The Epidemiology of Amputation Inequality Extends Beyond Diabetes in England

Naseer Ahmad, Una Adderley, Mihai Ionac, Frank L. Bowling

Research output: Contribution to journalReview articlepeer-review


The excess risk of amputation in the diabetic population is well documented. However, approximately half of all amputations in England are in people that do not have diabetes - the remainder being mainly peripheral arterial disease. Whilst the prevalence of foot ulcers in the population without diabetes is significantly lower than their diabetic counterparts, the actual number of people with ulcers, and, therefore, the burden on services, is, the same. In addition to this inequality, the prevalence of amputation is greater in men than women and in the North of England compared with the South. We suggest that whilst diabetes is an important inequality to continue addressing, it is not the only one.

Original languageEnglish
Pages (from-to)112-113
Number of pages2
JournalInternational Journal of Lower Extremity Wounds
Issue number2
Early online date28 Mar 2019
Publication statusPublished - 1 Jun 2019


  • amputation
  • diabetes
  • epidemiology
  • peripheral arterial disease


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