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Reducing lower leg amputations in diabetes: a challenge for patients, healthcare providers and the healthcare system

Schaper, N. C.; Apelqvist, Jan LU and Bakker, K. (2012) In Diabetologia 55(7). p.1869-1872
Abstract
Amputation of the lower limb is one of the most feared diabetic complications. It is associated with loss of mobility and a poor quality of life. Amputations result in high economic burden for the healthcare system. The financial cost is also high for patients and their families, particularly in countries that lack a comprehensive health service and/or have a low income. Losing a leg frequently implies financial ruin for a whole family in these countries; therefore, a reduction in diabetes-related amputations is a major global priority. Marked geographical variation in amputation rates has been reported within specific regions of an individual country and between countries. A coordinated healthcare system with a multidisciplinary approach... (More)
Amputation of the lower limb is one of the most feared diabetic complications. It is associated with loss of mobility and a poor quality of life. Amputations result in high economic burden for the healthcare system. The financial cost is also high for patients and their families, particularly in countries that lack a comprehensive health service and/or have a low income. Losing a leg frequently implies financial ruin for a whole family in these countries; therefore, a reduction in diabetes-related amputations is a major global priority. Marked geographical variation in amputation rates has been reported within specific regions of an individual country and between countries. A coordinated healthcare system with a multidisciplinary approach is essential if the number of amputations is to be reduced. This commentary discusses how studies on the variation in amputation rates can help to identify barriers in the access or delivery of care with the aim of reducing the burden of diabetic foot disease. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Amputation, Diabetes, Diabetic foot, Multidisciplinary foot team, Peripheral arterial disease, Ulcer
in
Diabetologia
volume
55
issue
7
pages
1869 - 1872
publisher
Springer Verlag
external identifiers
  • wos:000305215200003
  • scopus:84866405164
ISSN
1432-0428
DOI
10.1007/s00125-012-2588-z
language
English
LU publication?
yes
id
fb4c51c6-d8da-47ca-8cc1-b9711014386c (old id 2891064)
date added to LUP
2012-08-01 08:54:02
date last changed
2017-09-03 03:07:34
@article{fb4c51c6-d8da-47ca-8cc1-b9711014386c,
  abstract     = {Amputation of the lower limb is one of the most feared diabetic complications. It is associated with loss of mobility and a poor quality of life. Amputations result in high economic burden for the healthcare system. The financial cost is also high for patients and their families, particularly in countries that lack a comprehensive health service and/or have a low income. Losing a leg frequently implies financial ruin for a whole family in these countries; therefore, a reduction in diabetes-related amputations is a major global priority. Marked geographical variation in amputation rates has been reported within specific regions of an individual country and between countries. A coordinated healthcare system with a multidisciplinary approach is essential if the number of amputations is to be reduced. This commentary discusses how studies on the variation in amputation rates can help to identify barriers in the access or delivery of care with the aim of reducing the burden of diabetic foot disease.},
  author       = {Schaper, N. C. and Apelqvist, Jan and Bakker, K.},
  issn         = {1432-0428},
  keyword      = {Amputation,Diabetes,Diabetic foot,Multidisciplinary foot team,Peripheral arterial disease,Ulcer},
  language     = {eng},
  number       = {7},
  pages        = {1869--1872},
  publisher    = {Springer Verlag},
  series       = {Diabetologia},
  title        = {Reducing lower leg amputations in diabetes: a challenge for patients, healthcare providers and the healthcare system},
  url          = {http://dx.doi.org/10.1007/s00125-012-2588-z},
  volume       = {55},
  year         = {2012},
}