Decreasing incidence of major amputations in people with diabetes

Diabetologia

Volumn 43, Issue 7, 2000, Pages 844-847

  Holstein, P ^a   Ellitsgaard, N ^a   Olsen, B Bornefeldt ^a   Ellitsgaard, V ^a  

^a BISPEBJERG HOSPITAL   (Denmark)

Author keywords

Amputation; Arterial reconstruction; Diabetes; Diabetic foot; Diabetic gangrene; Multidisciplinary team

Indexed keywords

ADULT; AGED; AMPUTATION; ARTERY BYPASS; ARTICLE; CONTROLLED STUDY; DIABETES MELLITUS; DIABETIC FOOT; FEMALE; HUMAN; INCIDENCE; LEG AMPUTATION; MALE; POPLITEAL ARTERY; PREVALENCE; PRIORITY JOURNAL; PROPHYLAXIS; RETROSPECTIVE STUDY;

EID: 0033912349     PISSN: 0012186X     EISSN: None     Source Type: Journal    
DOI: 10.1007/s001250051459     Document Type: Article

References (23)

1. Krans HM, Porta M, Keen H (1992) Diabetes care and research in Europe: The St Vincent Declaration Action Programme. WHO, Regional office for Europe and international Diabetes Federation Europe. Copenhagen, Denmark, p. 8
2. Davidson JK, Alogna M, Goldsmith M, Borden J (1991) Assessment of program effectiveness at Grady Memorial Hospital - Atlanta. In: Steiner G, Lawrence PA (eds) Educating diabetic patients. New York, Springer Verlag, pp. 329-348
3. Lindegaard P, Jonsson B, Lithner F (1984) Amputations in diabetic patients in Gotland and Umeå counties 1971-1980. Acta Med Scand [Suppl] 687: 89-93
4. Assal JP, Muhlhauser I, Pernat A, Gfeller R, Jorgens V, Berger M (1985) Patient education as the basis for diabetes care in clinical practice. Diabetologia 28: 602-613
5. Edmonds ME, Blundell MP, Morris ME, Maelor Thomas E, Cotton LT, Watkins PJ (1986) Improved survival of the diabetic foot: the role of a specialized diabetic foot clinic. QJM 60: 763-771
6. Malone JM, Snyder M, Anderson G, Berhard VM, Holoway GA, Bunt TJ (1989) Prevention of amputation by diabetic education. Am J Surg 159: 520-524
7. Falkenberg M (1990) Metabolic control and amputations among diabetics in primary health care - a population-based intensified programme governed by patient education. Scand J Prim Health Care 8: 25-29
8. Griffiths GD, Wieman T (1992) Meticulous attention to foot care improves the prognosis in diabetic ulceration of the foot. Surg Gynecol Obstet 174: 49-51
9. LoGerfo FW, Gibbons GW, Pomposelli FB Jr et al. (1992) Trends in the care of the diabetic foot. Expanded role of arterial reconstruction. Arch Surg 127: 617-620
10. Pedersen AE, Olsen BB, Krasnik M et al. (1994) Halving the number of leg amputations: the influence of infrapopliteal bypass. Eur J Vasc Surg 8: 26-30
11. Ebskov LB, Schroeder TV, Holstein P (1994) Epidemiology of leg amputations. The influence of vascular surgery. Br J Surg 81: 1600-1604
12. Luther M (1994) The influence of arterial reconstruction surgery on the outcome of critical leg ischaemia. Eur J Vasc Surg 8: 682-689
13. Bakker K, Dooren J (1994) Een gespecialiseerde voetenpolikliniek voor diabetespatienten vermindert het aantal amputaties en is kostenbesparend. Ned Tijdschr Geneeskd 138: 565-569
14. Larsson J, Apelqvist J, Agardh C-D, Stenstrom A (1995) Decreasing incidence of major amputation in diabetic patients - a consequence of a multidisciplinary foot care team approach? Diabet Med 12: 770-776
15. Ebskov B, Ebskov LB (1996) Major lower limb amputations in diabetic patients: development during 1982 to 1993. Diabetologia 39: 1607-1610
16. Holstein P, Ellitsgaard N, Sørensen S et al. (1996) The number of amputa tions has decreased. Nord Med 111: 142-144
17. The Copenhagen City Heart Study 1989. Østerbroundersøgelsen. Ed. M. Appleyard. Scand J Soc Med 170: 41, p. 31
18. Holstein P, Sørensen S (1999) Limb salvage experience in a multidisciplinary diabetic foot unit. Diabetes Care 22: [Suppl 2]: B97-B103
19. Eickhoff JH (1993) Changes in the number of lower limb amputations during a period of increasing vascular surgical activity. Results of a nation-wide study, Denmark 1977-1990. Eur J Vasc Surg 159: 469-473
20. Lindholt JS, Bøvling S, Fasting H, Henneberg EW (1994) Vascular surgery reduces the frequency of lower limb major amputations. Eur J Vasc Surg 8: 31-35
21. Pell JP, Fowkes FG, Ruckley CV, Clarke J, Kendrick S, Boyd JH (1994) Declining incidence of amputations for arterial disease in Scotland. Eur J Vasc Surg 8: 602-606
22. Karlstrøm L, Bergqvist D (1997) Effects of vascular surgery on amputation rates and mortality. Eur J Vasc Endovasc Surg 14: 273-283
23. Larsson J, Apelqvist J (1995) Towards less amputations in diabetic patients. Incidence, causes, cost, treatment and prevention - a review. Acta Orthoped Scand 66: 181-192