{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T17:56:31Z","timestamp":1783014991252,"version":"3.54.6"},"reference-count":34,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T00:00:00Z","timestamp":1448928000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T00:00:00Z","timestamp":1448928000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2016,12,1]],"date-time":"2016-12-01T00:00:00Z","timestamp":1480550400000},"content-version":"vor","delay-in-days":366,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejves.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Vascular and Endovascular Surgery"],"published-print":{"date-parts":[[2015,12]]},"DOI":"10.1016\/j.ejvs.2015.07.033","type":"journal-article","created":{"date-parts":[[2015,9,27]],"date-time":"2015-09-27T08:24:25Z","timestamp":1443342265000},"page":"761-766","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":25,"title":["Prevalence and Regional Distribution of Lower Limb Amputations from 2006 to 2012 in Germany: A Population based Study"],"prefix":"10.1016","volume":"50","author":[{"given":"K.","family":"Heyer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.S.","family":"Debus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0034-5722","authenticated-orcid":false,"given":"L.","family":"Mayerhoff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Augustin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"9","key":"10.1016\/j.ejvs.2015.07.033_bib1","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1055\/s-0029-1225333","article-title":"Incidence of lower-limb amputations in the diabetic compared to the non-diabetic population. Findings from nationwide insurance data, Germany, 2005\u20132007","volume":"117","author":"Icks","year":"2009","journal-title":"Exp Clin Endocrinol Diabetes"},{"issue":"3","key":"10.1016\/j.ejvs.2015.07.033_bib2","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1177\/145749690609500311","article-title":"Major amputation incidence decreases both in non-diabetic and in diabetic patients in Helsinki","volume":"95","author":"Eskelinen","year":"2006","journal-title":"Scand J Surg"},{"issue":"28\u201329","key":"10.1016\/j.ejvs.2015.07.033_bib3","doi-asserted-by":"crossref","first-page":"1689","DOI":"10.1055\/s-2005-871885","article-title":"The frequency of lower limb amputations in Germany","volume":"130","author":"Heller","year":"2005","journal-title":"Dtsch Med Wochenschr"},{"issue":"4","key":"10.1016\/j.ejvs.2015.07.033_bib4","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1177\/0309364612469385","article-title":"Lower limb amputation in Northern Netherlands: unchanged incidence from 1991\u20131992 to 2003\u20132004","volume":"37","author":"Fortington","year":"2013","journal-title":"Prosthet Orthot Int"},{"issue":"4","key":"10.1016\/j.ejvs.2015.07.033_bib5","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1111\/j.1464-5491.2009.02698.x","article-title":"Incidence and characteristics of lower limb amputations in people with diabetes","volume":"26","author":"Fosse","year":"2009","journal-title":"Diabet Med"},{"issue":"1","key":"10.1016\/j.ejvs.2015.07.033_bib6","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1177\/1358863X09346658","article-title":"Amputations in PAD patients: data from the German Federal Statistical Office","volume":"15","author":"Gutacker","year":"2010","journal-title":"Vasc Med"},{"issue":"9","key":"10.1016\/j.ejvs.2015.07.033_bib7","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1055\/s-2004-820063","article-title":"How frequent are diabetes-related amputations of the lower limbs in Germany? An analysis on the basis of routine data","volume":"129","author":"Heller","year":"2004","journal-title":"Dtsch Med Wochenschr"},{"issue":"5","key":"10.1016\/j.ejvs.2015.07.033_bib8","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1111\/j.1464-5491.2008.02435.x","article-title":"Prevalence of the diabetic foot syndrome at the primary care level in Germany: a cross sectional study","volume":"25","author":"S\u00e4mann","year":"2008","journal-title":"Diabet Med"},{"issue":"5\u20136","key":"10.1016\/j.ejvs.2015.07.033_bib9","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1007\/s00103-012-1662-5","article-title":"Prevalence and temporal trend of known diabetes mellitus: results of the German Health Interview and Examination Survey for Adults (DEGS1)","volume":"56","author":"Heidemann","year":"2013","journal-title":"Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz"},{"key":"10.1016\/j.ejvs.2015.07.033_bib10","series-title":"Diabetes care research in Europe","author":"World Health Organization","year":"1989"},{"issue":"Suppl. 1","key":"10.1016\/j.ejvs.2015.07.033_bib11","doi-asserted-by":"crossref","first-page":"14","DOI":"10.2337\/dc14-S014","article-title":"Standards of medical care for people with diabetes","volume":"37","author":"American Diabetes Association","year":"2014","journal-title":"Diabetes Care"},{"issue":"3","key":"10.1016\/j.ejvs.2015.07.033_bib12","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1111\/iwj.12096","article-title":"Decrease in major amputations in Germany","volume":"12","author":"Santosa","year":"2015","journal-title":"Int Wound J"},{"issue":"4","key":"10.1016\/j.ejvs.2015.07.033_bib13","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1024\/0301-1526\/a000117","article-title":"Trends in amputations in people with hospital admissions for peripheral arterial disease in Germany","volume":"40","author":"Moysidis","year":"2011","journal-title":"VASA"},{"issue":"10","key":"10.1016\/j.ejvs.2015.07.033_bib14","doi-asserted-by":"crossref","first-page":"2633","DOI":"10.2337\/dc07-0876","article-title":"Reduced incidence of lower-limb amputations in the diabetic population of a German city, 1990\u20132005: results of the Leverkusen Amputation Reduction Study (LARS)","volume":"30","author":"Trautner","year":"2007","journal-title":"Diabetes Care"},{"issue":"5","key":"10.1016\/j.ejvs.2015.07.033_bib15","doi-asserted-by":"crossref","first-page":"1157","DOI":"10.2337\/dc10-1775","article-title":"Trends in initial lower extremity amputation rates among Veterans Health Administration health care system users from 2000 to 2004","volume":"34","author":"Tseng","year":"2011","journal-title":"Diabetes Care"},{"issue":"2","key":"10.1016\/j.ejvs.2015.07.033_bib16","doi-asserted-by":"crossref","first-page":"273","DOI":"10.2337\/dc11-1360","article-title":"Declining rates of hospitalization for nontraumatic lower-extremity amputation in the diabetic population aged 40 years or older: U.S., 1988\u20132008","volume":"35","author":"Li","year":"2012","journal-title":"Diabetes Care"},{"issue":"6","key":"10.1016\/j.ejvs.2015.07.033_bib17","doi-asserted-by":"crossref","first-page":"1471","DOI":"10.1016\/j.jvs.2012.11.068","article-title":"Regional intensity of vascular care and lower extremity amputation rates","volume":"57","author":"Goodney","year":"2013","journal-title":"J\u00a0Vasc Surg"},{"issue":"7","key":"10.1016\/j.ejvs.2015.07.033_bib18","doi-asserted-by":"crossref","first-page":"1570","DOI":"10.2337\/dc11-0077","article-title":"Trends in lower-extremity amputations in people with and without diabetes in Spain, 2001\u20132008","volume":"34","author":"L\u00f3pez-de-Andr\u00e9s","year":"2011","journal-title":"Diabetes Care"},{"issue":"12","key":"10.1016\/j.ejvs.2015.07.033_bib19","doi-asserted-by":"crossref","first-page":"2592","DOI":"10.2337\/dc10-0989","article-title":"Changes in the incidence of lower extremity amputations in individuals with and without diabetes in England between 2004 and 2008","volume":"33","author":"Vamos","year":"2010","journal-title":"Diabetes Care"},{"issue":"2","key":"10.1016\/j.ejvs.2015.07.033_bib20","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/j.diabres.2009.11.016","article-title":"Trends in lower extremity amputations in people with and without diabetes in England, 1996\u20132005","volume":"87","author":"Vamos","year":"2010","journal-title":"Diabetes Res Clin Pract"},{"issue":"2","key":"10.1016\/j.ejvs.2015.07.033_bib21","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1177\/0309364613490441","article-title":"Incidence of lower limb amputation in Australian hospitals from 2000 to 2010","volume":"38","author":"Dillon","year":"2014","journal-title":"Prosthet Orthot Int"},{"issue":"3","key":"10.1016\/j.ejvs.2015.07.033_bib22","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1016\/j.diabres.2011.10.035","article-title":"Incidence of lower limb amputations in individuals with and without diabetes mellitus in Andalusia (Spain) from 1998 to 2006","volume":"95","author":"Almaraz","year":"2012","journal-title":"Diabetes Res Clin Pract"},{"issue":"7","key":"10.1016\/j.ejvs.2015.07.033_bib23","doi-asserted-by":"crossref","first-page":"e41492","DOI":"10.1371\/journal.pone.0041492","article-title":"Trends in the incidence of lower extremity amputations in people with and without diabetes over a five-year period in the Republic of Ireland","volume":"7","author":"Buckley","year":"2012","journal-title":"PLoS One"},{"key":"10.1016\/j.ejvs.2015.07.033_bib24","unstructured":"Swart E, Schubert I, Ihle P, Robra BP. Expertise for the Medical Council as part of the support initiative for health services research. Necessity of data accessibility and data transparency for medical corporations. Assisted by I. K\u00f6ster, D. Thomas und S. March. K\u00f6ln, Magdeburg. Available at: http:\/\/www.bundesaerztekammer.de\/downloads\/Datenzugang-1.pdf [accessed 15.05.14]."},{"issue":"11\u201312","key":"10.1016\/j.ejvs.2015.07.033_bib25","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1007\/s00508-012-0188-z","article-title":"Correction factor for the analysis of the hip fracture incidence\u2014differences between age, sex, region, and calendar year","volume":"124","author":"Icks","year":"2012","journal-title":"Wien Klin Wochenschr"},{"issue":"2","key":"10.1016\/j.ejvs.2015.07.033_bib26","first-page":"1","article-title":"Germany: health system review","volume":"16","author":"Busse","year":"2014","journal-title":"Health Syst Transit"},{"key":"10.1016\/j.ejvs.2015.07.033_bib27","series-title":"Responsibility for Healthcare\u2014the National Association of the statutory health insurance and long-Term care insurance funds","author":"National Association of Statutory Health Insurance Funds [GKV-Spitzenverband]","year":"2012"},{"key":"10.1016\/j.ejvs.2015.07.033_bib28","unstructured":"German Federal Statistical Office (Destatis\u2014Statistisches Bundesamt). Available at: https:\/\/www.destatis.de [accessed 15.05.14]."},{"issue":"7","key":"10.1016\/j.ejvs.2015.07.033_bib29","doi-asserted-by":"crossref","first-page":"1919","DOI":"10.1007\/s00125-012-2468-6","article-title":"Variation in the recorded incidence of amputation of the lower limb in England","volume":"55","author":"Holman","year":"2012","journal-title":"Diabetologia"},{"issue":"41","key":"10.1016\/j.ejvs.2015.07.033_bib30","first-page":"A2799","article-title":"Prevalence of diabetes mellitus and quality of care in Hesse, Germany, 1998\u20132004","volume":"104","author":"Hauner","year":"2007","journal-title":"Deutsches \u00c4rzteblatt"},{"issue":"6","key":"10.1016\/j.ejvs.2015.07.033_bib31","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/1056-8727(95)00088-7","article-title":"The impact of diabetes-related lower-extremity amputations in The Netherlands","volume":"10","author":"van Houtum","year":"1996","journal-title":"J\u00a0Diabetes Complicat"},{"issue":"5","key":"10.1016\/j.ejvs.2015.07.033_bib32","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1055\/s-0031-1275711","article-title":"Structural differences between health insurance funds and their impact on health services research: results from the Bertelsmann Health-Care Monitor","volume":"74","author":"Hoffmann","year":"2012","journal-title":"Gesundheitswesen"},{"key":"10.1016\/j.ejvs.2015.07.033_bib33","first-page":"88","article-title":"Socioeconomic structures and morbidity in statutory health insurance companies","author":"Schnee","year":"2008","journal-title":"Gesundheitsmonitor"},{"issue":"3","key":"10.1016\/j.ejvs.2015.07.033_bib34","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1007\/s00103-012-1626-9","volume":"56","author":"Jaunzeme","year":"2013","journal-title":"Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz"}],"container-title":["European Journal of Vascular and Endovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S107858841500595X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S107858841500595X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T11:43:47Z","timestamp":1761047027000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S107858841500595X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12]]},"references-count":34,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,12]]}},"alternative-id":["S107858841500595X"],"URL":"https:\/\/doi.org\/10.1016\/j.ejvs.2015.07.033","relation":{},"ISSN":["1078-5884"],"issn-type":[{"value":"1078-5884","type":"print"}],"subject":[],"published":{"date-parts":[[2015,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Prevalence and Regional Distribution of Lower Limb Amputations from 2006 to 2012 in Germany: A Population based Study","name":"articletitle","label":"Article Title"},{"value":"European Journal of Vascular and Endovascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejvs.2015.07.033","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2015 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}