The prevalence of major lower limb amputation in the diabetic and non-diabetic population of England 2003-2013

Diab Vasc Dis Res. 2016 Sep;13(5):348-53. doi: 10.1177/1479164116651390. Epub 2016 Jun 22.

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.

Keywords: Amputation; endovascular; peripheral arterial disease; revascularisation.

Publication types

  • Comparative Study

MeSH terms

  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Amputation / trends*
  • Diabetes Mellitus / diagnosis
  • Diabetes Mellitus / epidemiology*
  • England / epidemiology
  • Female
  • Humans
  • Limb Salvage / trends
  • Male
  • Middle Aged
  • Peripheral Arterial Disease / diagnosis
  • Peripheral Arterial Disease / epidemiology*
  • Peripheral Arterial Disease / surgery*
  • Prevalence
  • Retrospective Studies
  • Risk Factors
  • Sex Distribution
  • Time Factors
  • Treatment Outcome
  • Vascular Surgical Procedures / trends*