OBJECTIVE To evaluate the performance of the National Health Service (NHS) Health Check in identifying people at high risk of having or developing type 2 diabetes. DESIGN Retrospective evaluation of the performance of the NHS Health Check diabetes filter (based on ethnicity, body mass index and blood pressure) in identifying people at risk for type 2… (More)
OBJECTIVE To assess the impact of chronic kidney disease (CKD) and cardiovascular comorbidity on mortality in a multiethnic primary care population. DESIGN Retrospective cohort study. SETTING Inner-city primary care trust in West Midlands, UK. PARTICIPANTS Individuals aged 40 years and older, of South Asian, black or white ethnicity, registered with a… (More)
Diabetes increases the chance of lower-limb amputation: directly, as a result of ulcers caused by trauma and complicated by lack of sensation; and indirectly, by peripheral vascular disease. In any one patient both causes can occur.