Diabetes-related major lower limb amputation in Far North Queensland, 1998–2008
Sharon R. O’Rourke A C , Christina M. Steffen A , Alexandra Raulli B and Fiona J. Tulip BA Diabetes Centre, Cairns Base Hospital, PO Box 902, Cairns, Qld 4870, Australia. Email: christina_steffen@health.qld.gov.au
B Tropical Regional Services – Cairns, Health Surveillance Unit, PO Box 1103, Cairns, Qld 4870, Australia. Email: alexandra_raulli@health.qld.gov.au; fiona_tulip@health.qld.gov.au
C Corresponding author. Email: sharon_o’rourke@health.qld.gov.au
Australian Health Review 36(1) 105-109 https://doi.org/10.1071/AH10969
Submitted: 7 October 2010 Accepted: 20 June 2011 Published: 24 February 2012
Abstract
Objective. To report on the accuracy of reports of diabetes-related major amputations, rates per 100 000 people and trends over the 10-year period from 1998–99 to 2007–08 in Far North Queensland.
Methods. Three data sources were cross-checked. Poisson regression was used to calculate the percentage change in trends in diabetes amputation hospitalisations over the period.
Results. There was a discrepancy of 6 (3.7%) in 161 cases over 10 years. The number of diabetes-related hospitalisations for major lower limb amputation did not show a significant trend during this period, with an annual percentage change of –0.32%, P = 0.915.
Conclusion. Amputation data in Far North Queensland were accurate. There was a modest reduction in the hospitalisation rate for major lower limb amputation over the 10-year period, demonstrating the need for improvements in the organisation of care.
What is known about the topic? Diabetic foot complications resulting in amputation are recognised internationally as a costly, major health problem. Limited data are available in the Australian context, especially for regional high risk populations.
What does this paper add? Accurate data on an Australian Institute of Health and Welfare recommended indicator, namely major amputations in people with diabetes. Confirmation of the accuracy of the data, enables benchmarking for future improvements.
What are the implications for practitioners? A focus on major amputations is a useful indicator of the quality and safety of care for people with diabetes.
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