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Prevalence of limited joint mobility in patients with type 2 diabetes mellitus in primary care: a cross-sectional study. Jasmien Jaeken L. Alabdali, M. Van den Akker, GJ. Dinant, R.P.G. Ottenheijm Department of Family Medicine, CAPHRI Maastricht University, The Netherlands

Introduction

Material and methods Any shoulder disease Any hand disease RNFM database (RNH) Type II DM 18-70 year & matched controls (age, gender, GP practice) No ICPC for LJM… ICPC L08: Shoulder complaints ICPC L92: Shoulder syndromes ICPC N93: Carpal tunnel syndrome ICPC L99.03: Trigger finger ICPC L99.04: Dupuytren’s contracture ICPC L11: Wrist symptoms/complaints ICPC L12: Hand/finger symptoms/complaints ICPC code SINCE diagnose date type II DM Osteoarthritis and rheumatoid arthritis (RA) Data analysis Chi-square Logistic regression Subgroup: age, gender and duration of DM Any shoulder disease Any hand disease LJM

Results 2669 DM vs. 2669 non-DM patients Prevalence LJM: 16.3% vs. 11.2 %; OR 1.53 (P <0.0001) All significant (P<0.05) Subgroup analysis Age >50  LJM (OR 2.6), any shoulder (OR 2.6) and any hand (OR 2.8), Duration of DM >5 years  LJM (OR 2.7), any shoulder (OR 3.2) and any hand (OR 2.4) Female  LJM (1.4) and any hand (OR 1.6) RA and osteoarthritis: very small n (10 and 24 resp.)

Discussion Conclusion All significant but low overall prevalence compared to international literature Small difference  non-diabetes patients Conclusion 1 out of 6 diabetes patients develop LJM However low absolute numbers/difference with non-diabetic patients Implications for practice: Age>50, Duration of DM>5 years, Female?

Thank you! Any questions? You can find me at j.jaeken@student.maastrichtuniversity.nl

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