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Diabetes-related lower-limb amputations in Australia.

C B Payne1

  • 1Department of Podiatry, School of Human Biosciences, Faculty of Health Sciences, La Trobe University, Bundoora, VIC. c.payne@latrobe.edu.au

The Medical Journal of Australia
|November 4, 2000
PubMed
Summary

Diabetes-related lower-limb amputations are prevalent in Australia, with significant regional variations. This study highlights the considerable personal and public health costs associated with these amputations.

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Area of Science:

  • Public Health
  • Epidemiology
  • Diabetes Research

Background:

  • Diabetes mellitus is a leading cause of lower-limb amputations globally.
  • Understanding the prevalence and geographical distribution of these amputations is crucial for targeted interventions.

Purpose of the Study:

  • To determine the prevalence of diabetes-related lower-limb amputations in Australia.
  • To investigate regional variations in amputation rates across Australian States and Territories.

Main Methods:

  • Cross-sectional analysis of the National Hospital Morbidity Database.
  • Inclusion of hospital separations for lower-limb amputations (ICD codes 84.10-84.19) and diabetes (ICD codes 250.0-250.9).
  • Data analyzed for financial years 1995-96 to 1997-98.

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Main Results:

  • A total of 7887 diabetes-related lower-limb amputations were reported between 1995-98.
  • The national prevalence was 13.97 per 100,000 population.
  • Significant regional variations observed, ranging from 11.34 per 100,000 in the Australian Capital Territory to 20.68 per 100,000 in South Australia.

Conclusions:

  • Diabetes-related lower-limb amputation represents a significant burden on individuals and the Australian healthcare system.
  • The findings underscore the need for public health strategies to mitigate amputation rates and address geographical disparities.