{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T01:13:02Z","timestamp":1792458782369,"version":"4.5.0"},"reference-count":37,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,9,2]],"date-time":"2022-09-02T00:00:00Z","timestamp":1662076800000},"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":[[2021,9]]},"DOI":"10.1016\/j.ejvs.2021.05.016","type":"journal-article","created":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T09:19:44Z","timestamp":1626254384000},"page":"469-475","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Vascular Diagnostic and Surgical Treatments Before Lower Limb Amputations in Patients with Arterial Vascular Diseases: A Population Based Study from 2013 to 2015 in Germany"],"prefix":"10.1016","volume":"62","author":[{"given":"Kristina","family":"Hagenstr\u00f6m","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Garbe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eike Sebastian","family":"Debus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Augustin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ejvs.2021.05.016_bib1","doi-asserted-by":"crossref","first-page":"1329","DOI":"10.1016\/S0140-6736(13)61249-0","article-title":"Comparison of global estimates of prevalence and risk factors for peripheral artery disease in 2000 and 2010: a systematic review and analysis","volume":"19","author":"Fowkes","year":"2013","journal-title":"Lancet"},{"key":"10.1016\/j.ejvs.2021.05.016_bib2","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/S0021-9150(03)00204-1","article-title":"High prevalence of peripheral arterial disease and co-morbidity in 6880 primary care patients: cross-sectional study","volume":"172","author":"Diehm","year":"2004","journal-title":"Atherosclerosis"},{"key":"10.1016\/j.ejvs.2021.05.016_bib3","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1007\/s10654-006-0015-9","article-title":"Prevalence of peripheral arterial disease \u2013 results of the Heinz Nixdorf recall study","volume":"21","author":"Kr\u00f6ger","year":"2006","journal-title":"Eur J Epidemiol"},{"key":"10.1016\/j.ejvs.2021.05.016_bib4","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, 2005-2007","volume":"117","author":"Icks","year":"2009","journal-title":"Exp Clin Endocrinol Diabetes"},{"key":"10.1016\/j.ejvs.2021.05.016_bib5","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1177\/0309364612469385","article-title":"Lower limb amputation in Northern Netherlands: unchanged incidence from 1991-1992 to 2003-2004","volume":"37","author":"Fortington","year":"2013","journal-title":"Prosthet Orthot Int"},{"key":"10.1016\/j.ejvs.2021.05.016_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"},{"key":"10.1016\/j.ejvs.2021.05.016_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"},{"key":"10.1016\/j.ejvs.2021.05.016_bib8","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1016\/j.ejvs.2015.07.033","article-title":"Prevalence and regional distribution of lower limb amputations from 2006 to 2012 in Germany: a population based study","volume":"50","author":"Heyer","year":"2015","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.ejvs.2021.05.016_bib9","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"},{"key":"10.1016\/j.ejvs.2021.05.016_bib10","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"},{"key":"10.1016\/j.ejvs.2021.05.016_bib11","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.ejvs.2019.08.006","article-title":"Editor\u2019s Choice \u2013 Comorbidity patterns among patients with peripheral arterial occlusive disease in Germany: a trend analysis of health insurance claims data","volume":"59","author":"Kreutzburg","year":"2020","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.ejvs.2021.05.016_bib12","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/j.ejvs.2018.04.017","article-title":"International variations in amputation practice: a VASCUNET report","volume":"56","author":"Behrendt","year":"2018","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.ejvs.2021.05.016_bib13","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1016\/S0003-3944(01)00541-7","article-title":"Quality of life of vascular disease patients following amputation","volume":"126","author":"Fusetti","year":"2001","journal-title":"Ann Chir"},{"key":"10.1016\/j.ejvs.2021.05.016_bib14","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1016\/j.ejvs.2015.10.001","article-title":"Early post-operative mortality after major lower limb amputation: a systematic review of population and regional based studies","volume":"51","author":"van Netten","year":"2016","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.ejvs.2021.05.016_bib15","series-title":"S3-Leitlinien zur Diagnostik, Therapie und Nachsorge der peripheren arteriellen Verschlusskrankheit","year":"2015"},{"key":"10.1016\/j.ejvs.2021.05.016_bib16","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1093\/eurheartj\/ehx095","volume":"39","author":"Aboyans","year":"2018","journal-title":"Eur Heart J"},{"key":"10.1016\/j.ejvs.2021.05.016_bib17","doi-asserted-by":"crossref","first-page":"3S","DOI":"10.1016\/j.jvs.2019.02.016","article-title":"Global vascular guidelines on the management of chronic limb-threatening ischemia","volume":"69","author":"Conte","year":"2019","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.ejvs.2021.05.016_bib18","doi-asserted-by":"crossref","first-page":"932","DOI":"10.1093\/eurheartj\/ehv006","article-title":"Peripheral arterial disease and critical limb ischaemia: still poor outcomes and lack of guideline adherence","volume":"36","author":"Reinecke","year":"2015","journal-title":"Eur Heart J"},{"key":"10.1016\/j.ejvs.2021.05.016_bib19","series-title":"Statutory Health Insurance","year":"2020"},{"key":"10.1016\/j.ejvs.2021.05.016_bib20","doi-asserted-by":"crossref","first-page":"882","DOI":"10.1016\/S0140-6736(17)31280-1","article-title":"Statutory health insurance in Germany: a health system shaped by 135 years of solidarity, self-governance, and competition","volume":"390","author":"Busse","year":"2017","journal-title":"Lancet"},{"key":"10.1016\/j.ejvs.2021.05.016_bib21","volume":"10","year":"2018"},{"key":"10.1016\/j.ejvs.2021.05.016_bib22","series-title":"Online-version des EBM","year":"2018"},{"key":"10.1016\/j.ejvs.2021.05.016_bib23","first-page":"499","article-title":"Surgical treatment of peripheral circulation disorders","volume":"21","author":"Fontaine","year":"1954","journal-title":"Helv Chir Acta"},{"key":"10.1016\/j.ejvs.2021.05.016_bib24","series-title":"The Operation and Procedure Code (OPS)","year":"2018"},{"key":"10.1016\/j.ejvs.2021.05.016_bib25","series-title":"Ongoing spatial monitoring - spatial delineations","year":"2020"},{"key":"10.1016\/j.ejvs.2021.05.016_bib26","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1016\/j.ejvs.2013.02.014","article-title":"Evidence-based management of PAD & the diabetic foot","volume":"45","author":"Brownrigg","year":"2013","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.ejvs.2021.05.016_bib27","series-title":"IDF Clinical practice recommendation on the diabetic foot \u2013 2017","year":"2017"},{"key":"10.1016\/j.ejvs.2021.05.016_bib28","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1002\/mpr.170","article-title":"Centring in regression analyses: a strategy to prevent errors in statistical inference","volume":"13","author":"Kraemer","year":"2004","journal-title":"Int J Methods Psychiatr Res"},{"key":"10.1016\/j.ejvs.2021.05.016_bib29","series-title":"Population census","year":"2012"},{"key":"10.1016\/j.ejvs.2021.05.016_bib30","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1007\/s10654-019-00500-x","article-title":"Guidelines and recommendations to Assure Good Epidemiologic Practice (GEP)","volume":"34","year":"2019","journal-title":"Eur J Epidemiol"},{"key":"10.1016\/j.ejvs.2021.05.016_bib31","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1016\/j.zefq.2014.08.022","article-title":"STandardized Reporting Of Secondary data Analyses (STROSA)-a recommendation","volume":"108","author":"Swart","year":"2014","journal-title":"Z\u00a0Evid Fortbild Qual Gesundhwes"},{"key":"10.1016\/j.ejvs.2021.05.016_bib32","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1055\/s-0031-1275711","article-title":"Structural differences between health insurance\u00a0funds 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.2021.05.016_bib33","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"},{"key":"10.1016\/j.ejvs.2021.05.016_bib34","series-title":"Gesundheitsmonitor 2008: Gesundheitsversorgung und Gestaltungsoptionen aus der Perspektive der Bev\u00f6lkerung","first-page":"88","article-title":"Socio-economic structures and morbidity in statutory health insurance companies","author":"Schnee","year":"2008"},{"key":"10.1016\/j.ejvs.2021.05.016_bib35","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1055\/s-0030-1249688","article-title":"Internal confirmation of diagnoses in routine statutory health insurance data: concept with examples and case definitions","volume":"72","author":"Schubert","year":"2010","journal-title":"Gesundheitswesen"},{"key":"10.1016\/j.ejvs.2021.05.016_bib36","first-page":"130","article-title":"Lower limb amputation in Germany","volume":"114","author":"Kr\u00f6ger","year":"2017","journal-title":"Dtsch Arztebl Int"},{"key":"10.1016\/j.ejvs.2021.05.016_bib37","series-title":"Guideline of the\u00a0Federal Joint Committee on the specification of the entitlement\u00a0to\u00a0an independent second medical opinion pursuant to\u00a0Section 27b (2) of the Fifth Book of the German Social Code (SGB\u00a0V)","year":"2019"}],"container-title":["European Journal of Vascular and Endovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1078588421004317?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1078588421004317?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T11:55:50Z","timestamp":1761047750000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1078588421004317"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":37,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["S1078588421004317"],"URL":"https:\/\/doi.org\/10.1016\/j.ejvs.2021.05.016","relation":{},"ISSN":["1078-5884"],"issn-type":[{"value":"1078-5884","type":"print"}],"subject":[],"published":{"date-parts":[[2021,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Vascular Diagnostic and Surgical Treatments Before Lower Limb Amputations in Patients with Arterial Vascular Diseases: A Population Based Study from 2013 to 2015 in Germany","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.2021.05.016","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 European Society for Vascular Surgery. Published by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}