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
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 language | English |
|---|---|
| Journal | Diabetes and Vascular Disease Research |
| Early online date | 22 Jun 2016 |
| DOIs | |
| Publication status | E-pub ahead of print - 22 Jun 2016 |
Keywords
- amputation
- peripheral arterial disease
- revascularisation
- endovascular
Access to Document
- Ahmad_et_al_Prevalence_amputations_English_diabetics_Accepted
Final Version of Record published as detailed above