The manuscript titled “The Effect of Limb Salvage Efforts in Different Age Groups: Relationships Between Major and Minor Amputations” by Wenye Song, MD, Javier La Fontaine, DPM, Naohiro Shibuya, DPM, MS, John Prochaska, DrPH, MPH, and Daniel C. Jupiter, PhD, was published on January 22, 2024. The DOI link for the manuscript is [https://doi.org/10.1053/j.jfas.2024.01.010][5].
The study explores the impact of limb salvage efforts, such as performing minor amputations before infections spread proximally from the foot, on the rates of major lower extremity amputation. The authors analyzed the proportion of major amputations and differences in amputation rates between age groups in Texas, using data from the Texas Hospital Discharge Data Public Use Data File and population estimates from the Texas Population Estimates Program and the U.S. Census Bureau.
The study found that rates of amputations increased, with a significant decrease in the relative prevalence of major amputations. Patients aged 45-64 with diabetes were identified as likely driving these increases. The ratio of major to all amputations decreased from 2010, and the utilization of major and minor amputation differed between age groups, remaining stable in the youngest subjects, with minor amputation rates increasing in those aged 45-64[5].
Citations:
[1] https://pubmed.ncbi.nlm.nih.gov/36096557/
[2] https://bmcsurg.biomedcentral.com/articles/10.1186/1471-2482-14-113
[3] https://pubmed.ncbi.nlm.nih.gov/30954413/
[4] https://www.bcm.edu/healthcare/specialties/cardiovascular-medicine/vascular-health/diabetic-foot-limb-salvage
[5] https://doi.org/10.1053/j.jfas.2024.01.010
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