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Decrease in (Major) Amputations in Diabetics: A Secondary Data Analysis by AOK Rheinland/Hamburg.
- Source :
-
Journal of diabetes research [J Diabetes Res] 2016; Vol. 2016, pp. 6247045. Date of Electronic Publication: 2016 Jan 05. - Publication Year :
- 2016
-
Abstract
- Aim: In two German regions with 11.1 million inhabitants, 6 networks for specialized treatment of DFS were implemented until 2008. Data provided for accounting purposes was analysed in order to determine changes in the rate of diabetics requiring amputations in the years before and after the implementation.<br />Method: Data covering 2.9 million people insured by the largest insurance company between 2007 and 2013 was analysed by the use of log-linear Poisson regression adjusted for age, gender and region.<br />Results: The rate of diabetics needing major amputations fell significantly by 9.5% per year (p < 0.0001) from 217 to 126 of 100,000 patients per year. The rate of diabetics needing amputations of any kind fell from 504 to 419 of 100,000 patients per year (p = 0.0038).<br />Discussion: The networks integrate health care providers in an organised system of shared care. They educate members of the medical community and the general public. At the same time, a more general disease management program for people with diabetes was implemented, which may also have contributed to this decrease. At the end of the observation period, the rate of diabetics requiring amputations was still high. For this reason, further expansion of organised specialized care is urgently needed.
- Subjects :
- Aged
Data Collection
Delivery of Health Care
Diabetes Complications prevention & control
Female
Germany
Health Services Research
Humans
Male
Middle Aged
Poisson Distribution
Prevalence
Regression Analysis
Amputation, Surgical statistics & numerical data
Diabetes Complications epidemiology
Diabetic Foot epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 2314-6753
- Volume :
- 2016
- Database :
- MEDLINE
- Journal :
- Journal of diabetes research
- Publication Type :
- Academic Journal
- Accession number :
- 26881254
- Full Text :
- https://doi.org/10.1155/2016/6247045