Diabetes: admission rates (lower limb amputation)
Indicator
Admission rates due to lower limb amputations in people with diabetes.
Indicator type
Network / system level indicator.
The indicator would be appropriate to understand and report on the performance of networks or systems of providers.
This document does not represent formal NICE guidance. For a full list of NICE indicators, see our menu of indicators.
To find out how to use indicators and how we develop them, see our NICE indicator process guide.
Rationale
People with diabetes are at greater risk of problems with their feet, due to the problems raised blood sugars can cause to circulation and sensation. These problems at worst, may lead to amputations. Rates of lower limb amputation are therefore used as a proxy for outcomes of care for management of diabetes.
Source guidance
Type 1 diabetes in adults: diagnosis and management. NICE guideline NG17 (2015, updated 2022)
Type 2 diabetes in adults: management. NICE guideline NG28 (2015, updated 2022)
Specification
Numerator: The number of people with diabetes that have been admitted to hospital for lower limb amputations.
Denominator: The number of people with diabetes.
Calculation: Numerator divided by the denominator, multiplied by 100.
Exclusions: None.
Data source: National Diabetes Audit and hospital episodes statistics: admitted patient care.
Minimum population: The indicator would be appropriate to assess performance of networks or systems of providers.
ISBN: 978-1-4731-5599-2