Factors associated with regional rheumatic pain disorders in a population of Puerto Ricans with diabetes mellitus |
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Authors: | Yvonne M. Font Lesliane E. Castro-Santana Mariely Nieves-Plaza Mirna Maldonado Ángel M. Mayor Luis M. Vilá |
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Affiliation: | 1. Division of Rheumatology, Department of Medicine, University of Puerto Rico Medical Sciences Campus, PO Box 365067, San Juan, PR, 00936-5067, USA 2. University of Pittsburgh School of Medicine, Pittsburgh, PA, USA 3. Puerto Rico Clinical & Translational Research Consortium (PRCTRC), University of Puerto Rico Medical Sciences Campus, San Juan, PR, USA 4. Division of Endocrinology and Metabolism, Department of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR, USA 5. Division of Rheumatology, Department of Medicine, University of Puerto Rico Medical Sciences Campus and the Puerto Rico Clinical & Translational Research Consortium (PRCTRC), San Juan, PR, USA
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Abstract: | The aim of the study was to determine the prevalence and factors associated with bursitis/tendonitis disorders in Puerto Ricans with diabetes mellitus (DM). A cross-sectional study was performed in 202 adult Puerto Ricans (100 DM patients and 102 non-diabetic subjects). For each participant, a complete medical history and a musculoskeletal exam were systematically performed. Socio-demographic parameters, health-related behaviors, comorbidities, and pharmacotherapy were determined for all subjects. For DM patients, disease duration, glycemic control, and DM long-term complications were also examined. Multivariate logistic regression analyses were used to determine the factors associated with bursitis/tendonitis disorders. The mean (SD) age for DM patients and non-diabetic controls were 53.3 (12.9) and 50.0 (13.1) years; 64.0 and 64.7 % of DM patients and controls were females, respectively. Overall, the prevalence of bursitis/tendonitis was higher in DM patients than among non-diabetics (59.0 % vs. 29.4 %, p?0.01). In multivariate analyses, DM patients had 2.47 (95 % CI 1.05, 5.84) the odds of having bursitis/tendonitis as compared to non-diabetics. Specifically, DM patients had a higher frequency of flexor tenosynovitis, De Quervain’s tenosynovitis, lateral epicondylitis, medial epicondylitis, trochanteric bursitis, and anserine bursitis than non-diabetic subjects (p?0.05). Among DM patients, multivariate analyses showed that those with bursitis/tendonitis were more likely to be female [OR (95 % CI) 4.55 (1.42, 14.55)] and have peripheral vascular disease [OR (95 % CI) 8.48 (1.71, 41.93)]. In conclusion, bursitis/tendonitis disorders were common in this population of Hispanics with DM. Among DM patients, bursitis/tendonitis disorders were more frequent in women and those with long-term complications such as peripheral vascular disease. |
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