The Epidemiology of Diabetic Foot Problems

Diabetic foot ulcers are common and estimated to affect 15% of all diabetic individuals during their lifetimes. The majority of foot ulcers are treated in outpatient settings where surveillance is limited. Hospital discharge data from select countries indicated that 6-20 % of all diabetic individuals hospitalized had a lower extremity ulcer condition.2•3 To illustrate trends in inpatient hospitalization, US National Hospital Discharge Survey Data (NHDS) data for seven foot ulcer related conditions from 1983 to 1990 will be used. These data revealed an overall increase of approximately 50% in the age standardized proportion of hospital discharges listing diabetes and lower extremity ulcers during this interval.2 The highest rates were observed in patients ages 45-64 years while the lowest rates documented were in patients ages 044 years. The age-standardized proportion of hospital discharges listing diabetes and lower extremity ulcers showed that diabetic foot ulcer rates were consistently

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