Indicators for Comparing the Incidence of Diabetic Amputations: A Nationwide Population-based Register Study

Objective To test various indicators for comparing the outcomes of diabetic foot care. Design All 396,317 patients treated with hypoglycaemic medication in Finland were followed up based on nationwide registers on hospital discharges and causes of death during 1997–2007. Materials and methods The cr...

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Bibliographic Details
Published in:European journal of vascular and endovascular surgery 2013-11, Vol.46 (5), p.569-574
Main Authors: Winell, K, Venermo, M, Ikonen, T, Sund, R
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Amputation
Amputation - mortality
Amputation - statistics & numerical data
Benchmarking
Benchmarking - statistics & numerical data
Catchment Area (Health) - statistics & numerical data
Diabetic foot
Diabetic Foot - diagnosis
Diabetic Foot - mortality
Diabetic Foot - surgery
Female
Finland - epidemiology
Health Status Indicators
Humans
Incidence
Kaplan-Meier Estimate
Male
Middle Aged
Outcome assessment
Quality indicators
Quality Indicators, Health Care - statistics & numerical data
Registries
Surgery
Time Factors
Treatment Outcome
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Summary:Objective To test various indicators for comparing the outcomes of diabetic foot care. Design All 396,317 patients treated with hypoglycaemic medication in Finland were followed up based on nationwide registers on hospital discharges and causes of death during 1997–2007. Materials and methods The crude and standardized incidences of lower extremity amputations (LEAs), the minor–major ratio of the first LEA and 2-year survival with a preserved leg after the first minor LEA were used as indicators for regional and temporal variation in diabetic foot care. Results A total of 13,469 LEAs were recorded in 1997–2007. The standardized population-corrected rate of first major LEA per 100,000 person-years declined from 10.0 (95% CI 9.6–10.5) to 7.3 (6.9–7.6) ( p  
ISSN:1078-5884
1532-2165
DOI:10.1016/j.ejvs.2013.07.010