Prevalence and Burden of Diabetes-Related Foot Disease in New South Wales, Australia: Evidence from the 45 and Up Study Survey Data Linked with Health Services Data

Diabetes-related foot disease (DFD) is a major public health concern due to the higher risks of hospitalisation. However, estimates of the prevalence of DFD in the general population are not available in Australia. This study aims to estimate the prevalence of DFD and diabetes-related lower-extremit...

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Bibliographic Details
Published in:International journal of environmental research and public health 2021-11, Vol.18 (21), p.11528
Main Authors: Ahmed, Moin Uddin, Tannous, Wadad Kathy, Agho, Kingsley Emwinyore, Henshaw, Frances, Turner, Deborah, Simmons, David
Format: Article
Language:English
Subjects:
Amputation
Cardiovascular disease
Data collection
Diabetes
Diabetes mellitus
Ethics
Feet
Foot diseases
Gangrene
Health care policy
Health insurance
Health services
Heart
Hospital costs
Households
Kidney diseases
Leg ulcers
Medicare
Mortality
Polls & surveys
Public health
Questionnaires
Risk groups
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Summary:Diabetes-related foot disease (DFD) is a major public health concern due to the higher risks of hospitalisation. However, estimates of the prevalence of DFD in the general population are not available in Australia. This study aims to estimate the prevalence of DFD and diabetes-related lower-extremity amputation (DLEA) among people aged 45 years and over in New South Wales (NSW), Australia. The NSW 45 and Up Study baseline survey data of 267,086 persons aged 45 years and over, linked with health services’ administrative data from 2006 to 2012 were used in our study. Of these, 28,210 individuals had been diagnosed with diabetes, and our study identified 3035 individuals with DFD. The prevalence of DFD, diabetic foot ulcer (DFU), diabetic foot infection (DFI), diabetic gangrene (DG), and DLEA were 10.8% (95%CI: 10.3, 11.2), 5.4% (95% CI: 5.1, 5.8), 5.2% (95%CI: 4.9, 5.5), 0.4% (95%CI: 0.3, 0.5), and 0.9% (95%CI: 0.7, 1.0), respectively. DFD, DFU, DFI, DG, and DLEA were the most common among those who were older, born in Australia, from low-income households (
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph182111528