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About the National Data
Data Sources: Healthcare Cost and Utilization Project - National (Nationwide) Inpatient Sample (HCUP-NIS), Agency for Healthcare Research and Quality (AHRQ); National Health Interview Survey (NHIS), CDC/NCHS
Baseline: 4.9 lower extremity amputations per 1,000 adults aged 18 years and over with diagnosed diabetes occurred in 2016
Target: 4.3 per 1,000
Minimal statistical significance
Hospital discharges for any non-traumatic lower extremity amputation (LEA) procedure were compiled and rates calculated using estimates of the population with diagnosed diabetes from CDC's National Health Interview Survey. Hospital discharges for LEA includes discharges for adults aged 18 years and over with diabetes (ICD-10-CM code E10, E11, or E13) as any listed diagnosis and any listed procedure of nontraumatic amputation of the lower limb (ICD-10-PCS codes: 0Y62 Hindquarter, Right; 0Y63 Hindquarter, Left; 0Y64 Hindquarter, Bilateral; 0Y67 Femoral Region, Right; 0Y68 Femoral Region, Left; 0Y6C Upper Leg, Right; 0Y6D Upper Leg, Left; 0Y6F Knee Region, Right; 0Y6G Knee Region, Left; 0Y6H Lower Leg, Right; 0Y6J Lower Leg, Left; 0Y6M Foot, Right; 0Y6N Foot, Left; 0Y6P 1st Toe, Right; 0Y6Q 1st Toe, Left; 0Y6R 2nd Toe, Right; 0Y6S 2nd Toe, Left; 0Y6T 3rd Toe, Right; 0Y6U 3rd Toe, Left; 0Y6V 4th Toe, Right; 0Y6W 4th Toe, Left; 0Y6X 5th Toe, Right; 0Y6Y 5th Toe, Left). Discharges with diagnosis codes for any traumatic amputation (ICD-10-PCS codes S78, S88, and S98) were excluded. Rates were age-adjusted to the 2000 US standard population using age groups <45, 45-64, 65-74, and ≥75 years.
The NIS data represent hospital discharges, not individual persons. Patients with multiple LEA hospitalizations in a given year could be counted multiple times. NIS underestimates the total number of LEA discharges because it does not include those LEAs occurring at federal hospitals and outpatient settings.