The costs of diabetes-related lower extremity amputations in the Netherlands

W. H. Van Houtum, L. A. Lavery, L. B. Harkless

Research output: Contribution to journalArticle

65 Citations (Scopus)

Abstract

Diabetes mellitus is a common problem in the Netherlands and in the rest of the world. A complication seen in association with diabetes is peripheral neuropathy which can lead to lower extremity amputation. The purpose of this study is to identify the duration of hospital stay and the direct costs associated with diabetes-related lower extremity amputations in the Netherlands in 1992. Total direct costs included costs associated with hospital stay and the average procedure specific costs (surgeons' fees, anaesthetists' fees, and operating room fees) for the specific level of amputation. In the Netherlands in 1992, 1575 hospitalizations for 1810 diabetes-related lower extremity amputations occurred. The fetal number of days in the hospital for the diabetic population was 65,778 days with a mean of 41.8 days per hospitalization. Mean-costs associated with diabetes-related hospitalizations for amputation were £10,531 (Dfl. 28,433) per hospitalization. Persons who underwent multiple amputations during their hospitalization stayed in the hospital longer and the costs associated with these hospitalizations were higher when compared to hospitalization with a single amputation. An increase in length of stay and costs with increasing age and higher level of amputation was identified.

Original languageEnglish (US)
Pages (from-to)777-781
Number of pages5
JournalDiabetic Medicine
Volume12
Issue number9
StatePublished - 1995

Fingerprint

Amputation
Netherlands
Lower Extremity
Hospitalization
Costs and Cost Analysis
Fees and Charges
Length of Stay
Hospital Costs
Peripheral Nervous System Diseases
Operating Rooms
Diabetes Mellitus
Population

Keywords

  • Amputation
  • Costs
  • Diabetes
  • Epidemiology
  • Extremity
  • Mellitus
  • Netherlands

ASJC Scopus subject areas

  • Endocrinology
  • Endocrinology, Diabetes and Metabolism
  • Internal Medicine

Cite this

The costs of diabetes-related lower extremity amputations in the Netherlands. / Van Houtum, W. H.; Lavery, L. A.; Harkless, L. B.

In: Diabetic Medicine, Vol. 12, No. 9, 1995, p. 777-781.

Research output: Contribution to journalArticle

Van Houtum, WH, Lavery, LA & Harkless, LB 1995, 'The costs of diabetes-related lower extremity amputations in the Netherlands', Diabetic Medicine, vol. 12, no. 9, pp. 777-781.
Van Houtum, W. H. ; Lavery, L. A. ; Harkless, L. B. / The costs of diabetes-related lower extremity amputations in the Netherlands. In: Diabetic Medicine. 1995 ; Vol. 12, No. 9. pp. 777-781.
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