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Diabetic foot syndrome
Diabetes can lead to the development of diabetic foot syndrome. Risk factors include polyneuropathy, occlusive peripheral arterial disease or a combination of both. These can lead to injuries and/or wounds on the feet that go unnoticed and which are characteristic of diabetic foot syndrome (BÄK et al., 2006). Amputation may be necessary if conservative treatment of infection is insufficient.
Key messages
- 6.2% of adults with diabetes have a documented diabetic foot syndrome.
- Since 2011, it has been mandatory for doctors to document diabetic foot syndrome when prescribing podiatric treatments which may have contributed to an increase in documentation.
trend
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cross-section
By state
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By gender
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By age
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By education group
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Results
In 2013, 6.2% of adults with diabetes had documented diabetic foot syndrome (women: 5.7%; men: 6.6%). This figure increases with age and peaks at 7.3% in the 80-plus age group (women: 7.0%; men: 7.9%).
Conclusion
As is the case with diabetic polyneuropathy, varying documentation and diagnosis standards make it difficult to compare data sources. DMP data on type 2 diabetes in North Rhine-Westphalia put the proportion of patients with diabetic foot syndrome slightly higher. Once again, variance is most apparent in the older age groups (Zi, 2019). Other studies report prevalences of between 2% and 10% (Sämann et al., 2008, Bohn et al., 2018, Böhler et al., 2006). Since 2011, it has been mandatory for doctors to document diabetic foot syndrome when prescribing podiatric treatments (GKV Spitzenverband, 2011). This may have contributed to an increase in documentation, a trend which can also be observed from DMP data (Hagen et al., 2010-2017).