{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:18:47Z","timestamp":1792289927712,"version":"4.4.0"},"reference-count":0,"publisher":"American Diabetes Association","issue":"1","content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[1996,1,1]]},"abstract":"\n OBJECTIVE<\/jats:title>\n To identify the age-adjusted and level-specific incidence of amputations associated with diabetes in Hispanics, African-Americans, and non-Hispanic whites.<\/jats:p>\n <\/jats:sec>\n \n RESEARCH DESIGN AND METHODS<\/jats:title>\n We used a database from the Office of Statewide Planning and Development in California that identified all hospitalizations for lower-extremity amputations in the state in 1991. Amputation level was defined by ICD-9-CM codes 84.11\u201384.18 and were categorized as toe, foot, leg, and thigh amputations.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n The age-adjusted incidence of diabetes-related amputation per 10,000 persons with diabetes in 1991 was 95.25 in African-Americans, 55.98 in non-Hispanic whites, and 44.43 in Hispanics. Hispanics had a higher proportion of amputations (82.7%) associated with diabetes than did African-Americans (61.6%) or non-Hispanic whites (56.8%) (P &lt; 0.001). African-Americans had the highest age-adjusted incidence rate for each level in people with and without diabetes. African-Americans underwent more proximal amputations compared with non-Hispanic whites and Hispanics (P &lt; 0.001). Diabetes-related amputations were 1.72 and 2.17 times more likely in African-Americans compared with non-Hispanic whites and Hispanics, respectively.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS<\/jats:title>\n Hispanics had proportionally more amputations associated with diabetes than did African-Americans or non-Hispanic whites. A significant excess incidence of both diabetes- and non-diabetes-related amputations and proportionally more proximal amputations were identified in African-Americans compared with Hispanics and non-Hispanic whites. A possible explanation could be the higher prevalence of peripheral vascular disease in African-Americans. Public health initiatives, which have been demonstrated to reduce the incidence of diabetes-related lower-extremity amputations, should be implemented, and additional work should focus on minority groups.<\/jats:p>\n <\/jats:sec>","DOI":"10.2337\/diacare.19.1.48","type":"journal-article","created":{"date-parts":[[2007,3,5]],"date-time":"2007-03-05T22:51:27Z","timestamp":1173135087000},"page":"48-52","update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":177,"title":["Variation in the Incidence and Proportion of Diabetes-Related Amputations in Minorities"],"prefix":"10.2337","volume":"19","author":[{"given":"Lawrence A","family":"Lavery","sequence":"first","affiliation":[{"name":"Departments of Orthopaedics, The Mexican American Medical Treatment Effectiveness Research Center, The University of Texas Health Science Center\u2008San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisham R","family":"Ashry","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedics, The Mexican American Medical Treatment Effectiveness Research Center, The University of Texas Health Science Center\u2008San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Van Houtum","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedics, The Mexican American Medical Treatment Effectiveness Research Center, The University of Texas Health Science Center\u2008San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqualine A","family":"Pugh","sequence":"additional","affiliation":[{"name":"Departments of Medicine, The Mexican American Medical Treatment Effectiveness Research Center, The University of Texas Health Science Center\u2008San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence B","family":"Harkless","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedics, The Mexican American Medical Treatment Effectiveness Research Center, The University of Texas Health Science Center\u2008San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srabashi","family":"Basu","sequence":"additional","affiliation":[{"name":"Departments of Medicine, The Mexican American Medical Treatment Effectiveness Research Center, The University of Texas Health Science Center\u2008San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","container-title":["Diabetes Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/19\/1\/48\/444586\/19-1-48.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/19\/1\/48\/444586\/19-1-48.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,12]],"date-time":"2022-03-12T12:14:12Z","timestamp":1647087252000},"score":1,"resource":{"primary":{"URL":"https:\/\/diabetesjournals.org\/care\/article\/19\/1\/48\/19554\/Variation-in-the-Incidence-and-Proportion-of"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1996,1,1]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1996,1,1]]}},"URL":"https:\/\/doi.org\/10.2337\/diacare.19.1.48","relation":{},"ISSN":["0149-5992","1935-5548"],"issn-type":[{"value":"0149-5992","type":"print"},{"value":"1935-5548","type":"electronic"}],"subject":[],"published":{"date-parts":[[1996,1,1]]}}}