Show simple item record

dc.contributor.authorHurst, Joanne E
dc.contributor.authorBarn, Ruth
dc.contributor.authorGibson, Lesley
dc.contributor.authorInnes, Hamish
dc.contributor.authorBus, Sicco A
dc.contributor.authorKennon, Brian
dc.contributor.authorWylie, David
dc.contributor.authorWoodburn, James
dc.date.accessioned2021-02-03T22:39:53Z
dc.date.available2021-02-03T22:39:53Z
dc.date.issued2020
dc.identifier.issn0012-186X
dc.identifier.doi10.1007/s00125-019-05056-9
dc.identifier.urihttp://hdl.handle.net/10072/401646
dc.description.abstractAims/hypothesis Our aim was to investigate the geospatial distribution of diabetic foot ulceration (DFU), lower extremity amputation (LEA) and mortality rates in people with diabetes in small geographical areas with varying levels of multiple deprivation. Methods We undertook a population cohort study to extract the health records of 112,231 people with diabetes from the Scottish Care Information – Diabetes Collaboration (SCI-Diabetes) database. We linked this to health records to identify death, LEA and DFU events. These events were geospatially mapped using multiple deprivation maps for the geographical area of National Health Service (NHS) Greater Glasgow and Clyde. Tests of spatial autocorrelation and association were conducted to evaluate geographical variation and patterning, and the association between prevalence-adjusted outcome rates and multiple deprivation by quintile. Results Within our health board region, people with diabetes had crude prevalence-adjusted rates for DFU of 4.6% and for LEA of 1.3%, and an incidence rate of mortality preceded by either a DFU or LEA of 10.5 per 10,000 per year. Spatial autocorrelation identified statistically significant hot spot (high prevalence) and cold spot (low prevalence) clusters for all outcomes. Small-area maps effectively displayed near neighbour clustering across the health board geography. Disproportionately high numbers of hot spots within the most deprived quintile for DFU (p < 0.001), LEA (p < 0.001) and mortality (p < 0.001) rates were found. Conversely, a disproportionately higher number of cold spots was found within the least deprived quintile for LEA (p < 0.001). Conclusions/interpretation In people with diabetes, DFU, LEA and mortality rates are associated with multiple deprivation and form geographical neighbourhood clusters.
dc.description.peerreviewedYes
dc.languageen
dc.publisherSpringer Science and Business Media LLC
dc.relation.ispartofpagefrom659
dc.relation.ispartofpageto667
dc.relation.ispartofissue3
dc.relation.ispartofjournalDiabetologia
dc.relation.ispartofvolume63
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.titleGeospatial mapping and data linkage uncovers variability in outcomes of foot disease according to multiple deprivation: a population cohort study of people with diabetes
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationHurst, JE; Barn, R; Gibson, L; Innes, H; Bus, SA; Kennon, B; Wylie, D; Woodburn, J, Geospatial mapping and data linkage uncovers variability in outcomes of foot disease according to multiple deprivation: a population cohort study of people with diabetes, Diabetologia, 2020, 63 (3), pp. 659-667
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.date.updated2021-02-03T00:15:12Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© The Author(s) 2019. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.
gro.hasfulltextFull Text
gro.griffith.authorWoodburn, Jim


Files in this item

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record