The 131st Annual Meeting (November 15-19, 2003) of APHA

The 131st Annual Meeting (November 15-19, 2003) of APHA

4262.0: Tuesday, November 18, 2003 - Board 4

Abstract #67837

Epidemiology of lower extremity amputation in Amman, Jordan

Khlood F. Salman, Dr PH, Preventive Health department, Gateway Health Plan, Two Chathem Center, suite 500, Pittsburgh, PA 15219, 412-255-4192, and Ronald LaPorte, PHD, Epidemiology, University of Pittsburgh/GSPH, O'Harha st., Pittsburgh, PA 15261.

Background: The incidence of lower extremity amputation (LEA) is increasing worldwide. In developing countries incidence data is lacking. The present study was conducted in Amman, Jordan to determine the incidence rate of LEAs as well as the contribution of underlying condition such as peripheral vascular diseases (PVDs), diabetes mellitus (DM), trauma, and tumors and to compare results to those from the Global Lower Extremity Amputation Study (GLEA).

Methods: This study was conducted based on the GLEA study protocol for data collection and analysis. Data were collected on all amputations for adult Jordanians of 20 years and older at seventeen centers. Patients were identified from two data sources and Capture-recapture was used to adjust for undercount.

Results: 371 cases were included in the analysis with a mean age of 59.6 years, SD= 13.8. The overall incidence rate was 23.6/100.000/year (95% CI 21.2, 26.1). Males had a higher incidence rate than females (32.5 with 95% CI (28.5, 36.3) vs. 13.6 with 95% CI (11, 16.5)). The ratio of males to females was 2.7:1. The incidence rate of major amputations was higher than minor amputations. Analysis of age specific rates showed that the highest incidence rate was among those 60-79 years of age. Ascertainment varied between 73.1%-83.3%. When the result of this study compared with those of the GLEA study; age adjusted rates for males and females were the second highest after the U.S for both types of LEAs.

Conclusion: Lower extremity amputations represent a significant health concern in Jordan.

Learning Objectives:

Keywords: Prevention, Community

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Potpourri: Poster Session

The 131st Annual Meeting (November 15-19, 2003) of APHA