title: [Prevalence and factors associated with peripheral artery disease in patients with type 2 diabetes mellitus in Primary Care].
abstract: BACKGROUND
  Peripheral artery disease in the lower limbs (PAD) is a prevalent condition that entails high morbidity in diabetic patients; this study assesses PAD in these patients and its socio-demographic and clinic associated variables.
  
  
  METHODS
  Descriptive study in a systematic sample of diabetic patients (DM2) aged 50-80 years, in Primary Care settings. The dependent variable was the presence of PAD diagnosed by ankle-brachial index (ABI) ≤ 0.9; independent variables: socio-demographic, clinical and laboratory.
  
  
  METHODS
  bivariate and multiple logistic regression analyses were performed to determine the variables associated with low ABI.
  
  
  RESULTS
  A sample of 251 patients, 52.6% women; mean age: 68.5 ±8.5. A low ABI was detected in 18.3% (95% Confidence Interval (95% CI):13.3-23.3%), with 6 subjets (2.4%) previously diagnosed as suffering PAD. Age (OR=1.07; 95% CI: 1.02-1.12) and retinopathy (OR=2.69; 95% CI: 1.06-6.81) were associated (multiple logistic regression analysis) with ABI.
  
  
  CONCLUSIONS
  The percentage of patients diagnosed with PAD is very low, although PAD prevalence is high among DM2 patients attending Primary Care clinics, especially in older patients and those with retinopathy. We emphasize the recommendation of performing the ABI test in this population at risk.
authors.affiliation: Unidad de Gestión Clínica de Fernán-Núñez, Córdoba, España; Instituto Maimónides de Investigación Biomédica (IMIBIC)/Hospital Reina Sofía/Universidad de Córdoba, Córdoba, España. Electronic address: josel.montero.sspa@juntadeandalucia.es.
authors.forename: J L
authors.initials: JL
authors.lastname: Montero-Monterroso
authors.affiliation: Unidad de Gestión Clínica de Fernán-Núñez, Córdoba, España.
authors.forename: J A
authors.initials: JA
authors.lastname: Gascón-Jiménez
authors.affiliation: Unidad de Gestión Clínica de Fernán-Núñez, Córdoba, España.
authors.forename: M D
authors.initials: MD
authors.lastname: Vargas-Rubio
authors.affiliation: Unidad de Gestión Clínica de Fernán-Núñez, Córdoba, España.
authors.forename: C
authors.initials: C
authors.lastname: Quero-Salado
authors.affiliation: Unidad de Gestión Clínica de Fernán-Núñez, Córdoba, España.
authors.forename: P
authors.initials: P
authors.lastname: Villalba-Marín
authors.affiliation: Instituto Maimónides de Investigación Biomédica (IMIBIC)/Hospital Reina Sofía/Universidad de Córdoba, Córdoba, España; Unidad Docente de Medicina de Familia y Comunitaria, Distrito Sanitario Córdoba y Guadalquivir, Córdoba, España.
authors.forename: L A
authors.initials: LA
authors.lastname: Pérula-de Torres
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D055109:Ankle Brachial Index; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D005260:Female; D006801:Humans; D016015:Logistic Models; D035002:Lower Extremity / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D058729:Peripheral Arterial Disease / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D015995:Prevalence; D011320:Primary Health Care
keywords: Ankle-brachial index; Atención Primaria; Cardiovascular disease; Cardiovascular risk factors; Diabetes mellitus 2; Diabetes mellitus tipo 2; Enfermedad arterial periférica; Enfermedad cardiovascular; Factores de riesgo cardiovascular; Peripheral artery disease; Primary Care; Índice tobillo-brazo