Affiliation:
1. Department of Vascular and Endovascular Surgery, Manchester Royal Infirmary, Manchester, 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.
Subject
Cardiology and Cardiovascular Medicine,Endocrinology, Diabetes and Metabolism,Internal Medicine
Cited by
68 articles.
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