Re: How Many - What Type - of Amputees? - The Replies

Brett Saunders

Description

Title:

Re: How Many - What Type - of Amputees? - The Replies

Creator:

Brett Saunders

Date:

2/24/2003

Text:

MessageThank you everyone for the information provided below. It seems the
number of amputations per year was low but all of the numbers vary from
study to study.
Listed are messages I received that contain some sort of verifiable data or
an objective basis for the information. The last reply directed me to the
ACA website which has some good information but it seems to be only of their
members and as such may be statistically biased.

Brett R. Saunders, CPO, FAAOP

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  Total: 1,285,000 amputees in the United States in 1996

  The following are breakdowns by age, gender, race and region:

  Age:

  Under 18: 70,000
  18-44: 293,000
  45-64: 305,000
  65-74: 395,000
  75+: 223,000

  Male:

  Under 45: 287,000
  45-64: 251,000
  65-74: 286,000
  75+: 69,000

  Female:

  Under 45: 76,000
  45-64: 53,000
  65-74: 109,000
  75+: 154,000

  Race:

  White: 1,188,000
  Black: 98,000

  Region:

  Northeast: 222,000
  Midwest: 370,000
  South: 469,000
  West: 247,000

  (Data from the Vital and Health Statistics National Health Interview
Survey, Series 10, No. 200, tables 62, 63, 64)

  Incidence: Incidence is a rate that measures how many new cases of a
condition were reported in a population during a particular year. These
numbers are expressed as x number per 1,000 or 10,000 in a given year.
Incidence is sometimes used to identify the sections of the population who
are at risk for a condition.

  Incidence of Absence of Extremities (excluding tips of fingers or toes
only)

  Total: 4.9 per 1,000
  Breakdowns by age, gender and region

  Age:

  Under 18: 1.0
  18-44: 2.7
  45-64: 5.7
  65-74: 21.5
  75+: 16.7

  Male:

  Under 45: 3.2
  45-64: 9.8
  65-74: 34.8
  75+: 16.7

  Female:
  Under 45: 0.8
  45-64: 1.9
  65-74: 10.7
  75+: 18.6

  Region:

  Northeast: 4.1
  Midwest: 5.8
  South: 4.3
  West: 4.6

  (Data from the Vital and Health Statistics National Health Interview
Survey, Series 10, No. 200, tables 57, 58, 59)

  According to the National Health Interview Survey, Series 13, No. 139
there were 185,000 surgical amputations performed in 1996.

  Here is the breakdown by types of amputation (organized by the
International Classification of Diseases):

  84.00 Amputation of upper limb: 26,000
  84.01 Amputation and disarticulation of finger: 23,000
  84.10 Amputation of the lower limb: 159,000
  84.11 Amputation of toe: 59,000
  84.12 Amputation through foot: 18,000
  84.15 Other Amputation below knee: 42,000
  84.17 Amputation above knee: 36,000

  Etiology: the cause or origin of a disease or condition

  Number of Hospital Discharges for Limb Loss/Limb Deficiency by Etiology,
1996 according to an analysis done by the LLR&SP team of the Healthcare Cost
and Utilization Project nationwide inpatient sample

  Congenital 998
  Cancer 889
  Trauma 15,827
  Dysvascular 128,372
  Other 1,692

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  From 1988 to 1992 there were an estimated 130 000 amputation performed
yearly in US, including 65 000 individuals with diabetes. That includes
both major and minor amputation. Smith, D. G. et al. (1999) Transtibial
amputation. Clinical Orthopaedics and Related Research 361, 91-97.

  In 1997 there were 141 471 amputation performed; 53 000 Toe, 12504 Foot,
39 479 Transtibial and 36 478 Transfemoral. Data from Detailed diagnoses
and procedures, Nation al Hospital Discharge Survey. (1997). Vital and
Health Statistics series 13, 145, 138 and Lower extremity complications in
Veterans H ealth Administration. FY 89-99 Part 1: Lower extremity
amputation rates, progression and utilization. January 2000, p. 67.

  Both of this information can be found in: Prosthetic and Orthotics Lower
Limb and Spinal by Ron Seymor (2002). Excellent source of information and
knowledge!Day , (1990) reported that 3 % of all amputation in UK were upper
limb amputation. Kay HW et al. estimated that 12 000 upper limb amputation
were performed yearly in US. Relative incidence of new amputations.
Orthot Prosthet 1975;29(2):3-16.

  Between 4 and 10 % upper amputation should be close to the truth and
totally 150 000 upper and lower limb amputation performed yearly. About 55 %
of these are major amputation, the question of how many of these patients
(or amputation) will receive prosthesis in US is unknown.

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  I'm a student at Northwestern and what we were taught is that there are
156,000 loses of limb per year with 8-10% increase expected each year. I'm
not sure of the UE breakdown. These statistics can be found from the Center
for Health Statistics, O&P Almanac Dec. 1998, Issues Affecting the Future of
Demands for Orthotists and Prosthetists (NCOPE), and O&P Business News, Feb.
2000 (discusses Diabetes statistics).

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  Take a look at these sites.

   <URL Redacted> (There
are tables at the bottom of this page)

   <URL Redacted>

   <URL Redacted>

                          

Citation

Brett Saunders, “Re: How Many - What Type - of Amputees? - The Replies,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/220629.