Temporal trend of complications of the diabetic foot and Primary Health Care coverage in Brazilian capitals, 2008-2018

• Autor(a) principal: Santos, Adson Aragão de Araújo
• Data de Publicação: 2022
• Outros Autores: Gomes, André Fellipe Lima, Silva, Fillipe Siqueira Santos da, Lima, Hellen de Carvalho, Silva, José Matheus Mendonça da, Guedes, Marcello Barbosa Otoni Gonçalves, Araújo, Diego Neves, Botelho Filho, Carlos Alberto de Lima, Lopes, Matheus Rodrigues, Lopes, Johnnatas Mikael
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/3420
• topic: Pé Diabético; Complicações do Diabetes; Atenção Primária à Saúde; Estudos de Séries Temporais; Estudos ecológicos.; Diabetic foot; Diabetes complications; Primary health care; Time series studies; Ecological studies.; Pie diabético; Complicaciones de la diabetes; Atención Primaria de Salud; Estudios de series temporales; Estudios ecológicos.

Introduction: Diabetic complications are mostly preventable conditions, the diabetic foot being one of the most common. Proper management of the diabetic foot mitigates disabling events and higher costs to the health system. Effective interventions in Primary Health Care (PHC) make it possible to prevent diabetic complications. The care scenario for preventing diabetic complications is Primary Health Care (PHC). Objective: To analyze the temporal trend of diabetic foot complications and their relationship with PHC coverage in Brazilian capitals, between 2008 and 2018, and the relationship between them. Methods: An ecological time-series study of the cumulative incidences of diabetic foot complications in the 27 capitals using data from the Information System on Hypertensive and Diabetic Patients. The independent variables were year, PHC coverage and the family health strategy (ESF). A Prais-Winsten regression model was used. Results: In Brazil, there were 45,095 cases of diabetic foot complications in the period, with an average of 0.57 cases/100,000 inhabitants (p<0.001), being stable in 14 capitals (p>0.05) and 13 increasing capitals (p<0.05). There is an interaction between the increase in the level of PHC coverage and stability in the evolution of diabetic complications (p<0.05). Conclusions: Despite the increase in the occurrence of diabetic foot complications, however, in the capitals with growth in PHC coverage, there was control of the progression of diabetic foot complications.