Nationwide diabetes-related lower extremity amputation rates in secondary care treated patients with diabetes in the Netherlands (DUDE-7)

Leonie Nijenhuis-Rosien; Steven Hans Hendriks; Nanne Kleefstra; Hendricus Jozef Gerardus Bilo; Gijs Wilhelmus Diederik Landman

doi:10.1016/j.jdiacomp.2017.01.015

Nationwide diabetes-related lower extremity amputation rates in secondary care treated patients with diabetes in the Netherlands (DUDE-7)

Leonie Nijenhuis-Rosien^*
, Steven Hans Hendriks
, Nanne Kleefstra
, Hendricus Jozef Gerardus Bilo
, Gijs Wilhelmus Diederik Landman

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

7 Citations (Scopus)

Abstract

Aims: To estimate the annual amputation rate in all secondary care treated patients with diabetes in the Netherlands and specifically in patients known with diabetic retinopathy.

Methods: A nationwide population-based retrospective cohort study was performed including the years 2007-2011. Data of patients were retrieved from reimbursement registries for hospital care from a nationwide insurance database including codes for diabetes, retinopathy and amputation. Traumatic amputations were excluded.

Results: The number of patients with secondary care treated diabetes increased from 132.499 to 137.049 over the years 2007-2011 in the Netherlands. The annual rate of non-traumatic lower-extremity amputations ranged from 4.32 to 5.28 amputations per 1.000 patients.

For patients diagnosed with non-proliferative and (pre-) proliferative diabetic retinopathy, the mean amputation rates were 7.9 per 1.000 and 14.7 per 1.000, respectively.

Conclusion: The Dutch annual incidence rates of non-traumatic lower extremity amputations in secondary care treated patients with diabetes is relatively low and remained stable over the years 2007 to 2011. The amputation rate in patients with retinopathy was substantially higher compared to patients without retinopathy. (C) 2017 Elsevier Inc. All rights reserved.

Original language	English
Pages (from-to)	675-678
Number of pages	4
Journal	Journal of Diabetes and its Complications
Volume	31
Issue number	4
DOIs	https://doi.org/10.1016/j.jdiacomp.2017.01.015
Publication status	Published - Apr-2017

Keywords

Amputation
Complications
Diabetes
Diabetic foot
Peripheral arterial disease
Retinopathy
REDUCED INCIDENCE
FOOT ULCERS
MELLITUS

Access to Document

10.1016/j.jdiacomp.2017.01.015

Handle.net

Persistent link

Embargoed Document

Nationwide diabetes-related lower extremity amputation rates in secondary care treated patients with diabetes in the Netherlands (DUDE-7)
Final publisher's version, 200 KB
Request copy

Cite this

@article{084789fc8eed492b8c3d3e1e03991805,

title = "Nationwide diabetes-related lower extremity amputation rates in secondary care treated patients with diabetes in the Netherlands (DUDE-7)",

abstract = "Aims: To estimate the annual amputation rate in all secondary care treated patients with diabetes in the Netherlands and specifically in patients known with diabetic retinopathy.Methods: A nationwide population-based retrospective cohort study was performed including the years 2007-2011. Data of patients were retrieved from reimbursement registries for hospital care from a nationwide insurance database including codes for diabetes, retinopathy and amputation. Traumatic amputations were excluded.Results: The number of patients with secondary care treated diabetes increased from 132.499 to 137.049 over the years 2007-2011 in the Netherlands. The annual rate of non-traumatic lower-extremity amputations ranged from 4.32 to 5.28 amputations per 1.000 patients.For patients diagnosed with non-proliferative and (pre-) proliferative diabetic retinopathy, the mean amputation rates were 7.9 per 1.000 and 14.7 per 1.000, respectively.Conclusion: The Dutch annual incidence rates of non-traumatic lower extremity amputations in secondary care treated patients with diabetes is relatively low and remained stable over the years 2007 to 2011. The amputation rate in patients with retinopathy was substantially higher compared to patients without retinopathy. (C) 2017 Elsevier Inc. All rights reserved.",

keywords = "Amputation, Complications, Diabetes, Diabetic foot, Peripheral arterial disease, Retinopathy, REDUCED INCIDENCE, FOOT ULCERS, MELLITUS",

author = "Leonie Nijenhuis-Rosien and Hendriks, \{Steven Hans\} and Nanne Kleefstra and Bilo, \{Hendricus Jozef Gerardus\} and Landman, \{Gijs Wilhelmus Diederik\}",

year = "2017",

month = apr,

doi = "10.1016/j.jdiacomp.2017.01.015",

language = "English",

volume = "31",

pages = "675--678",

journal = "Journal of Diabetes and its Complications",

issn = "1056-8727",

publisher = "ELSEVIER SCIENCE INC",

number = "4",

}

Nationwide diabetes-related lower extremity amputation rates in secondary care treated patients with diabetes in the Netherlands (DUDE-7). / Nijenhuis-Rosien, Leonie; Hendriks, Steven Hans; Kleefstra, Nanne et al.
In: Journal of Diabetes and its Complications, Vol. 31, No. 4, 04.2017, p. 675-678.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Nationwide diabetes-related lower extremity amputation rates in secondary care treated patients with diabetes in the Netherlands (DUDE-7)

AU - Nijenhuis-Rosien, Leonie

AU - Hendriks, Steven Hans

AU - Kleefstra, Nanne

AU - Bilo, Hendricus Jozef Gerardus

AU - Landman, Gijs Wilhelmus Diederik

PY - 2017/4

Y1 - 2017/4

N2 - Aims: To estimate the annual amputation rate in all secondary care treated patients with diabetes in the Netherlands and specifically in patients known with diabetic retinopathy.Methods: A nationwide population-based retrospective cohort study was performed including the years 2007-2011. Data of patients were retrieved from reimbursement registries for hospital care from a nationwide insurance database including codes for diabetes, retinopathy and amputation. Traumatic amputations were excluded.Results: The number of patients with secondary care treated diabetes increased from 132.499 to 137.049 over the years 2007-2011 in the Netherlands. The annual rate of non-traumatic lower-extremity amputations ranged from 4.32 to 5.28 amputations per 1.000 patients.For patients diagnosed with non-proliferative and (pre-) proliferative diabetic retinopathy, the mean amputation rates were 7.9 per 1.000 and 14.7 per 1.000, respectively.Conclusion: The Dutch annual incidence rates of non-traumatic lower extremity amputations in secondary care treated patients with diabetes is relatively low and remained stable over the years 2007 to 2011. The amputation rate in patients with retinopathy was substantially higher compared to patients without retinopathy. (C) 2017 Elsevier Inc. All rights reserved.

AB - Aims: To estimate the annual amputation rate in all secondary care treated patients with diabetes in the Netherlands and specifically in patients known with diabetic retinopathy.Methods: A nationwide population-based retrospective cohort study was performed including the years 2007-2011. Data of patients were retrieved from reimbursement registries for hospital care from a nationwide insurance database including codes for diabetes, retinopathy and amputation. Traumatic amputations were excluded.Results: The number of patients with secondary care treated diabetes increased from 132.499 to 137.049 over the years 2007-2011 in the Netherlands. The annual rate of non-traumatic lower-extremity amputations ranged from 4.32 to 5.28 amputations per 1.000 patients.For patients diagnosed with non-proliferative and (pre-) proliferative diabetic retinopathy, the mean amputation rates were 7.9 per 1.000 and 14.7 per 1.000, respectively.Conclusion: The Dutch annual incidence rates of non-traumatic lower extremity amputations in secondary care treated patients with diabetes is relatively low and remained stable over the years 2007 to 2011. The amputation rate in patients with retinopathy was substantially higher compared to patients without retinopathy. (C) 2017 Elsevier Inc. All rights reserved.

KW - Amputation

KW - Complications

KW - Diabetes

KW - Diabetic foot

KW - Peripheral arterial disease

KW - Retinopathy

KW - REDUCED INCIDENCE

KW - FOOT ULCERS

KW - MELLITUS

U2 - 10.1016/j.jdiacomp.2017.01.015

DO - 10.1016/j.jdiacomp.2017.01.015

M3 - Article

SN - 1056-8727

VL - 31

SP - 675

EP - 678

JO - Journal of Diabetes and its Complications

JF - Journal of Diabetes and its Complications

IS - 4

ER -

Nationwide diabetes-related lower extremity amputation rates in secondary care treated patients with diabetes in the Netherlands (DUDE-7)

Abstract

Keywords

Access to Document

Handle.net

Embargoed Document

Fingerprint

Cite this