Annual Foot Exams are Associated with Reduced Incident Amputation among Older Veterans with Diabetes

Latricia L. Allen; Anjali Khakharia; Lawrence S. Phillips; Theodore M. Johnson; Constance R. Uphold; Molly M. Perkins; Elizabeth Vaughan

doi:10.1177/07334648221129855

Annual Foot Exams are Associated with Reduced Incident Amputation among Older Veterans with Diabetes

Latricia L. Allen, Anjali Khakharia, Lawrence S. Phillips, Theodore M. Johnson, Constance R. Uphold, Molly M. Perkins, Elizabeth Vaughan

Research output: Contribution to journal › Article › peer-review

Abstract

We conducted a secondary data analysis to evaluate the association between annual foot exams and incident lower extremity amputations (LEA) among older veterans with diabetes during FY2007–FY2014. Older Veterans with at least one primary care provider visit each year (N = 664,162) and at least one foot exam each year (N = 72,892) and the overlap were identified from the 5 years prior to the study period of interest (FY2002–FY2006 (N = 71,122)). After excluding incident LEA related to cancer and trauma, 71,018 veterans (mean age +/− SD, % male) were included in the final cohort, which was followed from FY2007–FY2014 to evaluate the influence of subsequent annual foot exams and incident LEA. Consistent annual foot exams were protective for incident LEA in older veterans with diabetes, adjusted OR was 0.85 (97% CI: 0.74–0.96). Results indicate that adherence to annual foot exam guidelines can reduce incident LEA in older veterans with diabetes.

Original language	English (US)
Pages (from-to)	205-212
Number of pages	8
Journal	Journal of Applied Gerontology
Volume	42
Issue number	2
DOIs	https://doi.org/10.1177/07334648221129855
State	Published - Feb 2023
Externally published	Yes

Keywords

Foot exam
aged
amputation
diabetes
diabetic foot
incidence
veterans

ASJC Scopus subject areas

Gerontology
Geriatrics and Gerontology

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title = "Annual Foot Exams are Associated with Reduced Incident Amputation among Older Veterans with Diabetes",

abstract = "We conducted a secondary data analysis to evaluate the association between annual foot exams and incident lower extremity amputations (LEA) among older veterans with diabetes during FY2007–FY2014. Older Veterans with at least one primary care provider visit each year (N = 664,162) and at least one foot exam each year (N = 72,892) and the overlap were identified from the 5 years prior to the study period of interest (FY2002–FY2006 (N = 71,122)). After excluding incident LEA related to cancer and trauma, 71,018 veterans (mean age +/− SD, % male) were included in the final cohort, which was followed from FY2007–FY2014 to evaluate the influence of subsequent annual foot exams and incident LEA. Consistent annual foot exams were protective for incident LEA in older veterans with diabetes, adjusted OR was 0.85 (97% CI: 0.74–0.96). Results indicate that adherence to annual foot exam guidelines can reduce incident LEA in older veterans with diabetes.",

keywords = "Foot exam, aged, amputation, diabetes, diabetic foot, incidence, veterans",

author = "Allen, {Latricia L.} and Anjali Khakharia and Phillips, {Lawrence S.} and Johnson, {Theodore M.} and Uphold, {Constance R.} and Perkins, {Molly M.} and Elizabeth Vaughan",

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AU - Phillips, Lawrence S.

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AU - Uphold, Constance R.

AU - Perkins, Molly M.

AU - Vaughan, Elizabeth

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N2 - We conducted a secondary data analysis to evaluate the association between annual foot exams and incident lower extremity amputations (LEA) among older veterans with diabetes during FY2007–FY2014. Older Veterans with at least one primary care provider visit each year (N = 664,162) and at least one foot exam each year (N = 72,892) and the overlap were identified from the 5 years prior to the study period of interest (FY2002–FY2006 (N = 71,122)). After excluding incident LEA related to cancer and trauma, 71,018 veterans (mean age +/− SD, % male) were included in the final cohort, which was followed from FY2007–FY2014 to evaluate the influence of subsequent annual foot exams and incident LEA. Consistent annual foot exams were protective for incident LEA in older veterans with diabetes, adjusted OR was 0.85 (97% CI: 0.74–0.96). Results indicate that adherence to annual foot exam guidelines can reduce incident LEA in older veterans with diabetes.

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Annual Foot Exams are Associated with Reduced Incident Amputation among Older Veterans with Diabetes

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Keywords

ASJC Scopus subject areas

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