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Prevalence and Burden of Diabetes-Related Foot Disease in New South Wales, Australia: Evidence from the 45 and Up Study Survey Data Linked with Health Services Data

Moin Uddin Ahmed, Wadad Tannous (), Kingsley Emwinyore Agho, Frances Henshaw, Deborah Turner and David Simmons
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Kingsley Emwinyore Agho: Translational Health Research Institute, School of Medicine, Western Sydney University, Campbelltown, NSW 2560, Australia
Frances Henshaw: School of Health Sciences, Western Sydney University, Campbelltown, NSW 2560, Australia
Deborah Turner: School of Clinical Sciences, Podiatric Medicine, Queensland University of Technology, Brisbane, QLD 4059, Australia
David Simmons: Macarthur Clinical School, Western Sydney University, Sydney, NSW 2560, Australia

IJERPH, 2021, vol. 18, issue 21, 1-25

Abstract: Diabetes-related foot disease (DFD) is a major public health concern due to the higher risks of hospitalisation. However, estimates of the prevalence of DFD in the general population are not available in Australia. This study aims to estimate the prevalence of DFD and diabetes-related lower-extremity amputation (DLEA) among people aged 45 years and over in New South Wales (NSW), Australia. The NSW 45 and Up Study baseline survey data of 267,086 persons aged 45 years and over, linked with health services’ administrative data from 2006 to 2012 were used in our study. Of these, 28,210 individuals had been diagnosed with diabetes, and our study identified 3035 individuals with DFD. The prevalence of DFD, diabetic foot ulcer (DFU), diabetic foot infection (DFI), diabetic gangrene (DG), and DLEA were 10.8% (95%CI: 10.3, 11.2), 5.4% (95% CI: 5.1, 5.8), 5.2% (95%CI: 4.9, 5.5), 0.4% (95%CI: 0.3, 0.5), and 0.9% (95%CI: 0.7, 1.0), respectively. DFD, DFU, DFI, DG, and DLEA were the most common among those who were older, born in Australia, from low-income households (Keywords: prevalence; burden; diabetes-related foot disease; diabetic foot ulcer; diabetic foot infection; diabetes-related lower-extremity amputation; New South Wales; Australia; 45 and Up Study; linked data (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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