Jämtland Västerbotten Skåne Blekinge Östergötland Dalarna Kalmar Jönköping Norrbotten Sörmland Uppsala Kronoberg Stockholm SWEDEN Värmland Gävleborg Västmanland Örebro Västra Götaland Halland Västernorrland Gotland
168 215 228 230 231 234 234 236 249 251 251 253 253 263 266 280 295 296 309 325 364 378 0
100
200
300
400
500
600
Number per 100 000 diabetics
Number of first-time amputees above the ankle joint per 100 000 persons with diabetes, 2008–2011. Patients receiving drug therapy.
Figure 85
Source: Prescribed Drug Register and Patient Register, Swedish National Board of Health and Welfare
300
Number per 100 000 diabetics
250
200
2008
Figure 85 Sweden
2009
2010
2011
Number of first-time amputees above the ankle joint per 100 000 persons with diabetes. Patients receiving drug therapy. Source: Prescribed Drug Register and Patient Register, Swedish National Board of Health and Welfare
The three main risk factors for amputation due to vascular disease are advanced age, smoking and diabetes People with none of those factors face a very low risk. Information about prevention and good chiropody are integral to minimising the number of amputation. Customised shoes, daily inspection of the feet to detect ulcers as soon as possible, and early, correct treatment of any ulcers that develop have all been shown to reduce the risk. Smoking cessation is at the top of the list.
QUALITY AND EFFICIENCY IN SWEDISH HEALTH CARE 2012
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