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Article

Diabetes-Related Lower Extremity Amputations in Romania: Patterns and Changes between 2015 and 2019

by
Horaţiu Coman
1,
Bogdan Stancu
2,*,
Norina A. Gâvan
3,
Frank L. Bowling
4,5,
Laura Podariu
1,6,
Cosmina I. Bondor
7 and
Gabriela Radulian
8,9
1
Vascular Surgery Clinic, Cluj County Emergency Hospital, 400347 Cluj-Napoca, Romania
2
Second Department of Surgery, “Iuliu Haţieganu” University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania
3
Wörwag Pharma Romania SRL, 400267 Cluj-Napoca, Romania
4
Developmental Biomedicine Research Group, The University of Manchester, Manchester M13 9PL, UK
5
Department of Vascular Surgery and Reconstructive Microsurgery, “Victor Babeş” University of Medicine and Pharmacy, 300041 Timisoara, Romania
6
“Nicolae Stăncioiu” Heart Institute, 400001 Cluj-Napoca, Romania
7
Department of Medical Informatics and Biostatistics, “Iuliu Haţieganu” University of Medicine and Pharmacy, 400349 Cluj-Napoca, Romania
8
Department of Internal Medicine, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucureşti, Romania
9
“Prof. Dr. Nicolae Paulescu” National Institute for Diabetes, Nutrition and Metabolic Diseases, 030167 Bucuresti, Romania
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2023, 20(1), 557; https://doi.org/10.3390/ijerph20010557
Submission received: 29 November 2022 / Revised: 24 December 2022 / Accepted: 26 December 2022 / Published: 29 December 2022
(This article belongs to the Special Issue Advances in the Challenges and Opportunities of Global Public Health)
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Abstract

Lower extremity amputations (LEAs) are a feared complication of diabetes mellitus (DM). Here we evaluated the recent trends in DM-related LEAs in Romania. We collected data from a national database regarding minor and major LEAs performed between 2015 and 2019 in patients with DM admitted to a public hospital. Absolute numbers of LEAs were presented by year, diabetes type, sex and age; incidence rates of LEAs in the general population were also calculated. Over the study period, 40,499 LEAs were recorded nationwide (83.16% in persons with type 2 DM [T2DM]); on average, the number of LEAs increased by 5.7%/year. This trend was driven by an increased number of LEAs in patients with T2DM; in patients with type 1 DM (T1DM), LEAs decreased over the study period. In patients with T2DM, the increase in minor LEAs was more pronounced than that in major LEAs. The overall number of LEAs showed an increasing trend with age (r = 0.72), which was most pronounced in patients aged ≥70 years. Men had a higher frequency of LEAs than women, regardless of DM type. These data support renewed efforts to prevent and decrease the burden of amputations among patients with DM.
Keywords: diabetes mellitus; lower extremity amputation; incidence; nationwide study diabetes mellitus; lower extremity amputation; incidence; nationwide study

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MDPI and ACS Style

Coman, H.; Stancu, B.; Gâvan, N.A.; Bowling, F.L.; Podariu, L.; Bondor, C.I.; Radulian, G. Diabetes-Related Lower Extremity Amputations in Romania: Patterns and Changes between 2015 and 2019. Int. J. Environ. Res. Public Health 2023, 20, 557. https://doi.org/10.3390/ijerph20010557

AMA Style

Coman H, Stancu B, Gâvan NA, Bowling FL, Podariu L, Bondor CI, Radulian G. Diabetes-Related Lower Extremity Amputations in Romania: Patterns and Changes between 2015 and 2019. International Journal of Environmental Research and Public Health. 2023; 20(1):557. https://doi.org/10.3390/ijerph20010557

Chicago/Turabian Style

Coman, Horaţiu, Bogdan Stancu, Norina A. Gâvan, Frank L. Bowling, Laura Podariu, Cosmina I. Bondor, and Gabriela Radulian. 2023. "Diabetes-Related Lower Extremity Amputations in Romania: Patterns and Changes between 2015 and 2019" International Journal of Environmental Research and Public Health 20, no. 1: 557. https://doi.org/10.3390/ijerph20010557

APA Style

Coman, H., Stancu, B., Gâvan, N. A., Bowling, F. L., Podariu, L., Bondor, C. I., & Radulian, G. (2023). Diabetes-Related Lower Extremity Amputations in Romania: Patterns and Changes between 2015 and 2019. International Journal of Environmental Research and Public Health, 20(1), 557. https://doi.org/10.3390/ijerph20010557

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