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Review

Prevalence of diabetes, diabetic foot ulcer, and lower extremity amputation among Medicare beneficiaries, 2006 to 2008

David J Margolis  1   2 , D Scot Malay  1   3 , Ole J Hoffstad  1 , Charles E Leonard  1 , Thomas MaCurdy  4 , Karla López de Nava  4 , Yang Tan  4 , Teresa Molina  4 , Karen L Siegel  5
In: Data Points Publication Series [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2011. Data Points #1.
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Review

Prevalence of diabetes, diabetic foot ulcer, and lower extremity amputation among Medicare beneficiaries, 2006 to 2008

David J Margolis et al.
Free Books & Documents

Excerpt

The prevalence of diabetes in the Medicare population may be one-third higher than previously estimated.

Overall, approximately 8% of diabetic Medicare beneficiaries have a foot ulcer and 1.8% have an amputation. These prevalence rates are further elevated for the subset of beneficiaries with lower extremity peripheral artery disease.

The prevalence rates for foot ulcer and lower extremity amputation among diabetic Medicare beneficiaries vary dramatically by geographic region.

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References

    1. National Diabetes Data Group. Diabetes in America. Vol. 2. Bethesda, MD: National Institutes of Health; 1995. NIH Pub. No. 95-1468.
    1. Reiber GE. Epidemiology of foot ulcers and amputations in the diabetic foot. In: Bowker JH, Pfeifer MA, editors. Levin and O’Neal’s The Diabetic Foot. 6. St. Louis: Mosby; 2001. pp. 13–32.
    1. Wrobel JS, Mayfield JA, Reiber GE. Geographic variation of lower-extremity major amputation in individuals with and without diabetes in the Medicare population. Diabetes Care. 2001;24:860–864. - PubMed
    1. Reiber GE, Vileikyte L, Boyko EJ, et al. Causal pathways for incident lower-extremity ulcers in patients with diabetes from two settings. Diabetes Care. 1999;22:157–162. - PubMed
    1. Bolton AJ. The diabetic foot: grand overview, epidemiology, and pathogenesis. Diabetes Metab Res Rev. 2008;24(supp 1):S3–6. - PubMed

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