2. Disclosure belangen NHG spreker
(Potentiële) belangenverstrengeling
Geen
Voor bijeenkomst mogelijk relevante relaties met bedrijven
Sponsoring of onderzoeksgeld
Honorarium of andere (financiële) vergoeding
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Andere relatie, namelijk …

3. 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

4. Introduction

5. Material and methods Any shoulder disease Any hand disease
RNFM database (RNH)
Type II DM 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

6. Results 2669 DM vs. 2669 non-DM patients Prevalence
LJM: 16.3% vs %; 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.)

7. 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?

8. Thank you! Any questions? You can find me at

9. Extra