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Epidemiology and Health Care Cost of Diabetic Foot Problems

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The Diabetic Foot

Part of the book series: Contemporary Diabetes ((CDI))

Abstract

The diabetic lower extremity has long been a cause for both morbidity and mortality in patients afflicted with this multisystem disease. Unfortunately, the global prevalence of diabetes mellitus has been projected to nearly double from a baseline of 2.8% in 2000 to 4.4% by 2030, affecting over 350 million individuals (Wild et al. Diabetes Care. 2004;27(5):1047–53). In the decade beginning in 1997, the prevalence of diabetes in the USA has increased by 48% (http://apps.nccd.cdc.gov/DDTSTRS/default.aspx). Lower extremity morbidity contributes substantially to the toll diabetes takes on the individual and the health care system. This chapter focuses on the epidemiologic aspects of risk factors and complications in the diabetic lower extremity, particularly as they relate to the outcome of amputation. Included in the discussion is the influence of demographic factors, such as gender, age, race, and socioeconomic considerations, as well as the cost to the health care system of lower extremity disease in diabetes.

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Author information

Authors and Affiliations

  1. Podiatry Section, Phoenix VA Healthcare System, Phoenix, AZ, USA

    Robert G. Frykberg DPM, MPH

  2. Department of Surgery, Mount Auburn Hospital, Harvard Medical School, Cambridge, MA, USA

    Jeremy J. Cook DPM, MPH, CPH, FACFAS

  3. Division of Endocrinology, Diabetes, and Hypertension, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

    Donald C. Simonson MD, MPH, ScD

Authors
  1. Robert G. Frykberg DPM, MPH
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  2. Jeremy J. Cook DPM, MPH, CPH, FACFAS
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  3. Donald C. Simonson MD, MPH, ScD
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Corresponding author

Correspondence to Robert G. Frykberg DPM, MPH .

Editor information

Editors and Affiliations

  1. Rongxiang Xu, MD, Professor of Surgery, Harvard Medical School Director, The Rongxiang Xu, MD, Center for Regenerative Therapeutics Research Director, Joslin-Beth Israel Deaconess Foot Center Beth Israel Deaconess Medical Center, Boston, MA, USA

    Aristidis Veves

  2. Chief, Division of Podiatry, Beth Israel Deaconess Medical Center, Associate Professor of Surgery, Harvard Medical School, Co-director, Joslin-Bl Deaconess Diabetic Foot Center Consultant, Joslin Diabetes Center, Boston, MA, USA

    John M. Giurini

  3. Associate Professor of Surgery, Harvard Medical School, Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Joslin Diabetes Center, Boston, MA, USA

    Raul J. Guzman

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Frykberg, R.G., Cook, J.J., Simonson, D.C. (2018). Epidemiology and Health Care Cost of Diabetic Foot Problems. In: Veves, A., Giurini, J., Guzman, R. (eds) The Diabetic Foot. Contemporary Diabetes. Humana, Cham. https://doi.org/10.1007/978-3-319-89869-8_1

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  • DOI: https://doi.org/10.1007/978-3-319-89869-8_1

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