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      <comment>Department of Internal Medicine, University of Debrecen Faculty of Medicine, Debrecen, Hungary            
            Third Department of Internal Medicine, Semmelweis Hospital of Borsod-Abauj-Zemplen County Central Hospital and University Teaching Hospital, Miskolc, Hungary            
            Department of Health Informatics, Faculty of Health Sciences, University of Debrecen, Debrecen, Hungary            
            Department of Internal Medicine and Oncology, Semmelweis University Faculty of Medicine, Budapest, Hungary            
            Export Date: 30 October 2024            
            CODEN: POLNC            
            Correspondence Address: Ferenc, S.; Department of Internal Medicine, Hungary; email: sztanekf@yahoo.com</comment>
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      <abstractText>Distal sensorimotor polyneuropathy (DSPN) is the earliest detectable and the most frequent microvascular complication in diabetes mellitus. Several studies have previously demonstrated correlations between cardiovascular risk factors in diabetic patients and independent risk factors for diabetic neuropathy. Our objective was to retrospectively analyze data from diabetic patients in the North-East region of Hungary who underwent neuropathy screening at the Diabetic Neuropathy Center, University of Debrecen, between 2017 and 2021. We aimed to investigate the correlations between cardiovascular risk factors and microvascular complications among patients with DSPN. The median age of the patients was 67 years, 59,6% were female, and 91,1% had type 2 diabetes. The prevalence of DSPN among the study subjects was 71.7%. A significantly longer duration of diabetes (p&lt;0.01) was noted in patients with DSPN. Those with DSPN demonstrated a significantly higher HbA1c level (p&lt;0.001) and a greater frequency of insulin use (p = 0.001). We observed a significantly elevated albumin/creatinine ratio (p&lt;0.001) and a significantly lower eGFR (p&lt;0.001) in patients with DSPN. Diabetic retinopathy exhibited a significantly higher prevalence in patients with DSPN (p&lt;0.001). A higher prevalence of myocardial infarction (p&lt;0.05), ischemic heart disease (p&lt;0.001), peripheral arterial disease (p&lt;0.05) and a history of atherosclerosis (p&lt;0.05) was observed in patients with DSPN. In a multivariate logistic regression analysis, the following factors were independently associated with the presence of DSPN: higher HbA1c (OR:2.58, 95% CI:1.89-3.52, p&lt;0.001), age (OR:1.03, 95% CI:1.01-1.05, p = 0.006), albumin/creatinine ratio above 3 mg/mmol (OR:1.23, 95% CI:1.06-1.45, p = 0.008), retinopathy (OR:6.06, 95% CI:1.33-27.53, p = 0.02), and composite cardiovascular endpoint (OR:1.95, 95% CI:1.19-3.19, p = 0.008). Our study revealed that age, elevated HbA1c levels, significant albuminuria, retinopathy, and cardiovascular complications may increase the risk of DSPN. Further investigation of these associations is necessary to understand the impact of patient characteristics during the treatment of diabetic neuropathy. © 2024 Petö et al.</abstractText>
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      </references>
      <link>/api/publication/35139244</link>
      <label>Petö A. et al. Correlations between distal sensorimotor polyneuropathy and cardiovascular complications in diabetic patients in the North-Eastern region of Hungary. (2024) PLOS ONE 1932-6203 19 7</label><template>&lt;div class=&quot;JournalArticle Publication short-list&quot;&gt; &lt;div class=&quot;authors&quot;&gt; &lt;span class=&quot;author-name&quot; &gt; Petö, A. &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; mtid=&quot;10094659&quot;&gt; &lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10094659&quot; target=&quot;_blank&quot;&gt;Tóth, L.I.&lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; &gt; Hernyák, M. &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; mtid=&quot;10037740&quot;&gt; &lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10037740&quot; target=&quot;_blank&quot;&gt;Lörincz, H.&lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; &gt; Molnár, A. &lt;/span&gt; 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&lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; et al. &lt;/div &gt;&lt;div class=&quot;title&quot;&gt;&lt;a href=&quot;/gui2/?mode=browse&amp;params=publication;35139244&quot; mtid=&quot;35139244&quot; target=&quot;_blank&quot;&gt;Correlations between distal sensorimotor polyneuropathy and cardiovascular complications in diabetic patients in the North-Eastern region of Hungary&lt;/a&gt;&lt;/div&gt; &lt;div class=&quot;pub-info&quot;&gt; &lt;span class=&quot;journal-title&quot;&gt;PLOS ONE&lt;/span&gt; &lt;span class=&quot;journal-volume&quot;&gt;19&lt;/span&gt; : &lt;span class=&quot;journal-issue&quot;&gt;7&lt;/span&gt; &lt;span class=&quot;page&quot;&gt; Paper: e0306482 , 13 p. &lt;/span&gt; &lt;span class=&quot;year&quot;&gt;(2024)&lt;/span&gt; &lt;/div&gt; &lt;div class=&quot;pub-end&quot;&gt;&lt;div class=&quot;identifier-list&quot;&gt; &lt;span class=&quot;identifiers&quot;&gt; &lt;span class=&quot;id identifier oa_none&quot; title=&quot;none&quot;&gt; &lt;a style=&quot;color:blue&quot; 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PubMed &lt;/a&gt; &lt;/span&gt; &lt;/span&gt; &lt;/div&gt; &lt;div class=&quot;short-pub-prop-list&quot;&gt; &lt;span class=&quot;short-pub-mtid&quot;&gt; Publication:35139244 &lt;/span&gt; &lt;span class=&quot;status-holder&quot;&gt;&lt;span class=&quot;status-data status-VALIDATED&quot;&gt; Validated &lt;/span&gt;&lt;/span&gt; &lt;span class=&quot;pub-core&quot;&gt;Core Citing &lt;/span&gt; &lt;span class=&quot;pub-type&quot;&gt;Journal Article (Article ) &lt;/span&gt; &lt;!-- &amp;&amp; !record.category.scientific --&gt; &lt;span class=&quot;pub-category&quot;&gt;Scientific&lt;/span&gt; &lt;div class=&quot;publication-citation&quot; style=&quot;margin-left: 0.5cm;&quot;&gt; &lt;span title=&quot;&quot; class=&quot;citingPub-count&quot;&gt;Citing papers: 5&lt;/span&gt; | Independent citation: 4 | Self citation: 1 | Unknown citation: 0 | Number of citations in WoS: 3 | Number of citations in Scopus:&amp;nbsp;2 | WoS/Scopus assigned:&amp;nbsp;3 | Number of citations with DOI:&amp;nbsp;5 (Not published:&amp;nbsp;1) &lt;/div&gt; &lt;/div&gt; &lt;/div&gt; &lt;/div&gt;</template><template2>&lt;div class=&quot;JournalArticle Publication long-list&quot;&gt;
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		&lt;div class=&quot;autype autype0&quot;&gt;				&lt;span class=&quot;author-name&quot; &gt;Petö A.
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							&lt;span class=&quot;author-name&quot; mtid=&quot;10094659&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10094659&quot; target=&quot;_blank&quot;&gt;Tóth L.I.
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Tóth László Imre&lt;/span&gt;
            &lt;span class=&quot;authorAux-mtmt&quot;&gt; rezidens&lt;/span&gt;)
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Hernyák M.
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							&lt;span class=&quot;author-name&quot; mtid=&quot;10037740&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10037740&quot; target=&quot;_blank&quot;&gt;Lörincz H.
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Lőrincz Hajnalka&lt;/span&gt;
            &lt;span class=&quot;authorAux-mtmt&quot;&gt; Egészségtudományok&lt;/span&gt;)
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Molnár A.
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Nagy A.C.
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; &gt;Lukács M.
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; mtid=&quot;10024012&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10024012&quot; target=&quot;_blank&quot;&gt;Kempler P.
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Kempler Péter&lt;/span&gt;
            &lt;span class=&quot;authorAux-mtmt&quot;&gt; Belgyógyászat, diabetológia&lt;/span&gt;)
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&lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis University&quot;&gt;SU&lt;/span&gt;/&lt;span title=&quot;Faculty of Medicine&quot;&gt;FM&lt;/span&gt;/&lt;span title=&quot;Clinical&quot;&gt;C&lt;/span&gt;/Department of Internal Medicine and Oncology&lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; mtid=&quot;10003445&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10003445&quot; target=&quot;_blank&quot;&gt;Paragh G.
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			&lt;/a&gt;
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&lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;University of Debrecen&quot;&gt;UD&lt;/span&gt;/&lt;span title=&quot;Faculty of Medicine&quot;&gt;Faculty of Medicine&lt;/span&gt;/Belgyógyászati Intézet&lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; mtid=&quot;10020547&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10020547&quot; target=&quot;_blank&quot;&gt;Harangi M.
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Harangi Mariann&lt;/span&gt;
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&lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;University of Debrecen&quot;&gt;UD&lt;/span&gt;/&lt;span title=&quot;Faculty of Medicine&quot;&gt;Faculty of Medicine&lt;/span&gt;/Belgyógyászati Intézet&lt;/span&gt;
;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; mtid=&quot;10043291&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10043291&quot; target=&quot;_blank&quot;&gt;Ferenc S. ✉
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&lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;University of Debrecen&quot;&gt;UD&lt;/span&gt;/&lt;span title=&quot;Faculty of Medicine&quot;&gt;Faculty of Medicine&lt;/span&gt;/Belgyógyászati Intézet&lt;/span&gt;

				    &lt;/div&gt;
&lt;/div&gt;
&lt;div class=&quot;title&quot;&gt;&lt;a href=&quot;/gui2/?mode=browse&amp;params=publication;35139244&quot; target=&quot;_blank&quot;&gt;Correlations between distal sensorimotor polyneuropathy and cardiovascular complications in diabetic patients in the North-Eastern region of Hungary&lt;/a&gt;&lt;/div&gt;    &lt;div&gt;		&lt;span class=&quot;journal-title&quot;&gt;PLOS ONE&lt;/span&gt;

        &lt;span class=&quot;journal-issn&quot;&gt;( &lt;a target=&quot;_blank&quot; href=&quot;https://portal.issn.org/resource/ISSN/1932-6203&quot;&gt;1932-6203&lt;/a&gt;)&lt;/span&gt;:
		&lt;span class=&quot;journal-volume&quot;&gt;19&lt;/span&gt; &lt;span class=&quot;journal-issue&quot;&gt;7&lt;/span&gt;
&lt;span class=&quot;page&quot;&gt;
		Paper e0306482.
	 13 p. 
&lt;/span&gt;		 &lt;span class=&quot;year&quot;&gt;(2024)&lt;/span&gt;  
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&lt;div class=&quot;pub-footer&quot;&gt;
    

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				&lt;div class=&quot;journal-subject&quot;&gt;Journal subject: Scopus - Multidisciplinary&amp;nbsp;&amp;nbsp;&amp;nbsp;Rank:&amp;nbsp;Q1&lt;/div&gt;
			&lt;div class=&quot;journal-subject&quot;&gt;Pedagógiai Tudományos Bizottság HASSPHSII PedTB [1901-]&amp;nbsp;&amp;nbsp;&amp;nbsp;A&lt;/div&gt;
			&lt;div class=&quot;journal-subject&quot;&gt;Committee on Sociology HASSELIX SZTB [1901-]&amp;nbsp;&amp;nbsp;&amp;nbsp;A nemzetközi&lt;/div&gt;
			&lt;div class=&quot;journal-subject&quot;&gt;Committee on Regional Studies HASSELIX RTB [1901-]&amp;nbsp;&amp;nbsp;&amp;nbsp;B nemzetközi&lt;/div&gt;
    &lt;/div&gt;&lt;/OnlyViewableByAuthor&gt;


	&lt;div class=&quot;publication-citation&quot; style=&quot;margin-left: 0.5cm;&quot;&gt;
		&lt;span title=&quot;&quot; class=&quot;citingPub-count&quot;&gt;Citing papers: 5&lt;/span&gt;
		| Independent citation: 4
		| Self citation: 1
		| Unknown citation: 0
		| Number of citations in WoS: 3 
		|  Number of citations in Scopus:&amp;nbsp;2 
		|  WoS/Scopus assigned:&amp;nbsp;3 
		|  Number of citations with DOI:&amp;nbsp;5 
		 (Not published:&amp;nbsp;1)
	&lt;/div&gt;
    
    
	&lt;div class=&quot;publication-citation&quot;&gt;
		&lt;a target=&quot;_blank&quot; href=&quot;/api/publication?cond=citations.related;eq;35139244&amp;sort=publishedYear,desc&amp;sort=title&quot;&gt;
			Number of cited publications: 4
		&lt;/a&gt;
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    &lt;div class=&quot;mtid&quot;&gt;&lt;span class=&quot;long-pub-mtid&quot;&gt;Publication: 35139244&lt;/span&gt;
    | &lt;span class=&quot;status-data status-VALIDATED&quot;&gt; 	Validated
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Core	 Citing
	
	
    | &lt;span class=&quot;type-subtype&quot;&gt;Journal Article
			( Article
			
			)
		&lt;/span&gt;
      		| &lt;span class=&quot;pub-category&quot;&gt;Scientific&lt;/span&gt;
	| &lt;span class=&quot;publication-sourceOfData&quot;&gt;Scopus&lt;/span&gt;
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&lt;div class=&quot;funder&quot;&gt; (K142273),    (EFOP-3.6.2-16-2017-00009)   &lt;/div&gt;
&lt;div class=&quot;lastModified&quot;&gt;Last Modified: 2024.08.05. 14:34 Zsuzsa Reményiné Kállai (DE admin 4)
&lt;/div&gt;




	&lt;pre class=&quot;comment&quot; style=&quot;margin-top: 0; margin-bottom: 0;&quot;&gt;&lt;u&gt;Comments&lt;/u&gt;: Department of Internal Medicine, University of Debrecen Faculty of Medicine, Debrecen, Hungary            
            Third Department of Internal Medicine, Semmelweis Hospital of Borsod-Abauj-Zemplen County Central Hospital and University Teaching Hospital, Miskolc, Hungary            
            Department of Health Informatics, Faculty of Health Sciences, University of Debrecen, Debrecen, ...&lt;/pre&gt;
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