Hospitalizations for foot complications among people with diabetes receiving drug therapy in France in 2013.

Objective: To assess hospitalizations for foot complications among people with diabetes in France in 2013. Methods: Data were extracted from the National Inter-Regime Health Insurance Information System (Sniiram), linked to the Health Information Systems Medicalization Program (PMSI). People with diabetes receiving pharmacological treatment were identified based on reimbursements for antidiabetic treatments. Hospitalizations for lower limb amputation (AMI) were selected from procedures coded according to the Common Classification of Medical Procedures, and those for foot wounds from primary, related, and associated diagnoses. For foot ulcers, the first annual hospital stay for each individual was retained. For LLI, the hospital stay for the most proximal amputation level was retained. To enable comparisons by region and socioeconomic status, incidence rates were standardized to the 2010 European population age structure among individuals aged 45 and older. Results: In 2013, in France, the incidence rates of hospitalizations for AMI and foot ulcers in the diabetic population were 252/100,000 and 668/100,000 diabetic individuals, respectively. At the same age structure, the rate of diabetic men hospitalized for AMI was 2.6 times higher than that of women, and the rate of foot ulcers was 1.6 times higher. These rates were 1.5 and 1.4 times higher, respectively, among people with diabetes under the age of 60 who were beneficiaries of the Universal Health Coverage Supplement compared to non-beneficiaries. It was 1.3 times higher among people residing in the most disadvantaged municipalities compared to those residing in the most advantaged municipalities. Regional disparities were very pronounced for these two complications. Conclusion: Hospitalizations for foot complications remain very common among the diabetic population in France in 2013, and significant socioeconomic and regional disparities are observed. This surveillance system for hospitalizations due to foot complications, based on Sniiram data, can serve as a tool to support the development of regional initiatives in areas identified as high-risk.

Author(s): Fosse Edorh S, Mandereau Bruno L, Hartemann Heurtier A

Publishing year: 2015

Pages: 638-44

Weekly Epidemiological Bulletin, 2015, n° 34-35, p. 638-44

In relation to

Our latest news

news

2026 “Sexual Behavior” Survey (ERAS) for men who have sex with men

news

Hervé Maisonneuve has been appointed scientific integrity officer for a...

Visuel illustratif

news

Public Health France 2026 Barometer: Launch of the Survey