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Health implications of lower extremity amputations in Jordan: A retrospective analysis of demographic patterns and causes

A retrospective analysis of demographic patterns and causes
Authors: Mahmoud Alfatafta; Nizar Alsubahi; Huda Alfatafta; Huthaifa Atallah; Amneh Alshawabka; Anthony McGarry; Alaeddin Ahmad;

Health implications of lower extremity amputations in Jordan: A retrospective analysis of demographic patterns and causes

Abstract

Lower extremity amputation (LEA) is a significant health concern in Jordan, yet comprehensive data on its demographic and clinical characteristics remain limited. This retrospective analysis evaluated 893 LEA cases collected from Al-Basheer Hospital and six private prosthetic clinics in Amman between 2017 and 2023. Transtibial amputations (68.99%) were the most common, followed by transfemoral amputations (24.53%). Males were three times more likely than females to undergo LEA, with an overall mean age of 48.43 years (SD = 20.42). Diabetes mellitus (55.88%) was the leading cause, followed by cancer (18.48%) and trauma (11.65%). Age and cause were significantly associated (p < 0.01); DM-related amputations were more prevalent among older adults (mean age 62.04 years). The findings highlight that TT amputations in older males with diabetes represent the most common LEA profile in Jordan. Targeted public health initiatives including diabetic foot care education, early detection, and regular screenings, are urgently needed to reduce LEA incidence in the country.

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Keywords

Male, Adult, Adolescent, Surgical/statistics & numerical data, Science, Q, R, Middle Aged, Young Adult, Lower Extremity/surgery, Diabetic Foot/surgery epidemiology, 80 and over, Humans, Medicine, Female, Amputation, Jordan/epidemiology, Diabetes Mellitus/epidemiology surgery, Retrospective Studies, Aged, Research Article

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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gold
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