{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T04:56:17Z","timestamp":1764046577677},"reference-count":17,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:p>ABSTRACT: Objective: It was to identify trends of traumatic and non-traumatic causes of lower limb amputations, as well as the role played by population aging, traffic violence increase, public health policy of diabetes control program and drivers anti-alcohol laws on these amputations. Method: Hospitalization data recorded in the discharge forms of 32 hospitals located in the region of Ribeir\u00e3o Preto, Brazil, from 1985 to 2008 were analyzed. Result: A total of 3,274 lower-limb amputations were analyzed, of which 95.2% were related to non-traumatic causes, mainly infectious and ischemic complications of diabetes mellitus. Cancer (2.8%) and congenital (1.3%) causes were included in this group. Only 4.8% were related to traumatic causes. Traumatic amputation average rate was 1.5 amputations in 100,000 habitants with a slight tendency of increase in the last 5 years. Non-traumatic causes showed an average rate of 30.0 amputations for 100,000 habitants and remained relatively constant during the whole period. Non-traumatic were much more predominant in patients older than 60 years and traumatic amputations occurred more frequently in patients younger than 39 years. Conclusion: The overall rates of amputation and the rates of traumatic and non-traumatic amputations remained nearly constant during the study period. The impact of diabetes control policies and the introduction of traffic safety laws could not be identified on the amputation rates.<\/jats:p>","DOI":"10.1590\/1980-5497201600020009","type":"journal-article","created":{"date-parts":[[2016,8,10]],"date-time":"2016-08-10T13:22:24Z","timestamp":1470835344000},"page":"317-325","source":"Crossref","is-referenced-by-count":9,"title":["Incidence and causes of lower-limb amputations in the city of Ribeir\u00e3o Preto from 1985 to 2008: evaluation of the medical records from 3,274 cases"],"prefix":"10.1590","volume":"19","author":[{"given":"Bruna Maria Bueno","family":"Barbosa","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosane Aparecida","family":"Monteiro","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucas Fran\u00e7olin","family":"Sparano","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodolfo Fabiano Niz","family":"Bareiro","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Afonso Dinis Costa","family":"Passos","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edgard Eduard","family":"Engel","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"2","key":"ref1","doi-asserted-by":"crossref","first-page":"67","DOI":"10.11606\/issn.2317-0190.v10i2a102443","article-title":"Perfil epidemiol\u00f3gico dos pacientes amputados do Lar Escola S\u00e3o Francisco - Estudo comparativo de 3 per\u00edodos diferentes","volume":"10","author":"Cassefo V","year":"2003","journal-title":"Acta Fisi\u00e1trica"},{"issue":"12","key":"ref2","doi-asserted-by":"crossref","first-page":"944","DOI":"10.4140\/TCP.n.2008.944","article-title":"Understanding amputation","volume":"23","author":"Zanni GR","year":"2008","journal-title":"Consult Pharm"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1097\/00003086-200102000-00023","article-title":"Health related quality of life in dysvascular transtibial amputation","volume":"383","author":"Harness N","year":"2001","journal-title":"Clin Orthop"},{"issue":"5","key":"ref4","first-page":"334","article-title":"Capture-recapture method to estimate lower extremity amputation rates in Rio de Janeiro, Brazil","volume":"10","author":"Spichler ERS","year":"2001","journal-title":"Rev Panam Salud Publica"},{"key":"ref5","series-title":"Campbell's operative orthopedics","first-page":"180","volume-title":"General principles of amputation","author":"Tooms RE","year":"1987","edition":"7th ed"},{"issue":"2","key":"ref6","first-page":"111","article-title":"Major lower extremity amputations related to peripheral arterial disease and diabetes mellitus in the city of Rio de Janeiro","volume":"3","author":"Spichler D","year":"2004","journal-title":"J Vasc Br"},{"issue":"1\/2","key":"ref7","first-page":"44","article-title":"Incidence of lower limb amputation, one side: medical history analisis","volume":"3","author":"Caromano FA","year":"1992","journal-title":"Rev Ter Ocup"},{"issue":"12","key":"ref8","doi-asserted-by":"crossref","first-page":"2598","DOI":"10.2337\/dc10-0462","article-title":"Fewer major amputations among individuals with diabetes in Finland in 1997-2007: a population-based study","volume":"33","author":"Ikonen TS","year":"2010","journal-title":"Diabetes Care"},{"key":"ref9","series-title":"Levin and O'Neal's The Diabetic Foot","first-page":"13","volume-title":"The epidemiology of diabetic foot problems","author":"Reiber GE","year":"2001","edition":"6th ed"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1111\/j.1464-5491.2009.02770.x","article-title":"Decreasing amputation rates in patients with diabetes- A population-based study","volume":"26","author":"Schofield CJ","year":"2009","journal-title":"Diabet Med"},{"issue":"1","key":"ref11","doi-asserted-by":"crossref","first-page":"99","DOI":"10.2337\/dc07-1178","article-title":"Reduction in diabetic amputations over 11 years in a defined U.K. population. Benefits of multidisciplinary team work and continuous prospective audit","volume":"31","author":"Krishnan S","year":"2008","journal-title":"Diabetes Care"},{"key":"ref12","series-title":"Estat\u00edsticas de acidentes de tr\u00e2nsito"},{"issue":"1","key":"ref13","first-page":"11","article-title":"Diabetic foot: Clinical aspects","volume":"4","author":"Brasileiro JL","year":"2005","journal-title":"J Vasc Br"},{"key":"ref14","series-title":"Censos de 1980 a 2010 e estimativas preliminares para os anos intercensit\u00e1rios dos totais populacionais, estratificadas por idade e sexo pelo MS\/SGEP\/DATASUS"},{"key":"ref15","series-title":"Programa de dispensa\u00e7\u00e3o de insumos para diabetes"},{"key":"ref16","series-title":"Censo 2000"},{"key":"ref17","series-title":"Acidentes de transporte passam a ser a principal causa de mortes n\u00e3o natural do Estado de S\u00e3o Paulo"}],"container-title":["Revista Brasileira de Epidemiologia"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/rbepid\/v19n2\/1980-5497-rbepid-19-02-00317.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,5]],"date-time":"2022-07-05T18:16:28Z","timestamp":1657044988000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1415-790X2016000200317&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,6]]}},"alternative-id":["S1415-790X2016000200317"],"URL":"https:\/\/doi.org\/10.1590\/1980-5497201600020009","relation":{},"ISSN":["1415-790X"],"issn-type":[{"value":"1415-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,6]]}}}