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

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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

Details

Original languageEnglish
JournalDiabetes and Vascular Disease Research
Early online date22 Jun 2016
Publication statusE-pub ahead of print - 22 Jun 2016

Keywords

  • amputation, peripheral arterial disease, revascularisation, endovascular