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Diab Vasc Dis Res. 2016 Sep;13(5):348-53. doi: 10.1177/1479164116651390. Epub 2016 Jun 22.

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

Author information

1
Department of Vascular and Endovascular Surgery, Manchester Royal Infirmary, Manchester, UK naseer.ahmad@cmft.nhs.uk.
2
University of Birmingham, Birmingham, UK.
3
Liverpool Vascular and Endovascular Service (LiVES), Royal Liverpool University Hospital, Liverpool, UK.

Abstract

AIMS:

To determine the 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 years.

RESULTS:

There were 42,294 major and 52,525 minor amputations and 355,545 revascularisations. Major amputation rates fell by 20% (27.7-22.9), with minor amputations (22.9-35.2) and revascularisations (199.8-245.4) rising. The major amputation rate reduced in diabetics (men, 180.5-111.8; women, 92.8-52.7) faster than non-diabetics (men, 24.6-18.7; women, 11.0-8.9). In total, 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.

KEYWORDS:

Amputation; endovascular; peripheral arterial disease; revascularisation

PMID:
27334482
DOI:
10.1177/1479164116651390
[Indexed for MEDLINE]

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