Amputation trends for patients with lower extremity ulcers due to diabetes and peripheral artery disease using statewide data.

ABSTRACT:

Objective

This study reports all-payer amputation rates using state-based administrative claims data for high-risk patients with lower extremity (LE) ulcers and concomitant peripheral artery disease (PAD), diabetes mellitus (DM), or combination PAD/DM. In addition, we characterize patient factors that affect amputation-free survival. We also attempted to create a measure of a patient's ability to manage chronic diseases or to access appropriate outpatient care for ulcer management by accounting for hospital and emergency department (ED) visits in the preceding 60 days to determine how this also affects amputation-free survival.

Methods

Patients admitted to nonfederal hospitals, seen in an ED, or treated in an eligible ambulatory surgery center within California from 2005 thr

SUBMITTER: Humphries MD 

PROVIDER: S-EPMC5120998 | biostudies-literature | 2016 Dec

REPOSITORIES: biostudies-literature