The prevalence of clinical diabetic polyneuropathy in Spain: a study in primary care and hospital clinic groups

摘要: A multiregional cross-sectional study of clinical diabetic polyneuropathy (DPN) was carried out among Spanish diabetes patients using a standard system for scoring symptoms and signs polyneuropathy. The main patient sample comprised 2 644 (54.7 % women) aged 15–74 years (mean 57.2 ± 0.3 years), 86.9 whom had Type II (non-insulin-dependent) mellitus 29.4 were attending hospital clinics. Mean duration since diagnosis 10.2 0.2 years. prevalence DPN 22.7 (95 confidence interval 21.2–24.3 %) in the whole sample, 12.9 (9.4–16.5 with I (insulin-dependent) 24.1 (22.4–25.9 diabetes; there no significant difference between men women. Prevalence increased age (from 30 years). In supplementary 161 75 to 79 (excluded from prevent confusion diabetes-induced ageing-induced neuropathies), 37.8 %. Ninety-three (3.3 or foot ulcers 21 these 93 (0.7 undergone amputation; 90.8 ulcerated diabetes, 54 (in most cases loss perception vibration), as against 19.9 without ulcers. We conclude that nearly quarter have DPN; over 90 increases disease, risk is about three times DPN. accordingly emphasize responsibility primary care physicians try lesions by early [Diabetologia (1998) 41: 1263–1269]