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Epidemiology and Health Care Cost of Diabetic Foot Problems

  • Robert G. Frykberg
  • Jeremy J. Cook
  • Donald C. Simonson
Chapter
Part of the Contemporary Diabetes book series (CDI)

Abstract

The diabetic lower extremity has long been a cause for both morbidity and mortality in patients afflicted with this multisystem disease. Unfortunately, the global prevalence of diabetes mellitus has been projected to nearly double from a baseline of 2.8% in 2000 to 4.4% by 2030, affecting over 350 million individuals (Wild et al. Diabetes Care. 2004;27(5):1047–53). In the decade beginning in 1997, the prevalence of diabetes in the USA has increased by 48% (http://apps.nccd.cdc.gov/DDTSTRS/default.aspx). Lower extremity morbidity contributes substantially to the toll diabetes takes on the individual and the health care system. This chapter focuses on the epidemiologic aspects of risk factors and complications in the diabetic lower extremity, particularly as they relate to the outcome of amputation. Included in the discussion is the influence of demographic factors, such as gender, age, race, and socioeconomic considerations, as well as the cost to the health care system of lower extremity disease in diabetes.

Keywords

Diabetic peripheral neuropathy Peripheral vascular disease Diabetic ulcer pathway Musculoskeletal deformities Ulcerations Amputations Lower extremity disease Diabetic limb 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Robert G. Frykberg
    • 1
  • Jeremy J. Cook
    • 2
  • Donald C. Simonson
    • 3
  1. 1.Podiatry SectionPhoenix VA Healthcare SystemPhoenixUSA
  2. 2.Department of SurgeryMount Auburn Hospital, Harvard Medical SchoolCambridgeUSA
  3. 3.Division of Endocrinology, Diabetes, and HypertensionBrigham and Women’s Hospital, Harvard Medical SchoolBostonUSA

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