Epidemiology of lower extremity amputation in centres in Europe, North America and East Asia

• DOI: 10.1046/j.1365-2168.2000.01344.x
• Publication Date: 2002-07-26T10:00:47Z
• Authors: N Unwin
• Keywords: Adult; Aged, 80 and over; Male; Leg; Adolescent; Asia, Eastern; Incidence; Infant, Newborn; Infant; Middle Aged; Infections; Amputation, Surgical; 3. Good health; Europe; 03 medical and health sciences; Age Distribution; 0302 clinical medicine; Child, Preschool; Diabetes Mellitus; Humans; Female; Child; Aged

Abstract Background This study was established to enable a comparison of lower extremity amputation incidence rates between different centres around the world. Methods Ten centres, all with populations greater than 200 000, in Japan, Taiwan, Spain, Italy, North America and England collected data on amputations done July 1995 June 1997. Patients were identified from at least two sources (to allow checks ascertainment); denominator based census figures. Results The highest Navajo population (43·9 per 100 000 year for first major men) lowest Madrid, Spain (2·8 year). rose steeply age; most occurred patients over 60 years. In higher men women that minor amputations. Diabetes associated 25 90 cent Conclusion Apart centre, differences known prevalence diabetes could not account overall amputation. Differences peripheral vascular disease are likely be important, but this role other factors, including availability health care, worthy further investigation.