Publication
Title
Impact of diabetes on medical costs in the pre- and postoperative year of lower extremity amputations in Belgium
Author
Institution/Organisation
Belgian Amputation Group
Abstract
Aims To compare the medical costs of individuals undergoing lower extremity amputation (LEA) in Belgium with those of amputation-free individuals. Methods Belgian citizens undergoing LEAs in 2014 were identified. The median costs per capita in euros for the 12 months preceding and following minor and major LEAs were compared with those of matched amputation-free individuals. Results A total of 3324 Belgian citizens underwent LEAs (2295 minor, 1029 major), 2130 of them had diabetes. The comparison group included 31,716 individuals. Amputation was associated with high medical costs (individuals with diabetes: major LEA €49,735, minor LEA €24,243, no LEA €2,877 in the year preceding amputation; €45,740, €21,445 and €2,284, respectively, in the post-amputation year). Significantly higher costs were observed in the individuals with (versus without) diabetes in all groups. This difference diminished with higher amputation levels. Individuals undergoing multiple LEAs generated higher costs (individuals with diabetes: €39,313–€89,563 when LEAs preceded index amputation; €46,629–€92,877 when LEAs followed index amputation). Individuals dying in the year after a major LEA generated remarkably lower costs. Conclusions LEA-related medical costs were high. Diabetes significantly impacted costs, but differences in costs diminished with higher amputation levels. Individuals with multiple amputations generated the highest costs.
Language
English
Source (journal)
Diabetes research and clinical practice. - Amsterdam
Publication
Amsterdam : 2024
ISSN
0168-8227
DOI
10.1016/J.DIABRES.2023.111072
Volume/pages
207 (2024) , p. 1-7
Article Reference
111072
ISI
001165838400001
Pubmed ID
38142745
Full text (Publisher's DOI)
Full text (open access)
The author-created version that incorporates referee comments and is the accepted for publication version Available from 28.06.2024
Full text (publisher's version - intranet only)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identifier
Creation 03.01.2024
Last edited 11.04.2024
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