Painful diabetic peripheral neuropathy among Saudi diabetic patients is common but under-recognized: Multicenter cross-sectional study at primary health care setting

OBJECTIVE: The aim of this study was to assess the prevalence of painful diabetic peripheral neuropathy (PDPN) and its associated risk factors in patients with type 2 diabetes mellitus attending primary health care (PHC) in Saudi Arabia. MATERIALS AND METHODS: A multicenter, cross-sectional study ev...

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Main Author: Metab A Algeffari
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Journal of Family and Community Medicine
Subjects:
Online Access:http://www.jfcmonline.com/article.asp?issn=2230-8229;year=2018;volume=25;issue=1;spage=43;epage=47;aulast=Algeffari
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author Metab A Algeffari
author_facet Metab A Algeffari
author_sort Metab A Algeffari
collection DOAJ
description OBJECTIVE: The aim of this study was to assess the prevalence of painful diabetic peripheral neuropathy (PDPN) and its associated risk factors in patients with type 2 diabetes mellitus attending primary health care (PHC) in Saudi Arabia. MATERIALS AND METHODS: A multicenter, cross-sectional study evaluated 242 type 2 diabetics who attended the National Guard PHC clinics in Riyadh. Trained physicians obtained the relevant data and medical history and assessed PDPN using the Michigan Neuropathy Screening Instrument. RESULTS: About 35% of patients with type-2 diabetes in this study had painful diabetic peripheral neuropathy. High risk hemoglobin level and poor compliance with treatment were associated with increased odds of PDPN (Odds ratio [OR] =3.121, 95% confidence interval [CI] 1.154”8.444, OR = 3.546, 95% CI 1.531”8.214, respectively). It is noted that only in one patient with PDPN, was their PDPN recognized by physicians. Furthermore, none of our study participants was taking medication to control the pain. CONCLUSIONS: One-third of Saudi Arabia's Type 2 diabetes patients have PDPN. PHC physicians treating diabetes should be more aware of the importance of screening for PDPN and the treatment plan.
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spelling doaj.art-ab644b31050b4e34859a9fb5914339892022-12-21T22:49:29ZengWolters Kluwer Medknow PublicationsJournal of Family and Community Medicine2229-340X2018-01-01251434710.4103/jfcm.JFCM_145_16Painful diabetic peripheral neuropathy among Saudi diabetic patients is common but under-recognized: Multicenter cross-sectional study at primary health care settingMetab A AlgeffariOBJECTIVE: The aim of this study was to assess the prevalence of painful diabetic peripheral neuropathy (PDPN) and its associated risk factors in patients with type 2 diabetes mellitus attending primary health care (PHC) in Saudi Arabia. MATERIALS AND METHODS: A multicenter, cross-sectional study evaluated 242 type 2 diabetics who attended the National Guard PHC clinics in Riyadh. Trained physicians obtained the relevant data and medical history and assessed PDPN using the Michigan Neuropathy Screening Instrument. RESULTS: About 35% of patients with type-2 diabetes in this study had painful diabetic peripheral neuropathy. High risk hemoglobin level and poor compliance with treatment were associated with increased odds of PDPN (Odds ratio [OR] =3.121, 95% confidence interval [CI] 1.154”8.444, OR = 3.546, 95% CI 1.531”8.214, respectively). It is noted that only in one patient with PDPN, was their PDPN recognized by physicians. Furthermore, none of our study participants was taking medication to control the pain. CONCLUSIONS: One-third of Saudi Arabia's Type 2 diabetes patients have PDPN. PHC physicians treating diabetes should be more aware of the importance of screening for PDPN and the treatment plan.http://www.jfcmonline.com/article.asp?issn=2230-8229;year=2018;volume=25;issue=1;spage=43;epage=47;aulast=AlgeffariDiabeticneuropathypainfulperipheralSaudi
spellingShingle Metab A Algeffari
Painful diabetic peripheral neuropathy among Saudi diabetic patients is common but under-recognized: Multicenter cross-sectional study at primary health care setting
Journal of Family and Community Medicine
Diabetic
neuropathy
painful
peripheral
Saudi
title Painful diabetic peripheral neuropathy among Saudi diabetic patients is common but under-recognized: Multicenter cross-sectional study at primary health care setting
title_full Painful diabetic peripheral neuropathy among Saudi diabetic patients is common but under-recognized: Multicenter cross-sectional study at primary health care setting
title_fullStr Painful diabetic peripheral neuropathy among Saudi diabetic patients is common but under-recognized: Multicenter cross-sectional study at primary health care setting
title_full_unstemmed Painful diabetic peripheral neuropathy among Saudi diabetic patients is common but under-recognized: Multicenter cross-sectional study at primary health care setting
title_short Painful diabetic peripheral neuropathy among Saudi diabetic patients is common but under-recognized: Multicenter cross-sectional study at primary health care setting
title_sort painful diabetic peripheral neuropathy among saudi diabetic patients is common but under recognized multicenter cross sectional study at primary health care setting
topic Diabetic
neuropathy
painful
peripheral
Saudi
url http://www.jfcmonline.com/article.asp?issn=2230-8229;year=2018;volume=25;issue=1;spage=43;epage=47;aulast=Algeffari
work_keys_str_mv AT metabaalgeffari painfuldiabeticperipheralneuropathyamongsaudidiabeticpatientsiscommonbutunderrecognizedmulticentercrosssectionalstudyatprimaryhealthcaresetting