A review of amputation rates in England documents that in patients without diabetes mellitus amputation rates seem to be falling, but not in patients with diabetes mellitus. The burden of foot disease in patients with diabetes mellitus is rising but evidence suggests this increase might be masking improvements in the quality of its management.
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References
Vamos, E. P., Bottle, A., Majeed, A. & Millett, C. Trends in lower extremity amputations in people with and without diabetes in England, 1996–2005. Diabetes Res. Clin. Pract. 87, 275–282 (2010).
McCaslin, J. E., Hafez, H. M. & Stansby, G. Lower-limb revascularization and major amputation rates in England. Br. J. Surg. 94, 835–839 (2007).
Joint Health Services Unit (2008). Health Survey for England 2006. Cardiovascular disease and risk factors. The Information Centre. Leeds UK [online], (2008).
van Houtum, W. H., Rauwerda, J. A., Ruwaard, D., Schaper, N. C. & Bakker, K. Reduction in diabetes-related lower-extremity amputations in The Netherlands: 1991–2000. Diabetes Care 27, 1042–1046 (2004).
Krishnan, S., Nash, F., Baker, N., Fowler, D. & Rayman, G. Reduction in diabetic amputations over 11 years in a defined UK population: benefits of multidisciplinary team work and continuous prospective audit. Diabetes Care 31, 99–101 (2008).
Canavan, R. J., Unwin, N. C., Kelly, W. F. & Connolly, V. M. Diabetes- and nondiabetes-related lower extremity amputation incidence before and after the introduction of better organized diabetes foot care: continuous longitudinal monitoring using a standard method. Diabetes Care 31, 459–463 (2008).
National Institute for Clinical Excellence. Clinical Guidelines for Type 2 Diabetes Prevention and Management of Foot Problems [online], (2003).
Diabetes UK. The National Minimum Skills Framework for Commissioning of Foot Care Services for People with Diabetes [online], (2006).
Jeffcoate, W. et al. Putting feet first—national guidance at last. Diabet. Med. 26, 1081–1082 (2009).
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Hinchliffe, R., Jeffcoate, W. Diabetes mellitus: are amputation rates falling in England?. Nat Rev Endocrinol 6, 422–424 (2010). https://doi.org/10.1038/nrendo.2010.106
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DOI: https://doi.org/10.1038/nrendo.2010.106