PMID- 31288736
OWN - NLM
STAT- MEDLINE
DCOM- 20200406
LR  - 20200408
IS  - 1471-2296 (Electronic)
IS  - 1471-2296 (Linking)
VI  - 20
IP  - 1
DP  - 2019 Jul 9
TI  - Awareness of limited joint mobility in type 2 diabetes in general practice in the 
      Netherlands: an online questionnaire survey.
PG  - 98
LID - 10.1186/s12875-019-0987-7 [doi]
LID - 98
AB  - BACKGROUND: Next to the well-known micro- and macrovascular complications, type 2 
      diabetes mellitus (T2DM) is associated with musculoskeletal disorders of the 
      upper extremities referred to as limited joint mobility (LJM), e.g. carpal tunnel 
      syndrome (CTS) and adhesive capsulitis. Unrecognized and untreated LJM can lead 
      to poor quality of life and non-compliance to diabetes treatment which aggravates 
      LJM. Despite its reported higher prevalence in international prevalence studies, 
      examination of the upper extremities is still no part of the regular diabetes 
      mellitus (DM) check-ups. The primary aim of this study was therefore to evaluate 
      the awareness of Dutch GPs and nurse practitioners concerning LJM. Secondary aims 
      were to evaluate the current management of a patient with LJM, and to assess 
      opinions regarding the question of who should screen for LJM if this is done in 
      the near future. METHODS: An online survey was conducted among 390 general 
      practitioners (GPs) and 245 nurse practitioners (NPs) of three diabetes care 
      groups in The Netherlands to assess their awareness of the association between DM 
      and LJM. RESULTS: Most GPs are not aware that LJM is a DM complication, with an 
      unawareness for specific upper extremity disorders ranging from 59 to 73%. Of the 
      NPs, 76% is not aware either. Only 41% of GPs would advise the most optimal 
      treatment for diabetes patient with CTS. Finally, only 25% of the GPs believe 
      that screening for LJM should be performed during the regular diabetes check-up 
      compared to 63% of the NPs. CONCLUSION: The majority of GPs and NPs are not aware 
      of LJM as a T2DM complication. In contrast to NPs, most GPs do not believe that 
      screening for LJM should be performed during the regular diabetes check-up.
FAU - Alabdali, Login Ahmed S
AU  - Alabdali LAS
AD  - Department of Family Medicine, CAPHRI Care and Public Health Research Institute, 
      Maastricht University, PO Box 616, 6200, MD, Maastricht, The Netherlands. 
      login.alabdali@maastrichtuniversity.nl.
FAU - Jaeken, Jasmien
AU  - Jaeken J
AD  - ICHO, the Centre of Family Medicine, Catholic University, Leuven, Belgium.
FAU - Dinant, Geert-Jan
AU  - Dinant GJ
AD  - Department of Family Medicine, CAPHRI Care and Public Health Research Institute, 
      Maastricht University, PO Box 616, 6200, MD, Maastricht, The Netherlands.
FAU - Ottenheijm, Ramon P G
AU  - Ottenheijm RPG
AD  - Department of Family Medicine, CAPHRI Care and Public Health Research Institute, 
      Maastricht University, PO Box 616, 6200, MD, Maastricht, The Netherlands.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20190709
PL  - England
TA  - BMC Fam Pract
JT  - BMC family practice
JID - 100967792
SB  - IM
MH  - Adult
MH  - *Awareness
MH  - Cross-Sectional Studies
MH  - Diabetes Mellitus, Type 2/*complications/therapy
MH  - Female
MH  - *General Practitioners
MH  - Humans
MH  - Joint Diseases/*etiology/*physiopathology/therapy
MH  - Male
MH  - *Mobility Limitation
MH  - Netherlands
MH  - *Nurse Practitioners
MH  - Quality of Life
MH  - Surveys and Questionnaires
MH  - Upper Extremity
PMC - PMC6615429
OTO - NOTNLM
OT  - General practice
OT  - Limited joint mobility
OT  - Musculoskeletal disorders
OT  - Type 2 diabetes mellitus
COIS- The authors declare that they have no competing interests.
EDAT- 2019/07/11 06:00
MHDA- 2020/04/09 06:00
PMCR- 2019/07/09
CRDT- 2019/07/11 06:00
PHST- 2019/02/27 00:00 [received]
PHST- 2019/07/01 00:00 [accepted]
PHST- 2019/07/11 06:00 [entrez]
PHST- 2019/07/11 06:00 [pubmed]
PHST- 2020/04/09 06:00 [medline]
PHST- 2019/07/09 00:00 [pmc-release]
AID - 10.1186/s12875-019-0987-7 [pii]
AID - 987 [pii]
AID - 10.1186/s12875-019-0987-7 [doi]
PST - epublish
SO  - BMC Fam Pract. 2019 Jul 9;20(1):98. doi: 10.1186/s12875-019-0987-7.