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Incidence of lower limb amputation in people with and without diabetes: a nationwide 5-year cohort study in Japan.

Fumika KamitaniYuichi NishiokaTatsuya NodaTomoya MyojinShinichiro KuboTsuneyuki HigashinoSadanori OkadaYasuhiro AkaiHitoshi IshiiYutaka TakahashiTomoaki Imamura
Published in: BMJ open (2021)
This is the first report of the national statistics of LLAs in Japan. The incidence of major and minor LLAs was 10 and 15 times higher, respectively, in people with diabetes compared with those without. A significant decline in the major amputation rate was observed, and the annual minor amputation rate remained stable during the observation period. This information can help to create an effective national healthcare strategy for preventing limb amputations, which affect the quality of life of patients with diabetes and add to the national healthcare expenditure.
Keyphrases
  • lower limb
  • healthcare
  • quality improvement
  • type diabetes
  • cardiovascular disease
  • risk factors
  • glycemic control
  • health information
  • peripheral artery disease
  • adipose tissue
  • weight loss
  • health insurance