Journal
DIABETES CARE
Volume 33, Issue 1, Pages 98-100Publisher
AMER DIABETES ASSOC
DOI: 10.2337/dc09-1497
Keywords
-
Categories
Funding
- Center for Management of Complex Chronic Care
- Hines Veterans Affairs Hospital, Hines [LIP 42-512]
- Elly Budiman-Mak
Ask authors/readers for more resources
OBJECTIVE - To compare risks of lower-extremity amputation between patients with Charcot arthropathy and those with diabetic foot ulcers. RESEARCH DESIGN AND METHODS - A retrospective cohort of patients with incident Charcot arthropathy or diabetic foot ulcers in 2003 was followed for 5 years for and major and minor amputations in the lower extremities. RESULTS - After a mean follow-up of 37 +/- 20 and 43 +/- 18 months, the Charcot and ulcer groups had 4.1 and 4.7 amputations per 100 person-years, respectively. Among patients <65 years old at the end of follow-up, amputation risk relative to patients with Charcot alone was 7 times higher for patients with ulcer alone and 12 times higher for patients with Charcot and ulcer. CONCLUSIONS - Charcot arthropathy by itself does not pose a serious amputation risk, but ulcer complication multiplicatively increases the risk. Early surgical intervention for Charcot patients in the absence of deformity or ulceration may not be advisable.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available