Diabetes and Co: Adequate therapy can prevent amputation

Diabetes and Co: Adequate therapy can prevent amputation

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Diabetes, smoking leg and the like: Many amputations could be prevented
Around 50,000 leg amputations are performed in Germany each year. According to health experts, many of these could be prevented by adequate treatment of certain patients.

Many amputations could be prevented
According to a report by the German Society for Angiology - Society for Vascular Medicine e.V. (DGA), just over 50,000 amputations of the lower extremities are performed in Germany due to tissue damage due to blood circulation and diabetes mellitus. According to the experts, this number could be reduced by adequate treatment of PAD patients. Many amputations can also be avoided with diabetes.

Care for PAD patients is inadequate
As stated in the communication, current data from health services research show that the care of PAD patients (PAD: peripheral arterial occlusive disease) with therapy recommendations in line with guidelines is inadequate.

According to this, 40 percent of the amputations nationwide are performed in patients with critical extremity ischemia, although no adequate imaging (CT / magnetic resonance angiography) has been carried out beforehand.

The proportion of amputations without measures to restore the blood flow to the tissue, for example through minimally invasive catheter surgery or bypass surgery, is even higher.

High-risk patients for amputations of all kinds
"PAD patients are high-risk patients for amputations of all kinds, which is why quick and precise vascular medical expertise in diagnostics and therapy is absolutely important and getting a second opinion to avoid amputations is of paramount importance," explained Dr. Michael Lichtenberg, managing director of the DGA.

At pAVK, which is popularly referred to as smoker's leg, the leg muscles are not adequately supplied with oxygen and already hurt so much with moderate exercise that the affected people have to stop again and again, reports the Federal Association for Health Information and Consumer Protection (BGV). Hence another name of the disease: shop window disease.

Awareness shift within the medical profession
"In recent years the major amputation rate (e.g. lower leg amputation) in patients with peripheral arterial occlusive disease (PAD) has decreased slightly, in parallel with this there has been an increase in minor amputation numbers, such as the toes or forefoot, in this patient group record, ”writes the DGA.

According to the doctors, a change in awareness within the medical profession, the increased interdisciplinary cooperation and a better and earlier revascularization are reasons for the reduction in the number of major amputations.

However, since every form of amputation leads to an increase in mortality, it is also important to reduce the number of minor amputations.

Lowering the mortality rate
The DGA therefore advocates modern and evidence-based care for PAD patients.

"Advances in research and development in the field of minimally invasive procedures offer these patients new perspectives and can improve their quality of life enormously," write the experts.

Last but not least, a reduction in amputations is accompanied by a reduction in the death rate. (ad)

Author and source information

Video: Video: Diabetes - how to avoid an amputation (May 2022).


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