AIMS: We studied the changes in the incidence of lower limb amputation (LLA) in Andalusia from 1998 to 2006 in the population with and without diabetes. METHODS: We undertook a retrospective study of all LLA performed in Andalusia in people aged 30 years old, with or without diabetes, between 1 January 1998 and 31 December 2006. We obtained the crude and standardized incidence rates by year, and sex for three periods: 1998-2000, 2001-2003 and 2004-2006 and calculated the RR of requiring LLA in patients with diabetes. To test for time trend, Poisson regression models were fitted. RESULTS: A total of 16,210 LLA were carried out in Andalusia, 72.6% in patients with diabetes mellitus and 66.4% in men. In the population with diabetes the standardized incidence of all LLA was found to be 344.0 per 100,000 (95% CI, 315.4-372.4) in 2004-2006. There was an estimated incidence increase for all LLA by 14% and for minor LLA by 13.6% in 2004-2006. In people with diabetes the RR increased by 31.6% as compared to the first period. CONCLUSIONS: Despite the implementation of a care plan for patients with diabetes, the incidence of LLA has not fallen in Andalusia in recent years.
AIMS: We studied the changes in the incidence of lower limb amputation (LLA) in Andalusia from 1998 to 2006 in the population with and without diabetes. METHODS: We undertook a retrospective study of all LLA performed in Andalusia in people aged 30 years old, with or without diabetes, between 1 January 1998 and 31 December 2006. We obtained the crude and standardized incidence rates by year, and sex for three periods: 1998-2000, 2001-2003 and 2004-2006 and calculated the RR of requiring LLA in patients with diabetes. To test for time trend, Poisson regression models were fitted. RESULTS: A total of 16,210 LLA were carried out in Andalusia, 72.6% in patients with diabetes mellitus and 66.4% in men. In the population with diabetes the standardized incidence of all LLA was found to be 344.0 per 100,000 (95% CI, 315.4-372.4) in 2004-2006. There was an estimated incidence increase for all LLA by 14% and for minor LLA by 13.6% in 2004-2006. In people with diabetes the RR increased by 31.6% as compared to the first period. CONCLUSIONS: Despite the implementation of a care plan for patients with diabetes, the incidence of LLA has not fallen in Andalusia in recent years.
Authors: Andrea Icks; Heiner Claessen; Tatjana Kvitkina; Maria Narres; Michael Weingärtner; Stefan Schwab; Peter L Kolominsky-Rabas Journal: PLoS One Date: 2017-11-16 Impact factor: 3.240
Authors: Maria Narres; Tatjana Kvitkina; Heiner Claessen; Sigrid Droste; Björn Schuster; Stephan Morbach; Gerhard Rümenapf; Kristien Van Acker; Andrea Icks Journal: PLoS One Date: 2017-08-28 Impact factor: 3.240
Authors: Heiner Claessen; Maria Narres; Burkhard Haastert; Werner Arend; Falk Hoffmann; Stephan Morbach; Gerhard Rümenapf; Tatjana Kvitkina; Heiko Friedel; Christian Günster; Ingrid Schubert; Walter Ullrich; Benjamin Westerhoff; Adrian Wilk; Andrea Icks Journal: Clin Epidemiol Date: 2018-04-20 Impact factor: 4.790