Lower Limb Amputation Rates in Germany

Walter, Nike and Alt, Volker and Rupp, Markus (2022) Lower Limb Amputation Rates in Germany. MEDICINA-LITHUANIA, 58 (1): 101. ISSN 1010-660X, 1648-9144

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Abstract

Background and Objectives: The current epidemiology of lower limb amputations is unknown. Therefore, the purpose of this study was to determine (1) lower extremity amputation rates as a function of age, gender, and amputation level between 2015 and 2019, (2) main diagnoses indicating amputation, (3) revision rates after lower extremity amputation. Materials and Methods: Lower extremity amputation rates were quantified based on annual Operation and Procedure Classification System (OPS) and International Classifications of Disease (ICD)-10 codes from all German medical institutions between 2015 through 2019, provided by the Federal Statistical Office of Germany (Destatis). Results: In 2019, 62,016 performed amputations were registered in Germany. Out of these 16,452 procedures (26.5%) were major amputations and 45,564 patients (73.5%) underwent minor amputations. Compared to 2015, the incidence of major amputations decreased by 7.3% to 24.2/100,000 inhabitants, whereas the incidence of minor amputation increased by 11.8% to 67.1/100,000 inhabitants. Highest incidence was found for male patients aged 80-89 years. Patients were mainly diagnosed with peripheral arterial disease (50.7% for major and 35.7% for minor amputations) and diabetes mellitus (18.5% for major and 44.2% for minor amputations). Conclusions: Lower limb amputations remain a serious problem. Further efforts in terms of multidisciplinary team approaches and patient optimization strategies are required to reduce lower limb amputation rates.

Item Type: Article
Uncontrolled Keywords: LOWER-EXTREMITY AMPUTATIONS; DISEASE; TRENDS; amputation; lower extremity; epidemiology; diabetes mellitus; peripheral arterial disease
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Abteilung für Psychosomatische Medizin
Depositing User: Dr. Gernot Deinzer
Date Deposited: 14 Feb 2024 08:01
Last Modified: 14 Feb 2024 08:01
URI: https://pred.uni-regensburg.de/id/eprint/57293

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