Incidence of Lower Limb Amputations and Diabetes

Trautner, Christoph; Haastert, Burkhard; Giani, Guido; Berger, Michael

doi:10.2337/diacare.19.9.1006

Cited by 153 publications

(101 citation statements)

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“…However, an unchanged or increased incidence of lower-limb amputations has been described by several other authors (Morris et al 1998, Stiegler et al 1998, Pohjolainen and Alaranta 1999, Trautner et al 2001. Doubts have been raised regarding the possibility of obtaining and maintaining such a reduction for more than a limited number of years (Trautner et al 1996, Jeffcoate and Harding 2003, Jeffcoate 2004, particularly in view of the ageing population and an increasing prevalence of diabetes (the Global Lower Extremity Amputation Study Group 2000, Zimmet et al 2001.…”

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confidence: 99%

Sustained reduction in major amputations in diabetic patients: 628 amputations in 461 patients in a defined population over a 20-year period

et al. 2008

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confidence: 99%

Sustained reduction in major amputations in diabetic patients: 628 amputations in 461 patients in a defined population over a 20-year period

et al. 2008

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“…Studies have reported that, in patients diagnosed with diabetes who were admitted to hospitals, 10% to 19% of them had their feet examined after footwear and socks were taken off (9)(10) .…”

Section: Introductionmentioning

confidence: 99%

Comportamento e conhecimento: fundamentos para prevenção do pé diabético

2009

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Objective:To describe the knowledge and behaviors of patients with diabetes towards foot care. Methods: A cross-sectional descriptive study was conducted at a university research and intervention center in the interior of the state of São Paulo. Data were collected through interviews, two specific questionnaires, and physical examination of the foot in 55 patients in 2005. Results: The participants did not recognize the dimension of the true risks regarding lack of foot care. The participant knowledge of diabetes did not translate into actions to prevent foot problems. These results suggest the need to take into consideration specific individual characteristics and the individual's interactions with the environment in designing educational interventions. Conclusions: Health care professionals need to understand that discrepancy between knowledge and behaviors of patients with diabetes is not an obstacle impossible to cross, but a challenging issue that needs to be addressed. Keywords: Diabetes mellitus; Primary prevention; Diabetic foot/prevention & control; Health behavior; Health knowledge, attitudes, practice RESUMO Objetivo: Identificar o conhecimento e comportamento de pessoas diabéticas em relação aos cuidados com os pés. Métodos: Estudo descritivo e transversal realizado em um centro de pesquisa e extensão universitária do interior paulista, em 2005. Foram entrevistados 55 pacientes diabéticos. Para a obtenção dos dados utilizamos um formulário, dois questionários e exame físico dos pés. Resultados: As pessoas diabéticas não reconhecem a dimensão do risco real com relação aos pés. O conhecimento referido nem sempre se traduz na adoção de ações de autocuidado para a prevenção de problemas relacionados aos pés. Esta realidade aponta para a necessidade de considerarmos as particularidades de cada sujeito e sua interação com o ambiente, para delineamento das intervenções educativas. Conclusões: É preciso que os profissionais de saúde compreendam que o descompasso entre conhecimento e comportamento dos diabéticos não deve ser interpretado como um obstáculo intransponível, mas como um dos desafios fundamentais que precisam ser enfrentados. Descritores: Diabetes mellitus; Prevenção primária; Pé diabético/prevenção & controle; Conduta de saúde; Conhecimentos, atitudes e prática em saúde RESUMEN Objetivo: Identificar el conocimiento y comportamiento de personas diabéticas en relación a los cuidados de los piés. Métodos: Estudio descriptivo y transversal realizado en un centro de investigación y extensión universitaria del interior paulista, en el 2005. Fueron entrevistados 55 pacientes diabéticos. Para la obtención de los datos utilizamos un formulario, dos cuestionarios y examen físico de los piés. Resultados: Las personas diabéticas no reconocen la dimensión del riesgo real en relación a los piés. El conocimiento referido no siempre se traduce en la adopción de acciones de autocuidado para la prevención de problemas relacionados a los piés. Esta realidad apunta hacia la necesidad de considerar las parti...

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“…1 Diabetes is a strong risk factor for cardiovascular disease and end stage renal disease, is the most common cause of blindness among working-age adults, and is responsible for half of non-traumatic lower extremity amputation in the United States. [1][2][3][4][5][6][7][8] In 2002, per capita medical expenditures for people with diabetes were $13,243, compared to $2,560 for persons without diabetes, and total direct medical expenditures exceeded $91 billion. 9 Glycemic control is a strong predictor of diabetes complications, particularly microvascular complications.…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Alcohol Consumption and Glycemic Control Among Patients with Diabetes: The Kaiser Permanente Northern California Diabetes Registry

et al. 2008

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Incidence of Lower Limb Amputations and Diabetes

Abstract: We found incidence rates similar to those in the non-Indian population of the U.S. Great relative and population-attributable risks indicate that improving foot care in diabetic individuals appears to be the main target for the reduction of amputations in the general population.

Cited by 153 publications

References 2 publications

Sustained reduction in major amputations in diabetic patients: 628 amputations in 461 patients in a defined population over a 20-year period

Sustained reduction in major amputations in diabetic patients: 628 amputations in 461 patients in a defined population over a 20-year period

Comportamento e conhecimento: fundamentos para prevenção do pé diabético

The Relationship Between Alcohol Consumption and Glycemic Control Among Patients with Diabetes: The Kaiser Permanente Northern California Diabetes Registry

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