{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T05:33:14Z","timestamp":1771651994579,"version":"3.50.1"},"reference-count":35,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2022,10,13]],"date-time":"2022-10-13T00:00:00Z","timestamp":1665619200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009780","name":"Region Sk\u00e5ne","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100009780","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100006738","name":"Medicinska Fakulteten, Lunds Universitet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006738","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100006738","name":"Medicinska Fakulteten, Lunds Universitet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006738","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100006075","name":"Greta och Johan Kocks stiftelser","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006075","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Stig och Ragna Gorthons stiftelse"},{"name":"Stig och Ragna Gorthon stiftelse"},{"DOI":"10.13039\/501100008546","name":"Diabetesf\u00f6rbundet","doi-asserted-by":"publisher","award":["DIA2020-492"],"award-info":[{"award-number":["DIA2020-492"]}],"id":[{"id":"10.13039\/501100008546","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004359","name":"Vetenskapsr\u00e5det","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Regional agreement on medical training and clinical research"},{"DOI":"10.13039\/501100006285","name":"Magnus Bergvalls Stiftelse","doi-asserted-by":"publisher","award":["2020-03612"],"award-info":[{"award-number":["2020-03612"]}],"id":[{"id":"10.13039\/501100006285","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>Diabetes is characterized by hyperglycaemia and entails many complications, including retinopathy and entrapment neuropathies, such as ulnar nerve entrapment (UNE) and carpal tunnel syndrome (CTS). Hyperglycaemia damages the nerves of the retina, as well as peripheral nerves. There is a correlation between entrapment neuropathies and retinopathy in patients with diabetes, but whether patients with diabetic retinopathy are more prone to develop CTS and UNE is uncertain. Hence, the aim was to investigate if retinopathy can be used as a factor predicting the development of CTS and UNE. Data from 95,437 individuals from the National Diabetes Registry were merged with data from the Sk\u00e5ne Healthcare Registry. The population was analysed regarding prevalence of CTS or UNE and retinopathy status. Population characteristics were analysed using the Chi<jats:sup>2<\/jats:sup>-test, Student\u2019s Independent T-test, and the Mann-Whitney U-test. Two logistic regression models were used to analyse the odds ratio (OR) for development of CTS and UNE depending on retinopathy status, adjusted for possible confounders. Both CTS and UNE were more frequent among those with retinopathy, compared to those without (CTS: 697\/10,678 (6.5%) vs. 2756\/83,151 (3.3%; p&lt;0.001), (UNE: 131\/10,678 (1.2%) vs. 579\/83,151 (0.7%; p&lt;0.001)). The OR for developing CTS for individuals with type 1 diabetes and retinopathy was 2.40 (95% CI 2.06\u20132.81; p&lt;0.001) and of developing UNE was 1.53 (0.96\u20132.43; p = 0.08). The OR for developing CTS for individuals with type 2 diabetes and retinopathy was 0.93 (0.81\u20131.08; p = 0.34) and for UNE 1.02 (0.74\u20131.40; p = 0.90). Diabetic retinopathy is associated with a higher risk of developing CTS and UNE, but the association seems to be mediated by the duration of the diabetes. Higher HbA1c levels, longer diabetes duration and higher BMI are significant risk factors for developing CTS and UNE in type 1 and type 2 diabetes.<\/jats:p>","DOI":"10.1371\/journal.pone.0275598","type":"journal-article","created":{"date-parts":[[2022,10,13]],"date-time":"2022-10-13T17:36:42Z","timestamp":1665682602000},"page":"e0275598","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":6,"title":["Diabetic retinopathy as a predictor for peripheral compression neuropathies, a registry-based study"],"prefix":"10.1371","volume":"17","author":[{"given":"Caroline","family":"Olsson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mattias","family":"Rydberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9925-3838","authenticated-orcid":true,"given":"Malin","family":"Zimmerman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2022,10,13]]},"reference":[{"key":"pone.0275598.ref001","volume-title":"Global report on diabetes","author":"World Health Organization","year":"2016"},{"issue":"4","key":"pone.0275598.ref002","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1001\/archopht.122.4.552","article-title":"The prevalence of diabetic retinopathy among adults in the United States","volume":"122","author":"JH Kempen","year":"2004","journal-title":"Arch Ophthalmol"},{"issue":"1","key":"pone.0275598.ref003","doi-asserted-by":"crossref","DOI":"10.1136\/bmjdrc-2021-002614","article-title":"Diabetic hand: prevalence and incidence of diabetic hand problems using data from 1.1 million inhabitants in southern Sweden","volume":"10","author":"M Rydberg","year":"2022","journal-title":"BMJ Open Diabetes Res Care"},{"issue":"19","key":"pone.0275598.ref004","doi-asserted-by":"crossref","first-page":"2563","DOI":"10.1001\/jama.287.19.2563","article-title":"Effect of intensive therapy on the microvascular complications of type 1 diabetes mellitus","volume":"287","year":"2002","journal-title":"Jama"},{"issue":"3","key":"pone.0275598.ref005","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1002\/ana.410360312","article-title":"Ultrastructural morphometric abnormalities of sural nerve endoneurial microvessels in diabetes mellitus","volume":"36","author":"C Giannini","year":"1994","journal-title":"Annals of neurology"},{"issue":"8","key":"pone.0275598.ref006","doi-asserted-by":"crossref","first-page":"968","DOI":"10.2337\/diab.44.8.968","article-title":"The relationship of glycemic exposure (HbA1c) to the risk of development and progression of retinopathy in the diabetes control and complications trial","volume":"44","year":"1995","journal-title":"Diabetes"},{"key":"pone.0275598.ref007","unstructured":"Om nationella diabetesregistret, NDR.nu Available from: https:\/\/www.ndr.nu\/#\/om-ndr."},{"key":"pone.0275598.ref008","unstructured":"Nationella Diabetesregistret (NDR)\u2014Registercentrum V\u00e4stra G\u00f6taland. \u00c5rsrapport 2020. 2020."},{"issue":"Suppl 2","key":"pone.0275598.ref009","doi-asserted-by":"crossref","first-page":"S291","DOI":"10.1016\/S0168-8227(14)70732-6","article-title":"Diabetes care\u2014improvement through measurement","volume":"106","author":"B Eliasson","year":"2014","journal-title":"Diabetes research and clinical practice"},{"issue":"1","key":"pone.0275598.ref010","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1177\/1403494819868042","article-title":"The value of the Sk\u00e5ne Health-care Register: Prospectively collected individual-level data for population-based studies","volume":"48","author":"S L\u00f6fvendahl","year":"2020","journal-title":"Scandinavian Journal of Public Health"},{"key":"pone.0275598.ref011","author":"NICE Evidence Reviews Collection","year":"2022"},{"key":"pone.0275598.ref012","author":"H National Institute for","year":"2015"},{"issue":"Suppl 1","key":"pone.0275598.ref013","first-page":"S73","article-title":"6. 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