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[Reduced frequency of amputation in diabetic patients]

P Holstein1, N Ellitsgaard, S Sørensen

  • 1Karkirurgisk afd RK, Rigshospitalet, København.

Nordisk Medicin
|May 1, 1996
PubMed

Insights

Major amputations for vascular disease significantly decreased between 1981 and 1994. Advances in vascular surgery and the establishment of a diabetic foot center contributed to this reduction.

Area of Science:

  • Vascular Surgery
  • Diabetic Foot Care

Context:

  • Major amputations for vascular disease at Bispebjerg Hospital, Copenhagen, decreased from 122 to 29 cases annually (1981-1994).
  • Diabetic patient amputation rates fell by 78% (25.5 to 5.5/100,000), and non-diabetic rates by 65% (42.2 to 14.6/100,000).

Purpose:

  • To report on the reduction in major amputations for vascular disease.
  • To highlight the impact of advancements in vascular surgery and the establishment of a diabetic foot center.

Summary:

  • The study details a significant decline in major lower limb amputations due to vascular disease over a 13-year period.
  • Key developments included vascular surgery becoming a specialty, routine infra-popliteal bypass surgery, and the implementation of color duplex scanning for graft surveillance.
  • A dedicated diabetic foot center was established in 1993, contributing to improved patient outcomes.

Impact:

  • Demonstrates a substantial decrease in amputation rates, particularly in diabetic patients.
  • Suggests that integrated vascular care, including specialized surgical techniques and dedicated diabetic foot management, improves limb salvage rates.
  • Provides initial insights into the effectiveness of a diabetic foot center within a vascular surgery unit.

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