The abstract is read at the publisher; the summary is JClub's.
Below-knee amputation in 25,176 people with diabetes in England shows 23.5% all-cause mortality at 1 year and 82.3% at 10 years, with no improvement since 2012.
- Why it matters: Mortality and postoperative risks after BKA are critical for counseling and care planning, yet trends over time and patient subgroups at highest risk needed national quantification.
- What they did: Using mortality-linked Hospital Episode Statistics, the study analyzed Kaplan-Meier all-cause mortality and Cox models for factors linked to higher death risk, plus 90-day complications and readmission.
- The result: Mortality remained unchanged since 2012, and higher risk was linked to female sex (HR 1.06), older age (HR 1.62), and higher Charlson comorbidity (HR 1.04 per point), alongside 20.25% readmission and 6.43% contralateral amputation at 5 years.
The findingWhy it mattersWhat they didThe result
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