P84 Is social deprivation associated with lower limb amputation secondary to diabetic foot disease?JS HAYES1, C Topliss1, D Price1, J Stephens1,21Morriston Hospital, ABMU, Swansea, UK, 2Diabetes Research Unit Cymru, Swansea, UKAims: To determine amputation rates and investigate the hypothesised link between social deprivation and amputation in patients with diabetes within a health board in the United Kingdom.Methods: A population of people with diabetes attending a secondary care clinic (n = 2,073) were identified between 2006 and 2010. Hospital data on diabetes care, podiatry care and an amputation database recording amputation type and rate from 2006 to 2016 were linked using a unique patient identifier. All patients undergoing a lower limb amputation secondary to diabetic foot disease were included, and postcode was used to calculate social deprivation. Statistical significance was determined using logistic regression.Results: 5.76% of patients underwent a total of 276 lower limb amputations during the 10‐year period (576 per 10 000). Deprivation increased risk of amputation with those in the most deprived quintile having a 2.16‐fold risk (95% CI 1.06 to 4.39) compared with those least deprived. Male gender (odds ratio (OR) 1.68, 95% CI 1.06 to 2.60), diabetes length (OR 1.03, 95% CI 1.01 to 2.05), blood pressure (OR
Diabetic Medicine – Wiley
Published: Jan 1, 2018
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