Lower limb amputations in Trondheim, Norway

Witsø, Eivind; Lium, Arne; Lydersen, Stian

doi:10.3109/17453674.2010.519164

Cited by 26 publications

(41 citation statements)

References 28 publications

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“…While there are others who report no change in amputation rates, 14,15 most research supports an overall trend toward a significantly declining incidence. [3][4][5][6][7][8][9] Reasons for unchanged amputation incidence rates must be carefully considered in order to build effective care strategies. It was expected that there would be a shift toward an older age for people undergoing their first amputation as more interventions aim to prevent or delay the procedure.…”

Section: Discussionmentioning

confidence: 99%

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Lower limb amputation in Northern Netherlands

Fortington¹,

Rommers²,

Postema³

et al. 2013

Prosthetics &Amp; Orthotics International

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Background: Investigating population changes gives insight into effectiveness and need for prevention and rehabilitation services. Incidence rates of amputation are highly varied, making it difficult to meaningfully compare rates between studies and regions or to compare changes over time. Study Design: Historical cohort study of transtibial amputation, knee disarticulation, and transfemoral amputations resulting from vascular disease or infection, with/without diabetes, in [2003][2004], in the three Northern provinces of the Netherlands. Objectives: To report the incidence of first transtibial amputation, knee disarticulation, or transfemoral amputation in [2003][2004] and the characteristics of this population, and to compare these outcomes to an earlier reported cohort from 1991 to 1992. Methods: Population-based incidence rates were calculated per 100,000 person-years and compared across the two cohorts. Results: Incidence of amputation was 8.8 (all age groups) and 23.6 (≥45 years) per 100,000 person-years. This was unchanged from the earlier study of 1991-1992. The relative risk of amputation was 12 times greater for people with diabetes than for people without diabetes. Conclusions: Investigation is needed into reasons for the unchanged incidence with respect to the provision of services from a range of disciplines, including vascular surgery, diabetes care, and multidisciplinary foot clinics. Clinical relevanceThis study shows an unchanged incidence of amputation over time and a high risk of amputation related to diabetes. Given the increased prevalence of diabetes and population aging, both of which present an increase in the population at risk of amputation, finding methods for reducing the rate of amputation is of importance.

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Section: Discussionmentioning

confidence: 99%

“…[3][4][5][6][7][8][9] Most studies focus on amputations in people with diabetes. 1 For the Netherlands, a reduction from 550 to 363 amputations per 100,000 people with diabetes was reported.…”

Section: Introductionmentioning

confidence: 99%

Lower limb amputation in Northern Netherlands

Fortington¹,

Rommers²,

Postema³

et al. 2013

Prosthetics &Amp; Orthotics International

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“…This is deemed to enable a more systematic treatment of diabetic foot ulcers, a shorter period of healing, and fewer amputations resulting from foot ulcers (14)(15)(16).…”

Section: Discussionmentioning

confidence: 99%

Diabetiske fotsårteam i norske sykehus

Robberstad¹,

Bentsen²,

Berg³

et al. 2017

Tidsskriftet

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“…4,6,7 Studies from different European countries were able to show a statistically significant decrease in the incidence of diabetes-associated amputations over the last decade. [8][9][10][11] It was observed that this was the result of a significant reduction in major amputation rates with a growing incidence of minor amputations. 12 Most available studies focused on the prevention of amputation and did not investigate the long-term prognosis and survival of patients.…”

Section: Introductionmentioning

confidence: 99%

Survival of diabetes patients with major amputation is comparable to malignant disease

Hoffmann

Kujath

Flemming

et al. 2015

Diabetes and Vascular Disease Research

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Introduction: Almost all studies on diabetic foot syndrome focused on prevention of amputation and did not investigate long-term prognosis and survival of patients as a primary outcome parameter. Methods:We did a retrospective cohort study including 314 patients who had diabetic foot syndrome and underwent amputation between December 1995 and January 2001. Results: A total of 48% of patients received minor amputation (group I), 15% only major amputation (group II) and 36% initially underwent a minor amputation that was followed by a major amputation (group III). Statistically significant differences were observed in comparison of the median survival of group I to group II (51 vs 40 months; p = 0.016) and of group II to group III (40 vs 55 months; p = 0.003). Discussion: The prognosis of patients with major amputation due to diabetic foot syndrome is comparable to patients with malignant diseases. Vascular interventions did not improve the individual prognosis of patients.

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Lower limb amputations in Trondheim, Norway

Cited by 26 publications

References 28 publications

Lower limb amputation in Northern Netherlands

Lower limb amputation in Northern Netherlands

Diabetiske fotsårteam i norske sykehus

Survival of diabetes patients with major amputation is comparable to malignant disease

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