Az amputációk területi gyakorisága társadalmi és ellátórendszeri összefüggésben Magyarországon 2016-2017-ben

Translated title of the contribution: The territorial distribution of amputations in healthcare and social context in Hungary in 2016-2017

Dózsa Csaba, Szeberin Zoltán, Sótonyi Péter, Nemes Balázs, Tóth Vajna Zsombor, Kövi Rita, Fadgyas Freyler Petra, Korponai Gyula, Herczeg Adrienn

Research output: Contribution to journalArticle

Abstract

Introduction and aim: Peripheral artery disease and lower extremity artery disease occur in 4 to 6% of the population. In Hungary, the number of major amputations was 6798 in the observed period. With timely and appropriate treatment, the number of leg amputations (30-day mortality: 20%, 2-year mortality: 40-60%) can be effectively reduced. The purpose of this study is to identify the territorial differences within Hungary with regard to the care pathways of these diseases. Method: We performed a retrospective data analysis of the peripheral vascular treatment using 2015-2017 claim data of the National Health Insurance Fund of Hungary. Territorial differences in mortality rates were examined by descriptive statistics. Correlation analysis was performed to describe any relationship between mortality rates and other factors. Results: The subregional level analysis (n = 175) revealed 4 times differences across the country proving that high domestic amputation rates are partially due to the extreme amputation rates in 30 percent of the subregions. Multiple stratified regression analysis revealed that the proportion of districts where endovascular therapy is not available (n = 159), the university education level of the population (β1 = -0.13, 95% CI: -0.18 to -0.09) and the proportion of those over 65 years of age (β1 = 0.14, 95% CI: 0.03-0.24) were significantly associated with amputation rate. In districts with available endovascular therapy (n = 14), age distribution of population (β1 = 0.7, 95% CI: 0.42-0.98) was associated with the frequency of amputations. Conclusion: Regional and social disparities in incidence, prevalence and mortality rates significantly vary greatly across Hungary, but also provider capacities (with relevant competencies) influence strongly the development and progression of the disease.

Translated title of the contributionThe territorial distribution of amputations in healthcare and social context in Hungary in 2016-2017
Original languageHungarian
Pages (from-to)747-755
Number of pages9
JournalOrvosi hetilap
Volume161
Issue number18
DOIs
Publication statusPublished - May 2020

ASJC Scopus subject areas

  • Medicine(all)

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    Csaba, D., Zoltán, S., Péter, S., Balázs, N., Zsombor, T. V., Rita, K., Petra, F. F., Gyula, K., & Adrienn, H. (2020). Az amputációk területi gyakorisága társadalmi és ellátórendszeri összefüggésben Magyarországon 2016-2017-ben. Orvosi hetilap, 161(18), 747-755. https://doi.org/10.1556/650.2020.31742