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. 2012 Dec;35(12):2588-90.
doi: 10.2337/dc12-0511. Epub 2012 Sep 25.

Reduced incidence of lower-extremity amputations in people with diabetes in Scotland: a nationwide study

Brian Kennon  1 , Graham P Leese, Lynda Cochrane, Helen Colhoun, Sarah Wild, Duncan Stang, Naveed Sattar, Donald Pearson, Robert S Lindsay, Andrew D Morris, Shona Livingstone, Matthew Young, John McKnight, Scott Cunningham
Affiliations

Reduced incidence of lower-extremity amputations in people with diabetes in Scotland: a nationwide study

Brian Kennon et al. Diabetes Care. 2012 Dec.

Abstract

Objective: To establish the incidence of nontraumatic lower-extremity amputation (LEA) in people with diabetes in Scotland.

Research design and methods: This cohort study linked national morbidity records and diabetes datasets to establish the number of people with diabetes who underwent nontraumatic major and minor LEA in Scotland from 2004 to 2008.

Results: Two thousand three hundred eighty-two individuals with diabetes underwent a nontraumatic LEA between 2004 and 2008; 57.1% (n = 1,359) underwent major LEAs. The incidence of any LEA among persons with diabetes fell over the 5-year study period by 29.8% (3.04 per 1,000 in 2004 to 2.13 per 1,000 in 2008, P < 0.001). Major LEA rates decreased by 40.7% from 1.87 per 1,000 in 2004 to 1.11 per 1,000 in 2008 (P < 0.001).

Conclusions: There has been a significant reduction in the incidence of LEA in persons with diabetes in Scotland between 2004 and 2008, principally explained by a reduction in major amputation.

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References

    1. Boulton AJ, Vileikyte L, Ragnarson-Tennvall G, Apelqvist J. The global burden of diabetic foot disease. Lancet 2005;366:1719–1724 - PubMed
    1. van Houtum WH, Rauwerda JA, Ruwaard D, Schaper NC, Bakker K. Reduction in diabetes-related lower-extremity amputations in The Netherlands: 1991-2000. Diabetes Care 2004;27:1042–1046 - PubMed
    1. Moxey PW, Gogalniceanu P, Hinchliffe RJ, et al. Lower extremity amputations—a review of global variability in incidence. Diabet Med 2011;28:1144–1153 - PubMed
    1. Jeffcoate WJ, van Houtum WH. Amputation as a marker of the quality of foot care in diabetes. Diabetologia 2004;47:2051–2058 - PubMed
    1. Cunningham S, McAlpine R, Leese G, et al. Using web technology to support population-based diabetes care. J Diabetes Sci Tech 2011;5:523–534 - PMC - PubMed

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