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

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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 languageEnglish
Pages (from-to)2588-2590
Number of pages3
JournalDiabetes Care
Volume35
Issue number12
DOIs
Publication statusPublished - Dec 2012

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Scotland
Amputation
Lower Extremity
Incidence
Cohort Studies
Research Design
Morbidity

Cite this

Kennon, Brian ; Leese, Graham P. ; Cochrane, Lynda ; Colhoun, Helen ; Wild, Sarah ; Stang, Duncan ; Sattar, Naveed ; Pearson, Donald ; Lindsay, Robert S. ; Morris, Andrew D. ; Livingstone, Shona ; Young, Matthew ; McKnight, John ; Cunningham, Scott. / Reduced incidence of lower-extremity amputations in people with diabetes in Scotland : A nationwide study. In: Diabetes Care. 2012 ; Vol. 35, No. 12. pp. 2588-2590.
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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",
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Kennon, B, Leese, GP, Cochrane, L, Colhoun, H, Wild, S, Stang, D, Sattar, N, Pearson, D, Lindsay, RS, Morris, AD, 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, vol. 35, no. 12, pp. 2588-2590. https://doi.org/10.2337/dc12-0511

Reduced incidence of lower-extremity amputations in people with diabetes in Scotland : A nationwide study. / Kennon, Brian; Leese, Graham P.; Cochrane, Lynda; Colhoun, Helen; Wild, Sarah; Stang, Duncan; Sattar, Naveed; Pearson, Donald; Lindsay, Robert S.; Morris, Andrew D.; Livingstone, Shona; Young, Matthew; McKnight, John; Cunningham, Scott.

In: Diabetes Care, Vol. 35, No. 12, 12.2012, p. 2588-2590.

Research output: Contribution to journalArticle

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

N1 - Copyright 2012 Elsevier B.V., All rights reserved.

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.

U2 - 10.2337/dc12-0511

DO - 10.2337/dc12-0511

M3 - Article

VL - 35

SP - 2588

EP - 2590

JO - Diabetes Care

JF - Diabetes Care

SN - 0149-5992

IS - 12

ER -