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Lower Limb Amputation in Germany.

Knut Kröger1, Christian Berg, Frans Santosa

  • 1Department of Vascular Medicine, HELIOS Hospital Krefeld; Department of Internal Medicine, Angiology, Endocrinology and Diabetology, Protestant Hospital Mettmann; Angiology Section, Department of Cardiology and Angiology, University of Münster.

Deutsches Arzteblatt International
|March 18, 2017
PubMed
Summary
This summary is machine-generated.

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Germany saw a 30.9% decrease in major amputations and a 25.4% increase in minor amputations between 2005 and 2014. Further research and preventive measures are crucial for continued reduction in amputation rates.

Area of Science:

  • Public Health
  • Epidemiology
  • Health Services Research

Background:

  • Amputation rates have declined globally in recent years.
  • The trend of amputation rates in Germany remained unclear prior to this study.

Purpose of the Study:

  • To investigate amputation rate trends in Germany from 2005 to 2014.
  • To analyze changes in major and minor amputation rates and their association with specific diagnoses.

Main Methods:

  • Utilized diagnosis-related group (DRG) data from the German Federal Statistical Office (2005-2014).
  • Analyzed changes in major and minor amputations using linear regression.
  • Examined amputation rates adjusted for age and specific primary diagnoses.

Main Results:

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  • The age-adjusted rate of major amputations decreased by 30.9% (23.3 to 16.1 per 100,000 person-years).
  • The age-adjusted rate of minor amputations increased by 25.4% (35.0 to 43.9 per 100,000 person-years).
  • The proportion of major amputations in diabetic patients decreased from 70.2% to 63.7%.

Conclusions:

  • Significant decline in major amputation rates and a rise in minor amputation rates observed in Germany (2005-2014).
  • Continued efforts in preventive care for foot lesions are essential.
  • Further research into the drivers of these amputation trends and prospective registries are recommended.