Language:

Five year mortality and direct costs of care for people with diabetic foot complications are comparable to cancer

Journal of foot and ankle research, 2020-03, Vol.13 (1), p.16-n/a [Peer Reviewed Journal]

2020 The Authors ;COPYRIGHT 2020 BioMed Central Ltd. ;COPYRIGHT 2020 BioMed Central Ltd. ;2020. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;The Author(s) 2020 ;ISSN: 1757-1146 ;EISSN: 1757-1146 ;DOI: 10.1186/s13047-020-00383-2 ;PMID: 32209136

Full text available

Citations Cited by

Actions
1. Add to My Research
2. Remove from My Research
3. E-mail
4. Print
5. Permalink
6. Citation
7. EasyBib
8. EndNote
9. RefWorks
10. Delicious
11. Export RIS
12. Export BibTeX

Title:
Five year mortality and direct costs of care for people with diabetic foot complications are comparable to cancer
Author: Armstrong, David G. ; Swerdlow, Mark A. ; Armstrong, Alexandria A. ; Conte, Michael S. ; Padula, William V. ; Bus, Sicco A.
Subjects: Amputation ; Amputation, Surgical - economics ; Amputation, Surgical - mortality ; Ankle ; Arthropathy, Neurogenic - economics ; Arthropathy, Neurogenic - mortality ; Arthropathy, Neurogenic - surgery ; Breast cancer ; Cancer ; Cost control ; Diabetes ; Diabetes mellitus ; Diabetic foot ; Diabetic Foot - economics ; Diabetic Foot - mortality ; Diabetic Foot - surgery ; Feet ; Foot diseases ; Foot ulcer ; Health aspects ; Health Care Costs - trends ; Humans ; Infections ; Leg ulcers ; Lower Extremity - surgery ; Lung cancer ; Medical research ; Mortality ; Neoplasms - economics ; Neoplasms - mortality ; Patients ; Remission ; Risk factors ; Time
Is Part Of: Journal of foot and ankle research, 2020-03, Vol.13 (1), p.16-n/a
Description: Background In 2007, we reported a summary of data comparing diabetic foot complications to cancer. The purpose of this brief report was to refresh this with the best available data as they currently exist. Since that time, more reports have emerged both on cancer mortality and mortality associated with diabetic foot ulcer (DFU), Charcot arthropathy, and diabetes‐associated lower extremity amputation. Methods We collected data reporting 5‐year mortality from studies published following 2007 and calculated a pooled mean. We evaluated data from DFU, Charcot arthropathy and lower extremity amputation. We dichotomized high and low amputation as proximal and distal to the ankle, respectively. This was compared with cancer mortality as reported by the American Cancer Society and the National Cancer Institute. Results Five year mortality for Charcot, DFU, minor and major amputations were 29.0, 30.5, 46.2 and 56.6%, respectively. This is compared to 9.0% for breast cancer and 80.0% for lung cancer. 5 year pooled mortality for all reported cancer was 31.0%. Direct costs of care for diabetes in general was $237 billion in 2017. This is compared to $80 billion for cancer in 2015. As up to one‐third of the direct costs of care for diabetes may be attributed to the lower extremity, these are also readily comparable. Conclusion Diabetic lower extremity complications remain enormously burdensome. Most notably, DFU and LEA appear to be more than just a marker of poor health. They are independent risk factors associated with premature death. While advances continue to improve outcomes of care for people with DFU and amputation, efforts should be directed at primary prevention as well as those for patients in diabetic foot ulcer remission to maximize ulcer‐free, hospital‐free and activity‐rich days.
Publisher: London: BioMed Central
Language: English
Identifier: ISSN: 1757-1146
EISSN: 1757-1146
DOI: 10.1186/s13047-020-00383-2
PMID: 32209136
Source: PubMed
Geneva Foundation Free Medical Journals at publisher websites
MEDLINE
Springer OA刊
ROAD: Directory of Open Access Scholarly Resources
ProQuest Central
DOAJ Directory of Open Access Journals

Back to results list


INSPIRE LIBRARY - TON DUC THANG UNIVERSITY	(84-028) 37 755 057	Feedback
19 Nguyen Huu Tho St. Dist.7, HCM	thuvien@tdtu.edu.vn	Feedback

Five year mortality and direct costs of care for people with diabetic foot complications are comparable to cancer

Searching Remote Databases, Please Wait