ArticleMusculoskeletal surgery2016
Survival evaluation of the patients with diabetic major lower-extremity amputations.
Article in Musculoskeletal surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Tourniquet use for people with peripheral arterial disease undergoing major lower limb amputations.The Cochrane database of systematic reviews · 2023Pooled it
- Is Reconstruction of Unstable Midfoot Charcot Neuroarthropathy Cost Effective from a US Payer's Perspective?Clinical orthopaedics and related research · 2020Pooled it
- Global vascular guidelines on the management of chronic limb-threatening ischemia.Journal of vascular surgery · 2019Guideline
- Mortality Rates of Minor vs Major Lower Extremity Amputations in Diabetic Patients.Acta medica Lituanica · 2025Article
- Survival rate of diabetic-related lower extremity amputees in hospitals in the Eastern Cape.African journal of disability · 2024Article
- Analysis of 5-year Mortality following Lower Extremity Amputation due to Vascular Disease.Plastic and reconstructive surgery. Global open · 2023Article
- Narrative Review of the Relationship Between CKD and Diabetic Foot Ulcer.Kidney international reports · 2022Review
- Five-year mortality rate for patients with diabetic hand gangrene who undergo upper extremity amputation.Acta orthopaedica et traumatologica turcica · 2021Article
- Survival at 10 years following lower extremity amputations in patients with diabetic foot disease.Endocrine · 2020Article
- Low Back Pain in Adults With Transfemoral Amputation: A Retrospective Population-Based Study.PM & R : the journal of injury, function, and rehabilitation · 2019Article
- Global Vascular Guidelines on the Management of Chronic Limb-Threatening Ischemia.European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery · 2019Article
- The risk of major cardiovascular events for adults with transfemoral amputation.Journal of neuroengineering and rehabilitation · 2018Article
- Survival and associated risk factors in patients with diabetes and amputations caused by infectious foot gangrene.Journal of foot and ankle research · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to evaluate the survival after major lower-limb amputation, at a level either below (BKA) or above (AKA) the knee, in diabetic patients.
methodsA total of 140 diabetic patients who underwent major lower-limb amputation during the period of 2001-2011 were enrolled in the study. The patients were grouped as below-knee and above-knee amputations. The differences in survival by age, gender, amputation level and revision surgery were investigated. The clinical follow-up periods and the results of the patients with major lower-limb amputation were retrospectively assessed.
resultsThe mean follow-up period was 24.87 months (range 0.06-120 months). The mortality rate of series was 32.8 % for 1 year and 70 % for 5 years. One-year mortality rate was 24.6 % and 5-year mortality rate was 66.3 % in below-knee group, 1-year mortality rate was 43.3 % and 5-year mortality rate was 83.3 % in above-knee group. The difference between mortality rates of these groups was significant (p: 0.019). There was no statistically significant difference according to age and gender (p: 0.543 and 0.568). The previous minor amputations were found to have no effect on mortality (p: 0.471).
conclusionRoutine utilization of diabetes follow-up, screening and treatment programs with a multidisciplinary approach might be mandatory to handle early multisystem involvement-prevent major amputation, and increase survival rate in diabetic patients. LEVEL OF EVIDENCE: Retrospective cohort study, Level III.
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