Term: Lower Limb Amputations with Comorbid Diabetes

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Glossary Definition

Last Updated: 2020-05-19

Definition:

The removal of the lower limb (below or including the knee) by amputation, in combination with a diagnosis of diabetes. Rates are expressed per 1,000 area residents age 20 through 79 (denominator includes both diabetics and non-diabetics).

NOTE: in some MCHP research, this term is called "Lower Limb Amputations Among People/Residents with Diabetes".

Lower limb amputation is recorded in the Hospital Abstracts data and is defined by:

• ICD-9-CM procedure codes 84.10-84.17 OR
  
• CCI codes: 1.VC.93, 1.VG.93, 1.VQ.93, 1.WA.93, 1.WE.93, 1.WJ.93, 1.WL.93, 1.WM.93 in any procedure / intervention field over five years of hospitalizations. NOTE: Different CCI codes have been used over time. For example, in 2019 research by Fransoo et al., CCI codes 1.WK.93 and 1.WN.93 were added, and 1.WL.93 was not included.
  
  NOTE: The hospital abstract with the amputation code must be combined with a diagnosis of diabetes in any diagnosis field, defined by ICD-9-CM diagnosis code 250 or ICD-10-CA codes E10-E14, or one or more prescriptions for medications to treat diabetes (see the Diabetes -Measuring Prevalence concept for more information on how diabetes is defined).

Conditions / Exclusions:

• This definition does not include all amputations, but only those for which there was an existing condition of diabetes coded with the amputation.
  
• Amputations due to accidental injury, defined by:
  
  • ICD-9-CM diagnosis codes 895, 896, 897 OR
    
  • ICD-10-CA codes: S78, S88, S98, T05.3, T05.4, T05.5, T13.6 are excluded.
  
  
• In Chartier et al. (2015), the age range included adults 18 years and older. The number of events among children aged 0-17 years old was too low to report. They also excluded interventions that were coded as out-of-hospital.

Related concepts 

• Diabetes - Measuring Prevalence

Related terms 

• Canadian Classification of Health Interventions (CCI)
• Diabetes / Diabetes Mellitus
• ICD-10-CA
• ICD-9-CM
• International Classification of Diseases, 10th Revision, with Canadian Enhancements (ICD-10-CA)
• International Classification of Diseases, 9th Revision, with Clinical Modifications (ICD-9-CM)
• Lower Limb Amputation
• Lower Limb Amputations among People / Residents with Diabetes

References 

• Fransoo R, Martens P, Burland E, The Need to Know Team, Prior H, Burchill C. Manitoba RHA Indicators Atlas 2009. Winnipeg, MB: Manitoba Centre for Health Policy, 2009. [Report] [Summary] [Additional Materials] (View)
• Fransoo R, Martens P, The Need to Know Team, Burland E, Prior H, Burchill C, Chateau D, Walld R. Sex Differences in Health Status, Health Care Use, and Quality of Care: A Population-Based Analysis for Manitoba's Regional Health Authorities. Winnipeg, MB: Manitoba Centre for Health Policy, 2005. [Report] [Summary] [Additional Materials] (View)

Term used in 

• Chartier M, Dart A, Tangri N, Komenda P, Walld R, Bogdanovic B, Burchill C, Koseva I, McGowan K-L, Rajotte L. Care of Manitobans Living with Chronic Kidney Disease. Winnipeg, MB: Manitoba Centre for Health Policy, 2015. [Report] [Summary] [Updates and Errata] [Additional Materials] (View)
• Fransoo R, Mahar A, The Need to Know Team, Anderson A, Prior H, Koseva I, McCulloch S, Jarmasz J, Burchill S. The 2019 RHA Indicators Atlas. Winnipeg, MB: Manitoba Centre for Health Policy, 2019. [Report] [Summary] [Updates and Errata] [Additional Materials] (View)
• Martens PJ, Bartlett J, Burland E, Prior H, Burchill C, Huq S, Romphf L, Sanguins J, Carter S, Bailly A. Profile of Metis Health Status and Healthcare Utilization in Manitoba: A Population-Based Study. Winnipeg, MB: Manitoba Centre for Health Policy, 2010. [Report] [Summary] [Updates and Errata] [Additional Materials] (View)