DÄ internationalArchive22-23/2017Podological Treatment Has a Protective Effect
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The results (1) are consistent with earlier reports of amputations in diabetes mellitus. In 2016 May et al. reported a decrease in rates of amputations of the foot in patients insured with a German statutory sickness fund since 2007, and Hagen et al. reported a drop in the incidence of amputations in participants in the disease management program (DMP) for type 2 diabetes since 2003 (2, 3). In diabetes patients, the decrease in the rate of amputations occurred in tandem with the increase in podological treatment services, according to sickness funds’ reports on medical prescriptions. If podological treatment is prescribed on a regular basis, fewer amputations take place, as Kröger et al. showed in their recent data analysis—a welcome finding (4).

 DOI: 10.3238/arztebl.2017.0399b

Prof. (i.R.) Dr. med. Ernst-Adolf Chantelau

Bremen

chantelau@gmx.de

Conflict of interest statement

The author declares that no conflict of interest exists.

1.
Kröger K, Berg C, Santosa F, Malyar N, Reinecke H: Lower limb amputation in Germany—an analysis of data from the German Federal Statistical Office between 2005 and 2014. Dtsch Arztebl Int 2017; 114: 130–6 VOLLTEXT
2.
May M, Hahn S, Tonn C, Engels G, Hochlenert D: Decrease in (major) amputations in diabetics: a secondary data analysis by AOK Rheinland/Hamburg. J Diabetes Res 2016, Article ID 6247045 CrossRef MEDLINE PubMed Central
3.
 Hagen B, Groos S, Kretschmann J, Weber A, Altenhofen L: Rückgang der Inzidenz von Amputationen, der Dialysepflicht und von Erblindungen in den Patientenkohorten 2003–2010. Befunde aus dem Disease Management Programm (DMP) Diabetes mellitus Typ 2 in Nordrhein. Abstrakt P95. Diabetologie & Stoffwechsel 2015; 10: 28 CrossRef
4.
 Kröger K, Moysidis T, Feghaly M, Schäfer E, Bufe A, on behalf of the Initiative Chronische Wunden e. V., Germany: Association of diabetic foot care and amputation rates in Germany. Int Wound J 2016; 13: 686–91 CrossRef MEDLINE
1.Kröger K, Berg C, Santosa F, Malyar N, Reinecke H: Lower limb amputation in Germany—an analysis of data from the German Federal Statistical Office between 2005 and 2014. Dtsch Arztebl Int 2017; 114: 130–6 VOLLTEXT
2.May M, Hahn S, Tonn C, Engels G, Hochlenert D: Decrease in (major) amputations in diabetics: a secondary data analysis by AOK Rheinland/Hamburg. J Diabetes Res 2016, Article ID 6247045 CrossRef MEDLINE PubMed Central
3. Hagen B, Groos S, Kretschmann J, Weber A, Altenhofen L: Rückgang der Inzidenz von Amputationen, der Dialysepflicht und von Erblindungen in den Patientenkohorten 2003–2010. Befunde aus dem Disease Management Programm (DMP) Diabetes mellitus Typ 2 in Nordrhein. Abstrakt P95. Diabetologie & Stoffwechsel 2015; 10: 28 CrossRef
4. Kröger K, Moysidis T, Feghaly M, Schäfer E, Bufe A, on behalf of the Initiative Chronische Wunden e. V., Germany: Association of diabetic foot care and amputation rates in Germany. Int Wound J 2016; 13: 686–91 CrossRef MEDLINE

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