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Lower Extremity Amputations Among Persons with Diabetes by Race/Ethnicity, New Jersey, 2011 to 2020

Indicator Report Data View Options

  • **Rate does not meet National Center for Health Statistics standards of statistically reliability for presentation (RSE >=23% and n<20).

Why Is This Important?

Individuals with diabetes are unable to effectively produce or use insulin. This can lead to changes in blood vessels and nerves in the lower extremities resulting in ulceration as well as amputation. The World Health Organization estimates that 80% of all diabetic foot amputations can be prevented with proper diabetes management and care.

Definition

Incidence of lower extremity amputations per 1,000 persons diagnosed with diabetes

Data Notes

This is Healthy New Jersey 2020 (HNJ2020) Objective DM-2. Data for Whites, Blacks, and Asians/Pacific Islanders do not include Hispanics. Hispanic ethnicity includes all races. **Rates by race/ethnicity not available for 2018. No rates available for 2019.

Data Sources

How the Measure is Calculated

  • Numerator:

    Number of lower extremity amputations among persons with diagnosed diabetes

  • Denominator:

    Estimated number of persons with diagnosed diabetes

Data Issues

'''Missing data in 2022:''' Three hospitals in Camden and Gloucester Counties submitted their fourth quarter data after the file closure deadline so their data are missing from the 2022 inpatient and emergency department datasets. '''Overall Discharge Volume in 2020: ''' Hospital claim volume for the 2020 calendar year was markedly lower (19.9%) than for 2019, mostly due to the COVID-19 pandemic. This reduction was seen in both inpatient discharges (8.2% lower claim volume than 2019) and emergency department visits (27.3% lower claim volume than 2019). This was likely the result of hospital care being redirected to address the care for COVID-19 patients while elective surgeries and other outpatient care services were being postponed. '''Caveats specific to 2017 data:''' NJDOH changed its vendor for hospitalization data collection in 2017 resulting in data loss at some facilities during the transition period. Additionally, The old vendor experienced a global malware incident in June 2017 that possibly resulted in the loss of some data in the system queue at that time. '''ICD Coding between 2015 and 2016: ''' The nationwide switch from ICD-9-CM to ICD-10-CM hospital diagnosis coding on October 1, 2015 disrupted trends for some diseases and conditions. Interpret trend data in this report with caution. Also note that New Jersey's data for October through December, 2015 was recoded to ICD-9-CM so that entire year of data was coded the same way.

Related Health Objectives and Indicators




  • Health Initiative: HNJ2020

    Healthy NJ 2020 Objective DM-2

    NJ Target: Reduce lower extremity amputations among persons with diabetes to 2.4 per 1,000 persons with diagnosed diabetes for the total population, 0.4 for Asians, 4.2 for Blacks, 1.3 for Hispanics, and 2.5 for Whites by 2020.0
    https://www.nj.gov/health/chs/hnj2020/topics/diabetes.shtml


Related Relevant Population Characteristics Indicators:

Health Topic Pages Related to: Lower Extremity Amputations Among Persons with Diabetes

Indicator Data Last Updated On 02/28/2022, Published on 10/29/2024
Health Care Quality Assessment, New Jersey Department of Health, PO Box 360, Trenton, NJ 08625-0360, e-mail: hcqa@doh.nj.gov (https://nj.gov/health/healthcarequality/)