Diabetes, Diabetic Foot Ulcers, and Critical Limb Ischemia
DIABETES
According to the International Diabetes Federation diabetes will reach 10.2% (578 million affected) by 2030 in the world.
Diabetes contributes to approximately 80% of the 120,000 non-traumatic amputations performed yearly in the United States Armstrong et al. Amer Fam Phys 1998
Black and Hispanic/ Latino people are over 50% more likely to have diabetes than non-Hispanic white people American Diabetes Association, diabetes.org
DIABETIC FOOT
In the United States, a total of $176 billion is spent annually on direct costs for diabetes; As much as one third of that will be spent on lower extremity complications (DFU) Driver et al, J Vasc Surg 2010.
The cost of diabetic foot ulcers (DFU) is greater than that of the five most costly forms of cancer Barshes, et al, Diab Foot Ankle 2013
$1 million is spent on every 30 seconds on diabetic foot (DFU) complications in the USA alone Armstrong, et al, NEJM, Barshes, et al, 2013, Skrepnek, et al 2015
MORTALITY
One third of patients seeking care for ischemic wounds will die with an unhealed woundElgzyri, et al, Eur J Vasc Endovasc Surg, 2013
The relative 5-year mortality rate after limb amputation is 68%. It is second only to lung cancer, at 86% Armstrong, et al, Int’l Wound Journal 2007
COMPARED TO CANCER
Diabetes is 4x more common than all forms of cancer combined Diabetic foot (DFU) is more deadly and more costly than cancer