Imperial College London
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DrWing MayKong

Faculty of Medicine, Department of Metabolism, Digestion and Reproduction

Honorary Senior Lecturer in Endocrinology and Ethics
 
 
 
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Contact

 

+44 (0)20 7594 0881w.kong Website

 
 
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Location

 

325Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Kerr:2019:10.1111/dme.13973,
author = {Kerr, M and Barron, E and Chadwick, P and Evans, T and Kong, WM and Rayman, G and SuttonSmith, M and Todd, G and Young, B and Jeffcoate, WJ},
doi = {10.1111/dme.13973},
journal = {Diabetic Medicine},
pages = {995--1002},
title = {The cost of diabetic foot ulcers and amputations to the National Health Service in England},
url = {http://dx.doi.org/10.1111/dme.13973},
volume = {36},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - <jats:title>Abstract</jats:title><jats:sec><jats:title>Aim</jats:title><jats:p>To estimate the healthcare costs of diabetic foot disease in England.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Patientlevel data sets at a national and local level, and evidence from clinical studies, were used to estimate the annual cost of health care for foot ulceration and amputation in people with diabetes in England in 2014–2015.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The cost of health care for ulceration and amputation in diabetes in 2014–2015 is estimated at between £837 million and £962 million; 0.8% to 0.9% of the National Health Service (<jats:styled-content style="fixed-case">NHS</jats:styled-content>) budget for England. More than 90% of expenditure was related to ulceration, and 60% was for care in community, outpatient and primary settings. For inpatients, multiple regression analysis suggested that ulceration was associated with a length of stay 8.04 days longer (95% confidence interval 7.65 to 8.42) than that for diabetes admissions without ulceration.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Diabetic foot care accounts for a substantial proportion of healthcare expenditure in England, more than the combined cost of breast, prostate and lung cancers. Much of this expenditure arises through prolonged and severe ulceration. If the <jats:styled-content style="fixed-case">NHS</jats:styled-content> were to reduce the prevalence of diabetic foot ulcers in England by onethird, the gross annual saving would be more than £250 million. Diabetic foot ulceration is a large and growing problem globally, and it is likely that there is potential to improve outcomes and reduce expen
AU  - Kerr,M
AU  - Barron,E
AU  - Chadwick,P
AU  - Evans,T
AU  - Kong,WM
AU  - Rayman,G
AU  - SuttonSmith,M
AU  - Todd,G
AU  - Young,B
AU  - Jeffcoate,WJ
DO  - 10.1111/dme.13973
EP  - 1002
PY  - 2019///
SN  - 0742-3071
SP  - 995
TI  - The cost of diabetic foot ulcers and amputations to the National Health Service in England
T2  - Diabetic Medicine
UR  - http://dx.doi.org/10.1111/dme.13973
VL  - 36
ER  -
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