How does tertiary care affect the outcomes of diabetic neuropathy?

Updated: Jan 17, 2020
  • Author: Dianna Quan, MD; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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In a Canadian study of patients with painful diabetic neuropathy being managed in a tertiary care setting, Mai et al found that at 12-month follow-up, significant improvement in pain and function had been achieved in almost one third of these individuals. That included pain reduction of 30% or greater in 37.2% of patients, functional improvement (reduction of 1 or greater on the Pain Interference Scale) in 51.2% of patients, and achievement of both of these measures in 30.2% of patients. Polypharmacy was found to be essential to symptom management and included the use of analgesic antidepressants and anticonvulsants. [45]

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