Metric loss

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

This article was originally published here

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


INTRODUCTION: This study evaluated 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 Surgery 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: 5,250 diabetic patients underwent lower limb amputation as a treatment for gangrene. Hispanic patients were more likely to have a 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 disparities in health care.

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