Reduced incidence of lower-extremity amputations in people with diabetes in Scotland: A nationwide study

Brian Kennon; Graham P. Leese; Lynda Cochrane; Helen Colhoun; Sarah Wild; Duncan Stang; Naveed Sattar; Donald Pearson; Robert S. Lindsay; Andrew D. Morris; Shona Livingstone; Matthew Young; John McKnight; Scott Cunningham

doi:10.2337/dc12-0511

Reduced incidence of lower-extremity amputations in people with diabetes in Scotland: A nationwide study

Brian Kennon, Graham P. Leese, Lynda Cochrane, Helen Colhoun, Sarah Wild, Duncan Stang, Naveed Sattar, Donald Pearson, Robert S. Lindsay, Andrew D. Morris, Shona Livingstone, Matthew Young, John McKnight, Scott Cunningham

Population Health and Genomics

Research output: Contribution to journal › Article › peer-review

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Abstract

Objective: To establish the incidence of nontraumatic lower-extremity amputation (LEA) in people with diabetes in Scotland.
Research Design and Methods: This cohort study linked national morbidity records and diabetes datasets to establish the number of people with diabetes who underwent nontraumatic major and minor LEA in Scotland from 2004 to 2008.
Results: Two thousand three hundred eighty-two individuals with diabetes underwent a nontraumatic LEA between 2004 and 2008; 57.1% (n = 1,359) underwent major LEAs. The incidence of any LEA among persons with diabetes fell over the 5-year study period by 29.8% (3.04 per 1,000 in 2004 to 2.13 per 1,000 in 2008, P <0.001). Major LEA rates decreased by 40.7% from 1.87 per 1,000 in 2004 to 1.11 per 1,000 in 2008 (P <0.001).
Conclusions: There has been a significant reduction in the incidence of LEA in persons with diabetes in Scotland between 2004 and 2008, principally explained by a reduction in major amputation.

Original language	English
Pages (from-to)	2588-2590
Number of pages	3
Journal	Diabetes Care
Volume	35
Issue number	12
DOIs	https://doi.org/10.2337/dc12-0511
Publication status	Published - Dec 2012

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Kennon, B., Leese, G. P., Cochrane, L., Colhoun, H., Wild, S., Stang, D., Sattar, N., Pearson, D., Lindsay, R. S., Morris, A. D., Livingstone, S., Young, M., McKnight, J., & Cunningham, S. (2012). Reduced incidence of lower-extremity amputations in people with diabetes in Scotland: A nationwide study. Diabetes Care, 35(12), 2588-2590. https://doi.org/10.2337/dc12-0511

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title = "Reduced incidence of lower-extremity amputations in people with diabetes in Scotland: A nationwide study",

abstract = "Objective: To establish the incidence of nontraumatic lower-extremity amputation (LEA) in people with diabetes in Scotland.Research Design and Methods: This cohort study linked national morbidity records and diabetes datasets to establish the number of people with diabetes who underwent nontraumatic major and minor LEA in Scotland from 2004 to 2008.Results: Two thousand three hundred eighty-two individuals with diabetes underwent a nontraumatic LEA between 2004 and 2008; 57.1% (n = 1,359) underwent major LEAs. The incidence of any LEA among persons with diabetes fell over the 5-year study period by 29.8% (3.04 per 1,000 in 2004 to 2.13 per 1,000 in 2008, P <0.001). Major LEA rates decreased by 40.7% from 1.87 per 1,000 in 2004 to 1.11 per 1,000 in 2008 (P <0.001).Conclusions: There has been a significant reduction in the incidence of LEA in persons with diabetes in Scotland between 2004 and 2008, principally explained by a reduction in major amputation.",

author = "Brian Kennon and Leese, {Graham P.} and Lynda Cochrane and Helen Colhoun and Sarah Wild and Duncan Stang and Naveed Sattar and Donald Pearson and Lindsay, {Robert S.} and Morris, {Andrew D.} and Shona Livingstone and Matthew Young and John McKnight and Scott Cunningham",

year = "2012",

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doi = "10.2337/dc12-0511",

language = "English",

volume = "35",

pages = "2588--2590",

journal = "Diabetes Care",

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TY - JOUR

T1 - Reduced incidence of lower-extremity amputations in people with diabetes in Scotland

T2 - A nationwide study

AU - Kennon, Brian

AU - Leese, Graham P.

AU - Cochrane, Lynda

AU - Colhoun, Helen

AU - Wild, Sarah

AU - Stang, Duncan

AU - Sattar, Naveed

AU - Pearson, Donald

AU - Lindsay, Robert S.

AU - Morris, Andrew D.

AU - Livingstone, Shona

AU - Young, Matthew

AU - McKnight, John

AU - Cunningham, Scott

PY - 2012/12

Y1 - 2012/12

N2 - Objective: To establish the incidence of nontraumatic lower-extremity amputation (LEA) in people with diabetes in Scotland.Research Design and Methods: This cohort study linked national morbidity records and diabetes datasets to establish the number of people with diabetes who underwent nontraumatic major and minor LEA in Scotland from 2004 to 2008.Results: Two thousand three hundred eighty-two individuals with diabetes underwent a nontraumatic LEA between 2004 and 2008; 57.1% (n = 1,359) underwent major LEAs. The incidence of any LEA among persons with diabetes fell over the 5-year study period by 29.8% (3.04 per 1,000 in 2004 to 2.13 per 1,000 in 2008, P <0.001). Major LEA rates decreased by 40.7% from 1.87 per 1,000 in 2004 to 1.11 per 1,000 in 2008 (P <0.001).Conclusions: There has been a significant reduction in the incidence of LEA in persons with diabetes in Scotland between 2004 and 2008, principally explained by a reduction in major amputation.

AB - Objective: To establish the incidence of nontraumatic lower-extremity amputation (LEA) in people with diabetes in Scotland.Research Design and Methods: This cohort study linked national morbidity records and diabetes datasets to establish the number of people with diabetes who underwent nontraumatic major and minor LEA in Scotland from 2004 to 2008.Results: Two thousand three hundred eighty-two individuals with diabetes underwent a nontraumatic LEA between 2004 and 2008; 57.1% (n = 1,359) underwent major LEAs. The incidence of any LEA among persons with diabetes fell over the 5-year study period by 29.8% (3.04 per 1,000 in 2004 to 2.13 per 1,000 in 2008, P <0.001). Major LEA rates decreased by 40.7% from 1.87 per 1,000 in 2004 to 1.11 per 1,000 in 2008 (P <0.001).Conclusions: There has been a significant reduction in the incidence of LEA in persons with diabetes in Scotland between 2004 and 2008, principally explained by a reduction in major amputation.

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DO - 10.2337/dc12-0511

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C2 - 23011727

AN - SCOPUS:84869742525

SN - 0149-5992

VL - 35

SP - 2588

EP - 2590

JO - Diabetes Care

JF - Diabetes Care

IS - 12

ER -

Reduced incidence of lower-extremity amputations in people with diabetes in Scotland: A nationwide study

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