Metric analysis

Loss of independence as a measure of racial disparities in lower extremity amputation for diabetes: an analysis from the National Surgical Quality Improvement Program (NSQIP)

This article was originally published here

J Complications of diabetes. 2021 Dec 11: 108105. doi: 10.1016/j.jdiacomp.2021.108105. Online ahead of print.


INTRODUCTION: This study assessed the association between race/ethnicity and amputation with mortality and loss of independence (LOI) for diabetic gangrene.

METHODS: We analyzed the American College of Surgeons National Surgical Quality Improvement Program database from 2016 to 2019. Chi-square tests were performed to assess differences in baseline characteristics and complications. Multivariate logistic regression was performed to model LOI and 30-day mortality.

RESULTS: 5250 diabetic patients underwent lower extremity amputation for the treatment of gangrene. Hispanic patients were more likely to undergo below-knee amputation (BKA) (P = 0.006). Guillotine amputation (GA) was associated with age > 65 years (P

CONCLUSIONS: LOI and mortality offer contrasting perspectives on outcomes after lower limb amputation. Further assessment of risk factors can shed light on health care disparities.

PMID:34916145 | DO I:10.1016/j.jdiacomp.2021.108105