Official Site of The State of New Jersey
Lower Extremity Amputations Among Persons with Diabetes by Race/Ethnicity, New Jersey, 2011 to 2020
Indicator Report Data View Options
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
- Hospital Discharge Data Collection System (NJDDCS), Health Care Quality and Assessment, New Jersey Department of Health
(https://nj.gov/health/healthcarequality/health-care-professionals/njddcs/) - Diabetes Percentages: Behavioral Risk Factor Survey, Center for Health Statistics, NJDOH; Population Estimates: State Data Center], NJDOL
How the Measure is Calculated
Numerator:
Number of lower extremity amputations among persons with diagnosed diabetesDenominator:
Estimated number of persons with diagnosed diabetes
Data Issues
'''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. '''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: HP2030
Healthy People 2030 Objective D-08
U.S. Target: Reduce the rate of lower extremity amputations among adults aged 18 years and over with diagnosed diabetes to 4.3 per 1,000 adults with diagnosed diabetes (age-adjusted) by 2030
https://health.gov/healthypeople/objectives-and-data/browse-objectives/diabetes
Health Initiative: HP2020
Healthy People 2020 Objective D-4
U.S. Target: Reduce the rate of lower extremity amputations in persons with diagnosed diabetes
https://www.healthypeople.gov/2020/topics-objectives/topic/diabetes
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
https://www.nj.gov/health/chs/hnj2020/topics/diabetes.shtml