Rates and risk factors for amputation in people with diabetes in Japan : a historical cohort study using a nationwide claims database

Persistent ID (NDL): info:ndljp/pid/12297119

Material type: 博士論文

Author: Kaneko, Masanori

Publisher: -

Publication date: 2021-09-21

Material Format: Digital

Capacity, size, etc.: -

Name of awarding university/degree: 新潟大学,博士（医学）

View All

Notes on use at the National Diet Library

本資料は、掲載誌(URI)等のリンク先にある学位授与機関のWebサイトやCiNii Dissertationsから、本文を自由に閲覧できる場合があります。

Notes on use

Note (General)：: Background: The prevalence of diabetes is rising, and diabetes develops at a younger age in East Asia. Although lower limb amputation negatively affec...

Search by Bookstore

Read this material in an accessible format.

View materials in accessible formats for people with print disabilities (1Type)

Search by Bookstore

Read in Disability Resources

Other Services
- テキストデータ check it on 国立国会図書館デジタルコレクション

Bibliographic Record

You can check the details of this material, its authority (keywords that refer to materials on the same subject, author's name, etc.), etc.

Digital

Material Type: 博士論文
Title: Rates and risk factors for amputation in people with diabetes in Japan : a historical cohort study using a nationwide claims database
Author/Editor: Kaneko, Masanori
Author Heading: Kaneko, Masanori
Publication Date: 2021-09-21
Publication Date (W3CDTF): 2021-09-21
Alternative Title: 日本の糖尿病患者における下肢切断の割合と危険因子 : 全国データベースを用いたコホート研究
Degree grantor/type: 新潟大学
Date Granted: 2021-09-21
Date Granted (W3CDTF): 2021-09-21
Dissertation Number: 甲第4939号
Degree Type: 博士（医学）
Conferring No. (Dissertation): 甲第4939号
Text Language Code: eng
Alias of Author: 金子, 正儀
Subject Heading: Lower limb amputation
Risk factor
HbA1c
Age
Asian people
Target Audience: 一般
Note (General): Background: The prevalence of diabetes is rising, and diabetes develops at a younger age in East Asia. Although lower limb amputation negatively affects quality of life and increases the risk of cardiovascular events, little is known about the rates and predictors of amputation among persons with diabetes from young adults to those in the "young-old" category (50–72 y). Methods: We analyzed data from a nationwide claims database in Japan accumulated from 2008 to 2016 involving 17,288 people with diabetes aged 18–72 y (mean age 50.2 y, HbA1c 7.2%). Amputation occurrence was determined according to information from the claims database. Cox regression model identified variables related to lower limb amputation. Results: The mean follow-up time was 5.3 years, during which time 16 amputations occurred (0.17/1000 personyears). Multivariate Cox regression analysis showed that age (hazard ratio [HR] 1.09 [95% confidence intervals] 1.02–1.16, p = 0.01) and HbA1c (HR 1.46 [1.17–1.81], p < 0.01) were independently associated with amputations. Compared with those aged < 60 years with HbA1c < 8.0%, the HR for amputation was 27.81 (6.54–118.23) in those aged ≥60 years and HbA1c ≥8.0%. Conclusions: Age and HbA1c were associated with amputations among diabetic individuals, and the rates of amputation were significantly greater in those ≥60 years old and with HbA1c ≥8.0%.
Journal of foot and ankle research. 2021, 14(1), 29.
新大院博(医)第1029号
Persistent ID (NDL): info:ndljp/pid/12297119
https://dl.ndl.go.jp/pid/12297119
Collection: 障害者向け資料
Collection (Materials For Handicapped People:1): テキストデータ
Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
https://dl.ndl.go.jp/collections/A00014
Acquisition Basis: 博士論文（自動収集）
Date Accepted (W3CDTF): 2022-06-05T18:01:14+09:00
Format (IMT): application/pdf
Access Restrictions: 国立国会図書館内限定公開
Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
Availability of remote photoduplication service: 可
Periodical Title (URI): http://hdl.handle.net/10191/0002000471
https://niigata-u.repo.nii.ac.jp/records/2000471
Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション
https://dl.ndl.go.jp