitalizations in Spain. These findings could suggest a sustained improvement in diabetes care in Spain, despite the burden of these diabetes-related complications and the increase in the diabetes mellitus prevalence.enAttribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/Diabetes careDiabetes complicationsDiabetes mellitusPotentially preventable hospitalizationsSpainHospitalizationAmputation, SurgicalLower Extremityresearch article30978979open accessAmputación quirúrgicaExtremidad InferiorComplicaciones de la diabetesFactores sexualesHospitalización10.3390/jcm8040492PMC6526470https://www.mdpi.com/2077-0383/8/4/492/pdf?version=1556188110https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6526470/pdf