Decrease in (Major) Amputations in Diabetics: A Secondary Data Analysis by AOK RheinlandHamburg
Joint Authors
May, Melanie
Hahn, Sebastian
Tonn, Claudia
Engels, Gerald
Hochlenert, Dirk
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-01-05
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
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.
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.
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).
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.
American Psychological Association (APA)
May, Melanie& Hahn, Sebastian& Tonn, Claudia& Engels, Gerald& Hochlenert, Dirk. 2016. Decrease in (Major) Amputations in Diabetics: A Secondary Data Analysis by AOK RheinlandHamburg. Journal of Diabetes Research،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1108194
Modern Language Association (MLA)
May, Melanie…[et al.]. Decrease in (Major) Amputations in Diabetics: A Secondary Data Analysis by AOK RheinlandHamburg. Journal of Diabetes Research No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1108194
American Medical Association (AMA)
May, Melanie& Hahn, Sebastian& Tonn, Claudia& Engels, Gerald& Hochlenert, Dirk. Decrease in (Major) Amputations in Diabetics: A Secondary Data Analysis by AOK RheinlandHamburg. Journal of Diabetes Research. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1108194
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1108194