Audit of diabetes-related lower extremity amputations in the Northern Region of New Zealand 2013-2016.
N Z Med J
; 137(1598): 44-54, 2024 Jul 05.
Article
em En
| MEDLINE
| ID: mdl-38963930
ABSTRACT
AIMS:
To characterise diabetes-related lower extremity amputations (DRLEA) and prior contact with specialist podiatrists in Northern New Zealand.METHODS:
Using administrative data, DRLEA ≥35 years were identified for the Northern Region (July 2013 to June 2016). For those domiciled in Metro Auckland (July 2015 to June 2016), additional clinical data described amputation cause, diabetes-related comorbidities and podiatry contact.RESULTS:
There were 862 DRLEA for 488 people, including 25% (n=214) major amputations. Age-standardised amputation rates were three times higher for males than females (41.1 vs 13.6 per 100,000 population [95% confidence interval (CI) 37.3-44.9 vs 11.6-15.6 per 100,000] respectively). Amputation rates varied by ethnicity, being 2.8 and 1.5 times higher respectively for Maori and Pacific people than non-Maori, non-Pacific people. Mortality was high at 1-, 3- and 6-months post-admission (7.9%, 12.4 % and 18.3% respectively). There was high prevalence of peripheral vascular disease (78.8%), neuropathy (75.6%), retinopathy (73.6%) and nephropathy (58%). In the 3 months prior to first DRLEA admission, 65% were not seen by specialist podiatry.CONCLUSIONS:
Our study confirms higher DRLEA admission rates for Maori and males. We identified elevated rates among Pacific populations and observed suboptimal utilisation of specialist podiatry services.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Pé Diabético
/
Extremidade Inferior
/
Amputação Cirúrgica
Limite:
Adult
/
Aged
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Aged80
/
Female
/
Humans
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Male
/
Middle aged
País como assunto:
Oceania
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article