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The prevalence of major lower limb amputation in the diabetic and non-diabetic population of England 2003-2013
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Ahmad, N., Thomas, G. N., Gill, Paramjit and Torella, F. (2016) The prevalence of major lower limb amputation in the diabetic and non-diabetic population of England 2003-2013. Diabetes and Vascular Disease Research, 13 (5). pp. 348-353. doi:10.1177/1479164116651390 ISSN 1479-1641.
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Official URL: http://dx.doi.org/10.1177/1479164116651390
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.
Item Type: | Journal Article | ||||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||
Journal or Publication Title: | Diabetes and Vascular Disease Research | ||||||
Publisher: | Sage Publications Ltd. | ||||||
ISSN: | 1479-1641 | ||||||
Official Date: | 1 September 2016 | ||||||
Dates: |
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Volume: | 13 | ||||||
Number: | 5 | ||||||
Page Range: | pp. 348-353 | ||||||
DOI: | 10.1177/1479164116651390 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Restricted or Subscription Access |
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