The impact of gender on diabetes-related lower extremity amputations: An Italian regional analysis on trends and predictors

被引：15
|
作者：
Di Giovanni, Pamela [1 ]
Scampoli, Piera [2 ]
Meo, Francesca [2 ]
Cedrone, Fabrizio [2 ]
D'Addezio, Michela [2 ]
Di Martino, Giuseppe [2 ]
Valente, Alessandra [2 ]
Romano, Ferdinando [3 ]
Staniscia, Tommaso [4 ]
机构：
[1] G dAnnunzio Univ Chieti Pescara, Dept Pharm, Via Vestini 31, I-66100 Chieti, Italy
[2] G dAnnunzio Univ Chieti Pescara, Sch Hyg & Prevent Med, Via Vestini 31, I-66100 Chieti, Italy
[3] Univ Roma La Sapienza, Dept Publ Hlth & Infect Dis, Piazzale Aldo Moro 5, I-00185 Rome, Italy
[4] G dAnnunzio Univ Chieti Pescara, Dept Med & Ageing Sci, Via Vestini 31, I-66100 Chieti, Italy
来源：
FOOT AND ANKLE SURGERY | 2021年 / 27卷 / 01期
关键词：
Diabetes; Amputation; Gender; Epidemiology; Predictor; LOWER-LIMB AMPUTATION; FOOT ULCERATION; RISK; CARE; NEUROPATHY; DISEASE; IMPLEMENTATION; REDUCTION; MORTALITY; RATES;
D O I：
10.1016/j.fas.2020.01.005
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Background: Diabetes-related lower extremity amputations (LEAs) are a major public health issue. The aim of the study was to evaluate trends by gender and predictors of LEAs in an Italian region. Methods: Data were collected from hospital discharge records between 2006 and 2015. Gender- and age-adjusted standardised hospitalisation rates for major and minor amputations were calculated. Poisson regression model was performed to estimate trends in LEAs. Results: Hospitalisation rates decreased for minor amputations both among males (-30.0%) and females (-5.3%), while the major amputation rates decreased only for males (-44.7%). Males were at higher risk of undergoing major (IRR 1.41, 95%Cl 1.19-1.67) and minor (IRR 1.62, 95%Cl 1.45-1.82) amputations. Peripheral vascular disease was the leading predictor of major and minor amputations. Conclusion: A significant reduction of LEAs was observed only for males. Identifying their predictable factors may help caregivers to provide higher standards of diabetes care. (C) 2020 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码：25 / 29
页数：5
相关论文
共 50 条
  • [21] Epidemiology of major lower extremity amputations in individuals with diabetes in Austria, 2014-2017: A retrospective analysis of health insurance database
    Aziz, Faisal
    Reichardt, Berthold
    Sourij, Caren
    Dimai, Hans-Peter
    Reichart, Daniela
    Kohler, Gerd
    Brodmann, Marianne
    Sourij, Harald
    DIABETES RESEARCH AND CLINICAL PRACTICE, 2020, 170
  • [22] Lower-extremity amputations in people with and without diabetes in Germany, 2008-2012-an analysis of more than 30 million inhabitants
    Claessen, Heiner
    Narres, Maria
    Haastert, Burkhard
    Arend, Werner
    Hoffmann, Falk
    Morbach, Stephan
    Ruemenapf, Gerhard
    Kvitkina, Tatjana
    Friedel, Heiko
    Guenster, Christian
    Schubert, Ingrid
    Ullrich, Walter
    Westerhoff, Benjamin
    Wilk, Adrian
    Icks, Andrea
    CLINICAL EPIDEMIOLOGY, 2018, 10 : 475 - 488
  • [23] Predictors, consequences and costs of diabetes-related lower extremity amputation complicating type 2 diabetes: The Fremantle Diabetes Study
    W. A. Davis
    P. E. Norman
    D. G. Bruce
    T. M. E. Davis
    Diabetologia, 2006, 49 : 2634 - 2641
  • [24] Gender differences in the impact of poverty on health: disparities in risk of diabetes-related amputation
    Amin, L.
    Shah, B. R.
    Bierman, A. S.
    Lipscombe, L. L.
    Wu, C. F.
    Feig, D. S.
    Booth, G. L.
    DIABETIC MEDICINE, 2014, 31 (11) : 1410 - 1417
  • [25] Trends in diabetes-related foot disease hospitalizations and amputations in Australia, 2010 to 2019
    Quigley, Matthew
    Morton, Jedidiah I.
    Lazzarini, Peter A.
    Zoungas, Sophia
    Shaw, Jonathan E.
    Magliano, Dianna J.
    DIABETES RESEARCH AND CLINICAL PRACTICE, 2022, 194
  • [26] Time trends (2001-2019) and sex differences in incidence and in-hospital mortality after lower extremity amputations among patients with type 1 diabetes in Spain
    Lopez-de-Andres, Ana
    Jimenez-Garcia, Rodrigo
    Hernandez-Barrera, Valentin
    de-Miguel-Diez, Javier
    de-Miguel-Yanes, Jose M.
    Omana-Palanco, Ricardo
    Carabantes-Alarcon, David
    CARDIOVASCULAR DIABETOLOGY, 2022, 21 (01)
  • [27] Temporal trends in major, minor and recurrent lower extremity amputations in people with and without diabetes in Belgium from 2009 to 2018
    Lauwers, Patrick
    Wouters, Kristien
    Vanoverloop, Johan
    Avalosse, Herve
    Hendriks, Jeroen
    Nobels, Frank
    Dirinck, Eveline
    DIABETES RESEARCH AND CLINICAL PRACTICE, 2022, 189
  • [28] Trends in the Incidence of Lower Extremity Amputations in People with and without Diabetes over a Five-Year Period in the Republic of Ireland
    Buckley, Claire M.
    O'Farrell, Anne
    Canavan, Ronan J.
    Lynch, Anthony D.
    De La Harpe, Davida V.
    Bradley, Colin P.
    Perry, Ivan J.
    PLOS ONE, 2012, 7 (07):
  • [29] Global Disability Burdens of Diabetes-Related Lower-Extremity Complications in 1990 and 2016
    Zhang, Yuqi
    Lazzarini, Peter A.
    McPhail, Steven M.
    van Netten, Jaap J.
    Armstrong, David G.
    Pacella, Rosana E.
    DIABETES CARE, 2020, 43 (05) : 964 - 974
  • [30] Epidemiology of diabetic foot disease and diabetes-related lower-extremity amputation in Australia: a systematic review protocol
    van Netten, Jaap J.
    Baba, Mendel
    Lazzarini, Peter A.
    SYSTEMATIC REVIEWS, 2017, 6
12345