Incidence of amputations among patients with diabetes mellitus in the Czech Republic from 2010 to 2014
Authors:
Pavlína Piťhová 1; Petr Honěk 2; Ladislav Dušek 3,4; Tomáš Pavlík 3,4; Milan Kvapil 1
Authors‘ workplace:
Interní klinika 2. LF UK a FN Motol, Praha, přednosta prof. MUDr. Milan Kvapil, CSc., MBA
1; Všeobecná zdravotní pojišťovna České republiky, Praha, ředitel Ing. Zdeněk Kabátek
2; Ústav zdravotnických informací a statistiky, Praha, ředitel doc. RNDr. Ladislav Dušek, Ph. D.
3; Institut biostatistiky a analýz MU Brno, ředitel doc. RNDr. Ladislav Dušek, Ph. D.
4
Published in:
Vnitř Lék 2015; 61(Suppl 3): 21-24
Category:
Original Contributions
Overview
Introduction:
Information about the incidence of organ-affecting complications of diabetes, including the diabetic foot syndrome, can be obtained from the documents of the Institute of Health Information in the Czech Republic.
Goal:
Assessment of the development of high amputations and minor surgical procedures on the lower limb from 2010 to 2014 in a representative sample of the population of patients with DM kept in the General Health Insurance Company of the Czech Republic database.
Methodology:
We identified all individuals in the VZP database who had a record of DM diagnosis (E10 – E16 based on ICD 10) or any antidiabetic therapy prescribed (ATC group A10) in the period of 2010 – 2014. A set of patients who had an agent from A10 group prescribed at least once in the given year was extracted for analysis. In the next step we identified individuals, who in the period of 2010 – 2014 also underwent a surgical procedure on the lower limb due to diabetic foot.
Results:
An absolute number of lower limb amputations remains at a stationary level.
Conclusion:
The submitted analysis presents the first assessment of the development of surgical treatment of diabetic foot in the Czech Republic. The amount of surgical procedures on the diabetic foot remains stable, regarding both high amputations and lower limb minor surgical procedures. In the context of an absolute increase of patients treated for diabetes mellitus, the stationary state is an indication of a relative decrease, which is favourable in particular with regard to the amputation of long bones.
Key words:
diabetes mellitus – diabetic foot syndrome – amputation
Sources
1. ÚZIS. Činnost oboru diabetologie, péče o diabetiky v roce 2013. Aktuální informace Ústavu zdravotnických informací a statistiky České republiky z 3.2.2015. Dostupné z WWW: <http://www.uzis.cz/rychle-informace/cinnost-oboru-diabetologie-pece-diabetiky-roce-2013>. (poslední přístup 26. 9. 2015)
2. Ústav zdravotnických informaci. Mezinárodní statistická klasifikace nemocí a přidružených zdravotních problémů – MKN-10. Dostupné z WWW: <http://www.uzis.cz/cz/mkn/index.html>. (poslední přístup 26. 9. 2015)
3. WHO Collaborating Centre for Drug Statistics Methodology. Anatomical Therapeutic Chemical (ATC) classification system. Structure and principles.Dostupné z WWW: <http://www.whocc.no/atc/structure_and_principles/>. (poslední přístup 26. 9. 2015)
4. International Working Group on the Diabetic Foot. Bakker K, Apelqvist J, Schaper NC et al (International Working Group on Diabetic Foot Editorial Board). Practical guidelines on the management and prevention of the diabetic foot 2011. Diabetes Metab Res Rev 2012; 28(Suppl 1): 225–231. The Nedherlands 2011
5. Doporučený postup péče o pacienty se syndromem diabetické nohy. Doporučení České diabetologické společnosti 2012. Dostupné z WWW: <http://www.diab.cz/dokumenty/dianoha2.pdf>. (poslední přístup 26. 9. 2015)
6. Janíčková-Žďárská D, Honěk P, Dušek L et al. Analýza vývoje preskripce metforminu a sulfonylurey v České republice. Vnitř Lék 2015; 61(11 Suppl 3): 3S25–3S29.
7. Gregg EW, Li Y, Wang J et al. Changes in diabetes – related complications in the United States, 1990 – 2010. N Engl J Med 2014; 370(16):1514–1523.
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9. Siersma V, Thorsen H, Holstein PE et al. Health-related quality of life predicts major amputation and death, but not healing, in people with diabetes presenting with foot ulcers: the Eurodiale study. Diabetes Care 2014; 37(3) :694–700.
Labels
Diabetology Endocrinology Internal medicineArticle was published in
Internal Medicine
2015 Issue Suppl 3
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