Incidence of amputations among patients with diabetes mellitus in the Czech Republic from 2010 to 2014

Česká verzia

Authors: Pavlína Piťhová ¹; Petr Honěk ²; Ladislav Dušek ^3,4; Tomáš Pavlík ^3,4; Milan Kvapil ¹
Authors place of work: 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 the journal: Vnitř Lék 2015; 61(Suppl 3): 21-24
Category: Original Contributions

Summary

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

Zdroje

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