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Journal of Social Welfare and Management

Volume  6, Issue 3, July - September 2014, Pages 129-136
 

Original Article

Social Impact and Public Health Burden of Illness in Diabetic Peripheral Neuropathy: An Evidence-Informed Update

Kumar Senthil P., Adhikari Prabha, Jeganathan P.S., D’Souza Mariella, D’Souza Sydney C., Misri Z.K.

*Professor, Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation (Maharishi Markandeshwar University), Mullana-Amabla, Haryana, **Professor, Dept. of Medicine, ***Professor, Dept. of Physiology, ****Selection Grade Lecturer, Dept. of

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Abstract

Background and Purpose: Painful neuropathy is a common complication of diabetes mellitus and the clinical presentation of bilateral tingling and numbness, with sensory and/or motor deficits and autonomic dysfunction in both lower limbs is termed as diabetic peripheral neuropathy (DPN) of distal symmetric polyneuropathy type. The objective of this paper was to perform a systematic review of articles on impact and burden of DPN in order to provide an evidence-informed reappraisal of existing findings. Materials and Methods: Systematic review using independent blinded search by search terms ‘diabetic neuropathy’ and ‘impact or burden’ was done to identify studies under four themes: impact of DPN on other factors; impact of other factors on DPN; impact of other factors on comorbidities in DPN; and, impact of comorbidities on other factors in DPN. Results- main findings: 29 studies were included for review and the multidimensional impact of DPN on individual in terms of physical and psychosocial influences; on the society in terms of work-related disability and healthcare utilization costs; and to the nation in terms of public health burden was consistently reflected across identified studies. Conclusion: DPN has a multidimensional impact on the person, society and nation, and is a physical, physiological, psychological and psychosocial burden for patients and their caregivers. A strong interdisciplinary collaborative working relationship is essential to combat the consequences of this disorder so that interventions might be aimed along a symptom control to quality of life continuum. 

Keywords: Diabetic peripheral neuropathy; Public health burden; Health impact; Evidence-based practice.


Corresponding Author : Kumar Senthil P.