Hospitalization for Charcot neuroarthropathy in diabetes: A population study in Italy

Diabetes Research and Clinical Practice
Roberto AnichiniAlessandra De Bellis

Abstract

To provide data on hospitalization and incidence rates of Charcot neuroarthropathy (CN) and its relation to lower limbs' amputations/revascularizations in population with diabetes of Italy as well as of one of its regions (Tuscany). Hospitalizations with CN diagnosis (codes ICD-9-CM: 7130, 7135, 7138) have been recorded in people with diabetes over years 2003-2013 in Italy and 2008-2015 in Tuscany. Amputations, peripheral vascular disease, revascularizations and infections were likewise evaluated. Between 2003 and 2013 CN hospitalizations were very infrequent in Italy ranging between 14×100,000 and 11×100,000 patients with diabetes. In Tuscany they declined to a minimum of 7×100,000 patients in 2015, after a previous increase to a maximum of 22×100,000 (p=NS for both). Yearly CN incidence remained constant in Italy, declining in Tuscany to a minimum of 3.4×100,000 diabetic patients in 2015 (p=0.047). CN patients were younger and with longer length of hospital stay than those with non-Charcot diabetic foot (p<0.05 for both). Amputation and infection rates were manifold higher in CN patients than in those with non-Charcot diabetic foot, while the revascularization rate was similar in both. Over last decade, in Italy and Tuscany y...Continue Reading

Citations

May 22, 2018·Diabetic Medicine : a Journal of the British Diabetic Association·L MetcalfW Jeffcoate
Jun 13, 2019·Acta Diabetologica·Shakun ChaudharyAshu Rastogi
Dec 17, 2019·The International Journal of Lower Extremity Wounds·Elisabetta SalutiniRoberto Anichini
Jul 23, 2020·Clinical Orthopaedics and Related Research·Rachel H AlbrightAdam E Fleischer
Feb 3, 2021·Diabetes Care·Ole Lander SvendsenKristine Højgaard Allin
Jun 11, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Laura OrioliBernard Vandeleene

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