Prevalência de pé diabético e fatores associados nas unidades de saúde da família da cidade do Recife, Pernambuco, Brasil, em 2005

Vieira-Santos, Isabel Cristina Ramos; Souza, Wayner Vieira de; Carvalho, Eduardo Freese de; Medeiros, Maria Carolina Wanderley Costa de; Nóbrega, Milka Gabrielle de Lira; Lima, Patrícia Michelly Santos

doi:10.1590/s0102-311x2008001200015

Cited by 23 publications

(23 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A study of 1,374 patients with diabetes seen in family health units in Recife, Pernambuco state found a 9% prevalence of diabetic foot [40]. Routine screening for diabetic foot is limited by the lack of trained podiatrists and appropriate supplies.…”

Section: Resultsmentioning

confidence: 99%

Epidemiology, management, complications and costs associated with type 2 diabetes in Brazil: a comprehensive literature review

Bertoldi

Kanavos

França

et al. 2013

Globalization and Health

View full text Add to dashboard Cite

BackgroundWith an estimated 74% of all deaths attributable to non-communicable diseases (NCDs) in 2010, NCDs have become a major health priority in Brazil. The objective of the study was to conduct a comprehensive literature review on diabetes in Brazil; specifically: the epidemiology of type 2 diabetes, the availability of national and regional sources of data (particularly in terms of direct and indirect costs) and health policies for the management of diabetes and its complications.MethodsA literature search was conducted using PubMed to identify articles containing information on diabetes in Brazil. Official documents from the Brazilian government and the World Health Organization, as well as other grey literature and official government websites were also reviewed.ResultsFrom 2006 to 2010, an approximate 20% increase in the prevalence of self-reported diabetes was observed. In 2010, it was estimated that 6.3% of Brazilians aged 18 years or over had diabetes. Diabetes was estimated to be responsible for 278,778 years of potential life lost for every 100,000 people. In 2013, it is estimated that about 7% of patients with diabetes has had one or more of the following complications: diabetic foot ulcers, amputation, kidney disease, and fundus changes. The estimated annual direct cost of diabetes was USD $3.952 billion in 2000; the estimated annual indirect cost was USD $18.6 billion. The two main sources of data on diabetes are the information systems of the Ministry of Health and surveys. In the last few years, the Brazilian Ministry of Health has invested considerably in improving surveillance systems for NCDs as well as implementing specific programmes to improve diagnosis and access to treatment.ConclusionsBrazil has the capacity to address and respond to NCDs due to the leadership of the Ministry of Health in NCD prevention activities, including an integrated programme currently in place for diabetes. Strengthening the surveillance of NCDs is a national priority along with recognising the urgent need to invest in improving the coverage and quality of mortality data. It is also essential to conduct regular surveys of risk factors on a national scale in order to design effective preventive strategies.

show abstract

Section: Resultsmentioning

confidence: 99%

Epidemiology, management, complications and costs associated with type 2 diabetes in Brazil: a comprehensive literature review

Bertoldi

Kanavos

França

et al. 2013

Globalization and Health

View full text Add to dashboard Cite

show abstract

“…The high rates of hyperglycemia on admission observed in this study are compatible with the results of other studies. 3,14 Although there was an association between the subset with glycemia levels ≥126 mg/dL and amputations, both the analysis using odds ratios and the logistic regression modeling indicated that the association between this variable and occurrence of amputations was weak, probably because of the small number of patients analyzed.…”

Section: Discussionmentioning

confidence: 97%

Factors associated with diabetic foot amputations

et al. 2015

Self Cite

View full text Add to dashboard Cite

Background: Diabetes and the problem of the diabetic foot specifically are a severe burden on the public healthcare system. Amputations caused by this condition are still common in our setting (Brazil), although the true magnitude of the problem is not known with certainty. Lower limb amputation rates have come to be seen as an indicator of the quality of preventative care of the diabetic foot. Objective: To identify associations between amputations and factors related to people, to morbidities and to primary care received. Methods: This was a cross-sectional study of a sample of 137 patients with diabetic feet admitted to a large hospital in the city of Recife, Pernambuco, Brazil. Logistic regression analysis was conducted. Results: Associations with amputation were detected for the following variables: age over 60; resident of the Metro zone; income of three minimum salaries or less; presence of gangrene on admission; glycemia ≥ 126 mg/dL; smoking; not receiving information about results of glycemia testing; not having feet examined, and not being given guidance on caring for feet at consultations during the previous year. Conclusions: Factors related to Primary Care, such as time since onset of ulcers, information about results of glycemia testing and lack of guidance on how to care for their feet, were associated with occurrence of lower limb amputations. ResumoContexto: O diabetes e especificamente o problema do pé diabético representam grave adversidade ao sistema de saúde pública. As amputações resultantes deste agravo ainda são frequentes em nosso meio, embora não se conheça ao certo a sua magnitude. A taxa de amputações de membros inferiores tem sido considerada um indicador da qualidade dos cuidados preventivos do pé diabético. Objetivo: Identificar a existência de associação entre amputações e fatores relacionados às pessoas, à morbidade e à atenção básica recebida. Métodos: Estudo transversal que incluiu uma amostra de 137 portadores de pé diabético internados em hospital de grande porte da cidade do Recife. Realizou-se análise de regressão logística. Resultados: Verificou-se associação para as variáveis: idade de 60 anos ou mais; procedência da Região metropolitana; renda de até três salários mínimos; presença de gangrena à admissão; glicemia de 126 mg/ dL ou mais; tabagismo; não receber informação dos resultados da glicemia; não ter os pés examinados, e não receber orientação sobre cuidados com os pés nas consultas do ano anterior. Conclusões: Fatores relacionados à Atenção Básica, tais como o tempo de ocorrência da úlcera, a informação dos resultados do exame de glicemia e a falta de orientação sobre cuidados com os pés, estiveram associados com a ocorrência de amputações de membros inferiores.Palavras-chave: pé diabético; amputação; atenção básica.

show abstract

“…The kappa values revealed the strong concordance of the lines. It is worth noting that the population studied was multicentric, representative, and homogeneous, with no demographic differences from other local populations previously described 21,22. …”

Section: Discussionmentioning

confidence: 78%