{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T04:57:13Z","timestamp":1789016233474,"version":"build-2803163510"},"reference-count":30,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2006,5,1]],"date-time":"2006-05-01T00:00:00Z","timestamp":1146441600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vasc Med"],"published-print":{"date-parts":[[2006,5]]},"abstract":"<jats:p> The objective of this prospective observational study was to establish the prevalence of carotid atherosclerosis in an asymptomatic diabetic population and to determine predictive factors for a screening optimization. A total of 300 consecutive type-2 diabetic subjects (166 males, 134 females) underwent a physical examination and duplex carotid scanning. Patients with a recent cerebrovascular event (\u00b16 weeks) or previous carotid surgery were excluded. The prevalence of carotid stenosis \u226560% or occlusion was 4.7%; the prevalence of carotid atherosclerosis was 68.3%. Risk factors for stenosis \u226460% or occlusion were the presence of diabetic retinopathy (OR: 3.62; 95% CI: 1.12-11.73), ankle-brachial index (ABI) &lt;0.85 (OR: 3.94; 95% CI: 1.21-12.84) and a personal history of neurological disorders (OR: 4.54; 95% CI: 1.16-17.81). Being female was a protective factor (OR: 0.09; 95% CI: 0.01-0.78). The two factors in the analysis limited to the male population were an ABI &lt; 0.85 (OR: 3.66; 95% CI: 1.04-12.84) and a personal history of coronary heart disease (OR: 3.34; 95% CI: 1.01-11.01). If male diabetics without either of these two factors are excluded, the negative predictive value for carotid stenosis is 96.6%. In conclusion, the prevalence of atherosclerotic carotid disease in diabetic patients is high. In these patients, the probability of finding &gt;60% stenosis is highest among men with a history of coronary heart disease or an ABI &lt;0.85. <\/jats:p>","DOI":"10.1191\/1358863x06vm677oa","type":"journal-article","created":{"date-parts":[[2006,6,24]],"date-time":"2006-06-24T17:52:00Z","timestamp":1151171520000},"page":"93-99","source":"Crossref","is-referenced-by-count":32,"title":["Type-2 diabetes and carotid stenosis: a proposal for a screening strategy in asymptomatic patients"],"prefix":"10.1177","volume":"11","author":[{"given":"P","family":"Lacroix","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery and Vascular Medicine, Dupuytren University Hospital, Limoges, France,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V","family":"Aboyans","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery and Vascular Medicine, Dupuytren University Hospital, Limoges, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MH","family":"Criqui","sequence":"additional","affiliation":[{"name":"Family and Preventive Medicine, University of California San Diego, La Jolla, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F","family":"Bertin","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery and Vascular Medicine, Dupuytren University Hospital, Limoges, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T","family":"Bouhamed","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery and Vascular Medicine, Dupuytren University Hospital, Limoges, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F","family":"Archambeaud","sequence":"additional","affiliation":[{"name":"Internal Medicine, Dupuytren University Hospital, Limoges, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Laskar","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery and Vascular Medicine, Dupuytren University Hospital, Limoges, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2006,5,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1177\/0091270004263017"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.16.2.434"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.14.5.709"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000013955.34262.AF"},{"issue":"5","key":"atypb5","first-page":"10","volume":"26","year":"2000","journal-title":"Diabetes Metab"},{"key":"atypb6","first-page":"1421","volume":"273","author":"Executive Committee for the Asymptomatic Carotid Atherosclerosis Study","year":"1985","journal-title":"JAMA"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)16146-1"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(02)00584-X"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2004.092262"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(95)70228-8"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.23.12.1705"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.44.6.1046"},{"key":"atypb13","first-page":"208","volume":"41","author":"Hill AB.","year":"1988","journal-title":"Can J Surg"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1159\/000047680"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.28.3.513"},{"key":"atypb16","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000043827.03966.EF"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.1016\/S0021-9150(02)00017-5"},{"key":"atypb18","doi-asserted-by":"publisher","DOI":"10.1016\/S0021-9150(00)00514-1"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2003.07.008"},{"key":"atypb20","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(99)70079-0"},{"key":"atypb21","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.64.5.619"},{"key":"atypb22","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1997.00550130015009"},{"key":"atypb23","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2004.03.016"},{"key":"atypb24","first-page":"48","volume":"16","author":"De Angelis M","year":"2003","journal-title":"Diabetes Nutr Metab"},{"key":"atypb25","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199901073400103"},{"key":"atypb26","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(00)00784-0"},{"key":"atypb27","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)13636-7"},{"key":"atypb28","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.2007.S72"},{"key":"atypb29","unstructured":"Aboyans V, Lacroix P, Ferri\u00e8res J, Laskar M. L\u2019index de pression systolique: \u00e9l\u00e9ment incontournable dans le d\u00e9pistage, le diagnostic et la prise en charge de l\u2019art\u00e9riopathie oblit\u00e9rante des membres inf\u00e9rieurs. Revue de litt\u00e9rature. 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