Skip to main content

Advertisement

Table 1 Comparison of specific adult diabetes complication rates, hospitalisations, deaths and burden of disease in Australia

From: Diabetes foot disease: the Cinderella of Australian diabetes management?

  High-riska Acute complications Hospitalisation Burden of disease
Population* Service** History - populationb* History – servicec**[25] New –Servicec**[25] Admissionsd[6] ALOSd[6] Deathsd[6] Burden Dxe(DALY)f[6]
CVD 21% [31] 40% [32] NA 14.0% 4.3% 93,110 NA 7,617 74,687
Kidney 16% [30] 28% [25] 0.3% [30] 1.5% 0.3% 102,000 9 1,557 2,483
Eyes 15% [28] 29% [25] 2.1% [28] 0.9% 0.7% 38,700 NA NA 1,258
Foot 20% [27] 25% [25] 2.1% [27] 1.5% 0.6% 59,240 12-26 1,705 18,544
  1. ALOS: average length of stay; CVD: cardiovascular disease; DALY: disability adjusted life years; NA: not available.
  2. *Population: Figures are taken from a population based study.
  3. **Service: Figures are taken from a service-based study.
  4. a High Risk: CVD (coronary heart disease, cerebrovascular disease, peripheral vascular disease), Kidney (chronic kidney disease stage 3, eGFR < 60 ml/min per 1.73 m2), Eyes (retinopathy), Foot (peripheral neuropathy, peripheral arterial disease).
  5. b Acute Complication History – Population based: Kidney (chronic kidney disease stage 4 & 5, eGFR < 30 ml/min per 1.73 m2), Eyes (proliferative diabetes retinopathy), Foot (foot ulcer).
  6. c Acute Complication History – Service based: CVD (myocardial infarct, cerebral stroke), Kidney (end stage renal disease, eGFR < 30 ml/min per 1.73 m2), Eyes (blindness), Foot (lower limb amputation).
  7. d Hospitalisation: CVD (coronary heart disease, stroke), Kidney (chronic kidney failure), Eyes (retinopathy, glaucoma, cataract), Foot (peripheral neuropathy, peripheral vascular disease, foot ulcer, lower limb amputation).
  8. e Burden of disease: CVD (ischaemic heart disease, stroke), Kidney (renal failure), Eyes (retinopathy), Foot (peripheral neuropathy, peripheral vascular disease, foot ulcer, lower limb amputation).
  9. f DALY: Healthy life years lost in terms of illness, injury and premature death. DALY combines years of life lost to premature death and years of healthy life lost due to non-fatal health outcomes.