The prevalence of all cause major and minor lower limb amputation in the diabetic and non diabetic population of England 2003-2013

G Neil Thomas, Paramjit Gill

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    Abstract

    Aims
    To determine prevalence of amputation and revascularisation among diabetics and non diabetics between 2003 and 2013.

    Methods
    Retrospective analysis of English hospital data with census estimates for population aged 50-84.

    Results
    There were 42 294 major and 52 525 minor amputations and 355 545 revascularisations. Major amputation rates fell by 20% (27.7 to 22.9) with minor amputations (22.9 to 35.2) and revascularisations (199.8 to 245.4) rising. The major amputation rate reduced in diabetics (men 180.5 to 111.8; women 92.8 to 52.7) faster than non diabetics (men 24.6 to 18.7; women 11.0 to 8.9). 48.2% of men and 58.0% of women amputees were not diabetic.

    Conclusion
    Diabetics continue to experience six times the rate of amputation than non diabetics. However, half of major amputees were not diabetic and experienced slower rates of decrease. Non diabetics, particularly those with peripheral arterial disease should have access to appropriate services, particularly foot care, evaluated.

    Keywords: Amputation, revascularisation, epidemiology, diabetes
    Original languageEnglish
    JournalDiabetes and Vascular Disease Research
    Early online date22 Jun 2016
    DOIs
    Publication statusE-pub ahead of print - 22 Jun 2016

    Keywords

    • amputation
    • peripheral arterial disease
    • revascularisation
    • endovascular

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