D-4 Reduce the rate of lower extremity amputations in persons with diagnosed diabetes

National Data Source
National Health Interview Survey (NHIS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
National Hospital Discharge Survey (NHDS)
Changed Since the Healthy People 2020 Launch
No
Measure
per 1,000 (age adjusted—see Comments)
Baseline (Year)
3.5 (2005-2007)
Target
Not applicable
Target-Setting Method
This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.
Numerator
Number of hospital discharges among U.S. civilian persons with diabetes (ICD-9-CM code 250) as any listed diagnosis and amputation of the lower limb (ICD-9-CM procedure code 84.1) as any listed procedure
Denominator
Number of persons in the NHIS population who report that they have ever been diagnosed with diabetes
Questions Used to Obtain the National Baseline Data

From the 2004-2006 National Health Interview Survey

[denominator]:

[For children under 18 years:]

Has a doctor or health professional told you that{sample child} has any of these conditions?

[List of conditions includes diabetes]

[For adults 18 years and older:]

[For females:]

Other than during pregnancy, have you EVER beentold by a doctor or health professional that you have diabetes or sugar diabetes?

  • (1) Yes
  • (2) No
  • (3) Borderline
  • (7) DK/Ns
  • (9) Refused

[For males:]

Have you EVER been told by a doctor or health professional that you have diabetes or sugar diabetes?

  • (1) Yes
  • (2) No
  • (3) Borderline
  • (7) DK/Ns
  • (9) Refused
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective

Comments

Methodology Notes

The numerator for this measure is obtained from the National Hospital Discharge System (NHDS) and uses any mention ICD-9-CM procedure code 84.1 to define amputation of the lower limb and ICD-9-CM code 250 as any listed diagnosis to identify persons with diabetes. Amputations due to trauma are not included.

Adults are considered to have diabetes if they respond “yes” to either of the two questions listed above. Those who respond “borderline” are not included. Women who report that the only time they have been diagnosed with diabetes was during pregnancy (gestational diabetes) are also excluded. The numerator and denominator of this measure refer to slightly different populations. The numerator includes the U.S. civilian population; the denominator includes only the U.S. civilian, noninstitutionalized population. Children are considered to have diabetes if the adult proxy respondent reports that they have ever been told by a doctor that the child has diabetes.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Race/Ethnicity: 0-64, 65-74, 75+
  • Sex: 0-64, 65-74, 75+
  • Total: 0-64, 65-74, 75+
Caveats and Limitations
Data by race and ethnicity may be underreported from NHDS.