Tuncer Oktay, Du Yong, Michalski Niels, Reitzle Lukas
Robert Koch Institute, Berlin, Department of Epidemiology and Health Monitoring.
J Health Monit. 2024 Apr 23;9(2):e12026. doi: 10.25646/12026. eCollection 2024 Apr.
Diabetes-related amputations reduce health-related quality of life and are an indicator of the quality of care of diabetes.
Population-based age-standardized rates for diabetes-related cases of major and minor amputation were calculated and reported for the years 2015 - 2022 using the Diagnosis-related groups statistics. For 2022 these rates were also reported according to area-level socioeconomic deprivation.
Diabetes-related major amputations decreased from 6.8 to 5.2 per 100,000 residents in women and from 18.6 to 17.5 per 100,000 residents in men between 2015 and 2022. In 2021 and 2022, there was no further decrease in men compared to the previous year. Diabetes-related minor amputations decreased in women between 2015 and 2022, but increased in men. Amputation rates were higher in regions with high deprivation than in regions with low deprivation.
Diabetes care should consider socioeconomic differences into account. The monitoring of the trends in amputations needs to be continued.
糖尿病相关截肢会降低与健康相关的生活质量，是糖尿病护理质量的一个指标。
利用诊断相关分组统计数据，计算并报告了2015年至2022年基于人群的糖尿病相关大截肢和小截肢病例的年龄标准化率。对于2022年，这些率还根据地区层面的社会经济剥夺情况进行了报告。
2015年至2022年期间，糖尿病相关大截肢在女性中从每10万居民6.8例降至5.2例，在男性中从每10万居民18.6例降至17.5例。在2021年和2022年，与前一年相比，男性截肢率没有进一步下降。2015年至2022年期间，糖尿病相关小截肢在女性中有所下降，但在男性中有所增加。高剥夺地区的截肢率高于低剥夺地区。
糖尿病护理应考虑社会经济差异。截肢趋势的监测需要继续进行。
