Amputee Coalition Fact Sheet

Minnesota

Web Development Fact Sheet

Created 02/2016 | Download PDF

INTRODUCTION

Currently, 1.9 million people are living with limb loss in the United States, with an average of 507 people continuing to lose a limb every day. This results in an estimated 185,000 amputations per year (1), and this number is expected to double by the year 2050 due to increasing rates of diabetes and vascular disease (1). Among those living with limb loss, the major causes of their amputations are vascular disease (54%) – including diabetes and peripheral arterial disease – trauma (45%) and cancer (less than 2%) (2). The most common causes of pediatric amputations, however, are lawn mower accidents (3). Non-whites comprise about 42% of the limb loss population in the U.S. (1). In 2008, the diabetes related amputation rate among African Americans was nearly four times that of whites (4).

A total of 1,934 amputations were performed in Minnesota hospitals in 2013. These amputations were performed for a variety of reasons, including diabetes and peripheral arterial disease complications. The following information details the trends and most current rates of amputation and diabetes in Minnesota.

1. AMPUTATION TRENDS OVER TIME

The number of total amputations performed in Minnesota increased 21.79% from 2001 to 2013 according to hospital discharge data. A total of 20,471 procedures were performed in this time period. After a low of 1,378 in 2007, the number of amputation gradually rose to 1,934 in 2013. (See Graph 1.1)

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Source: Healthcare Cost and Utilization Project HCUPnet database /hcupnet.ahrq.gov

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Source: Healthcare Cost and Utilization Project HCUPnet database /hcupnet.ahrq.gov

The number of upper-extremity amputations performed each year ultimately increased 19.14% from 2001 to 2013. A total of 2,255 of these procedures were performed in this time period. The lowest incidences of these amputations (146) occurred in 2006 and 2009, while 2010 saw the most upper-extremity amputations (225) in this time period. (Graph 1.2)

From 2001 to 2013, a total of 18,288 lower-extremity amputations were performed in Minnesota. The lowest incidence was in 2007 with 1,215 and then the number of amputations climbed until they reached 1,741 in 2013. This is still a 22.09% increase from the number of lower-extremity amputations performed in 2001. (See Graph 1.3)

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Source: Healthcare Cost and Utilization Project HCUPnet database /hcupnet.ahrq.gov

2. Types of Amputations Performed

167 upper-extremity amputations were performed in 2013. The most common minor upper-extremity amputations were of the fingers (138) and no major upper limb amputations were reported. (See Graph 2.1)

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Source: Healthcare Cost and Utilization Project HCUPnet database /hcupnet.ahrq.gov

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Source: Healthcare Cost and Utilization Project HCUPnet database /hcupnet.ahrq.gov

1,713 lower-extremity amputations were performed in 2013. In terms of minor lower-extremity amputations, toes (829) were amputated more often than part of the foot (232). For major lower-extremity amputations, below-knee (450) amputation was the most common procedure. (See Graph 2.2)

3. WHO LOSES A LIMB?

In 2013, most amputations were performed on individuals aged 45-64 years old, followed by the age group of 65-84 year olds (See Graph 3.1)

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Source: Healthcare Cost and Utilization Project HCUPnet database /hcupnet.ahrq.gov

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Source: Healthcare Cost and Utilization Project HCUPnet database /hcupnet.ahrq.gov

There were roughly 2.5 times more amputations performed on male patients in Minnesota than on female patients (See Graph 3.2).

Medicare recipients (49.17%) ranked as the most common group to have an amputation procedure, followed by private insurance (28.85%). (See Graph 3.3)

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Source: Healthcare Cost and Utilization Project HCUPnet database /hcupnet.ahrq.gov

4. DIABETES TRENDS

In 2013, a total of 307,608 Minnesota residents indicated that they had been diagnosed with diabetes at some point in their lives. The prevalence of diabetes in the adult population of Minnesota increased 145.6% from 1994 to 2013. (See Graph 4.1)

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Source: CDC Behavioral Risk Factor Surveillance System apps.nccd.cdc.gov/DDTSTRS/default.aspx

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Source: CDC Behavioral Risk Factor Surveillance System apps.nccd.cdc.gov/DDTSTRS/default.aspx

The annual rate of existing cases of diabetes among adults in Minnesota increased 70% from 1994 to 2013. (See Graph 4.2)

5. HEALTHCARE COSTS

For persons with a unilateral lower-extremity amputation, the two year healthcare costs, including initial hospitalization, inpatient rehabilitation, outpatient physical therapy, and purchase and maintenance of a prosthetic device, is estimated to be $91,106.  The lifetime healthcare cost for persons with a unilateral lower extremity amputation is estimated to be more than $500,000 (5). It is anticipated that these healthcare costs would be higher for a person with a proximal amputation level and bilateral amputation status, due to higher prosthetic costs.

Charges represent what the hospital billed for the case, and may not represent all discharges for amputations. (See graph 5.1)

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Source: Healthcare Cost and Utilization Project HCUPnet database /hcupnet.ahrq.gov

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Source: Healthcare Cost and Utilization Project HCUPnet database /hcupnet.ahrq.gov

Charges represent what the hospital billed for the case, and may not represent all discharges for amputations. (See graph 5.2)


6. REFERENCES

1. Ziegler-Graham K, MacKenzie EJ, Ephraim PL, Travison TG, Brookmeyer R. Estimating the Prevalence of Limb Loss in the United States: 2005 to 2050. Archives of Physical Medicine and Rehabilitation2008;89(3):422-9.

2. Coalition LLTFA. Recommendations from the 2012 Limb Loss Task Force: Roadmap for Preventing Limb Loss in America. [White Paper]. 2012 February 9-12.

3. Bryant PR, Pandian G. Acquired limb deficiencies. 1. Acquired limb deficiencies in children and young adults. Archives of Physical Medicine and Rehabilitation2001;82(3B):00s3-s8.

4. Li Y, Burrows NR, Gregg EW, Albright A, Geiss LS. Declining Rates of Hospitalization for Nontraumatic Lower-Extremity Amputation in the Diabetic Population Aged 40 Years or Older: U.S., 1988-2008. Diabetes Care2012;35(2):273-7.

5. MacKenzie EJ. Health-Care Costs Associated with Amputation or Reconstruction of a Limb-Threatening Injury. The Journal of Bone and Joint Surgery (American)2007;89(8):1685.


It is not the intention of the Amputee Coalition to provide specific medical or legal advice but rather to provide consumers with information to better understand their health and healthcare issues. The Amputee Coalition does not endorse any specific treatment, technology, company, service or device. Consumers are urged to consult with their healthcare providers for specific medical advice or before making any purchasing decisions involving their care.

National Limb Loss Resource Center, a program of the Amputee Coalition, located at 900 East Hill Ave., Suite 390, Knoxville, TN 37915 | 888/267-5669

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