Conference abstract

Diabetes-related foot disorders among adult Ghanaians

Pan African Medical Journal - Conference Proceedings. 2021:11(33).01 Feb 2021.
doi: 10.11604/pamj-cp.2021.11.33.1021
Archived on: 01 Feb 2021
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Keywords: Ghana, incidence, diabetes foot, foot screening, chronic diseases
Oral presentation

Diabetes-related foot disorders among adult Ghanaians

Osei Sarfo-Kantanka1,&, Ishmael Kyei2, Jean Claude Mbanya3, Micheal Owusu-Ansah4

1Komfo Anokye Teaching Hospital, Directorate of Internal Medicine, Kumasi, Ghana, 2Komfo Anokye Teaching Hospital, Directorate of Surgery, Kumasi, Ghana, 3University of Yaoundé 1, Department of Medicine, Yaounde, Cameroon, 4Komfo Anokye Teaching Hospital, Directorate of Family Medicine, Kumasi, Ghana

&Corresponding author

Introduction: diabetic foot remains a challenge in most Low-Middle-Income-Countries (LMICs). A severe deficit in data exists on them in sub-Saharan Africa (SSA). Aim: The primary objective of this study was to estimate trends in the incidence of diabetic foot and determine predictors in an adult Ghanaian diabetes cohort. Methods: we applied Poisson regression analysis and Cox proportional hazard models to demographic and clinical information obtained from patients who enrolled in a diabetes specialist clinic in Ghana from 2005 to 2016. Results: the study comprised 7383 patients (63.8% female, mean follow-up duration;8.6 years). The mean incidence of foot disorders was 8.39 % (5.27% males, 3.12% females). An increase in the incidence of diabetic foot ranging from 3.25% in 2005 to 12.57% in 2016, p<0.001 was determined. Diabetic foot, with adjusted HR (95% C.I) was predicted by disease duration; for every 5-year increase in diabetes duration, 2.56 (1.41-3.06), male gender; 2.56 (1.41-3.06), increased body mass index (BMI); for every 5 kg/m2, 3.20 (2.51-7.52), poor glycemic control; for every percent increase in HbA1c; 1.11 (1.05-2.25) hypertension, 1.14 (1.12-3.21), nephropathy; 1.15 (1.12-3.21) and previous foot disorders; 3.24 (2.12-7.21). Conclusion: we have found a trend towards an increased incidence of diabetic foot in an outpatient tertiary diabetes setting in Ghana. Systemic and individual level factors aimed at preventive foot screening as well as vascular risk factor control should be intensified in diabetes patients in Ghana and other LMICs.