| Zdroj: |
Røikjer, J, Kvist, A V, Nikontovic, A, Jakobsen, P E, Vestergaard, P, Hinchliffe, R J, Petersen, C N, Houlind, KC & Ejskjær, N 2023, ' Declining incidence of major lower-extremity amputations in the Northern Danish Region between 2016 and 2021: The impact of diabetes and preventive vascular procedures ', Årsmøde i Dansk Endokrinologisk Selskab 2023, Kolding, Denmark, 16/06/2023-17/06/2023 . |
| Popis: |
Introduction:Preventing lower-extremity amputations (LEAs) is pivotal. In the present study we aimed to examine the recent trends in non-traumatic LEAs seen in the Northern Danish Region.Methods:Using surgical codes and data from the regional Business Intelligence unit we identified all non-traumatic LEAs (n=689) performed in people above 50 years of age in the Northern Danish Region between January 2016 and December 2021 (approximately 600.000 inhabitants). Persons with diabetes (n=26,025) were identified based on ICD-10 codes and general practitioner fees for treatment of chronic diseases, while preventive vascular procedures (n=1,512) were identified using surgical codes. Major LEA was defined as any amputation above the ankle. Incidence-rates were expressed as incidence per 1.000 person-years. Trends were described as differences between the periods 2016-2018 and 2019-2021.ResultsA total of 249 (36%) major LEAs were performed in people with diabetes. People with diabetes undergoing LEA were younger (73 vs 77 years, pConclusion:Despite significant declines in major LEA in both people with and without diabetes, the majority of the decline was driven by a large reduction in the number of major LEAs performed in people without diabetes. |
