Diabetes complications

Impact of diabetes on medical costs in the pre- and postoperative year of lower extremity amputations in Belgium

Diabetes Res Clin PractPublished Population-based matched cohort study

Authors' conclusion

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.

Study context

Population
Belgian citizens undergoing lower extremity amputation (LEAs) in 2014; 2130 had diabetes3,324 with LEA
Participants
1,029 / 2,295 / 31,716
Exposure
Individuals undergoing minor or major LEA vs matched amputation-free individuals
  • Major LEAn = 1,029
  • Minor LEAn = 2,295
  • No LEAn = 31,716reference
Outcome
Median medical costs per capita in euros
Follow-up
12 months preceding and following LEA
Methodological detailsmatched amputation-free comparison group
  • Matched amputation-free comparison group

Main finding

As reported in the abstract

Median medical costs per capita, individuals with diabetes · year preceding amputation

Major LEA

€49,735

median

Minor LEA

€24,243

median

No LEA

€2,877

median

Observational data: associations, not effects.

Further findings

Median €

OutcomeMajor LEAMinor LEANo LEA
Median medical costs per capita, individuals with diabetes · post-amputation year45,74021,4452,284

Costs with multiple LEAs, individuals with diabetes

LEAs preceded index amputation
€39,313-€89,563
LEAs followed index amputation
€46,629-€92,877

Costs in individuals dying in the year after a major LEA

Remarkably lower costs

Original publication

Impact of diabetes on medical costs in the pre- and postoperative year of lower extremity amputations in Belgium. Diabetes Res Clin Pract. Published 23 December 2023. doi:10.1016/j.diabres.2023.111072

Composed by AI from the published abstract and checked against it. How Briefs are made →

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