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Indirect impact of the COVID-19 pandemic on diabetes-related lower extremity amputations: A regional study

Yılmaz Ergişi, Erdi Özdemir1, Ozan Altun

  • 1Karabük Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, 78100 Karabük, Türkiye. erdi.ozdemir@hacettepe.edu.tr.

Joint Diseases and Related Surgery
|April 1, 2022
PubMed

Insights

The COVID-19 pandemic did not significantly alter lower extremity amputation levels in diabetes patients. Patient adherence to medical care remains the primary factor influencing amputation surgery outcomes.

Area of Science:

  • Medical Research
  • Public Health
  • Diabetology

Background:

  • The COVID-19 pandemic disrupted routine healthcare access globally.
  • Diabetes patients are at high risk for lower extremity complications requiring amputation.

Purpose of the Study:

  • To assess the indirect impact of the COVID-19 pandemic on diabetes-related lower extremity amputations.
  • To compare amputation levels and incidence between pre-pandemic and pandemic periods.

Main Methods:

  • Retrospective review of patients undergoing lower limb amputation due to diabetes complications.
  • Comparison of two groups: pre-pandemic (Aug 2019-Feb 2020) and pandemic (Aug 2020-Feb 2021).
  • Analysis of amputation levels and time since last diabetes follow-up.

Main Results:

  • No statistically significant difference in amputation levels between control and pandemic groups (p=0.959).
  • A significant increase in the mean time from last diabetes control to amputation in the pandemic group (p=0.038).
  • No significant difference in the proportion of patients without diabetes follow-up in the year prior to amputation (p=0.842).

Conclusions:

  • The COVID-19 pandemic did not indirectly affect the level or incidence of lower extremity amputations in diabetes patients.
  • Delays in routine diabetes care during the pandemic did not lead to increased amputation severity.
  • Patient adherence to diabetes management is the key determinant for preventing amputation surgery.
Abstract

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