Trends in Lower-Extremity Amputations in PeopleWith andWithout Diabetes in

OBJECTIVE—To examine trends in nontraumatic lower-extremity amputations (LEAs) over an 8-year period in patients with and without diabetes in Spain. RESEARCH DESIGN ANDMETHODS—We identified all patients who underwent an LEA using national hospital discharge data. Discharges were grouped by diabetes status: type 1 diabetes, type 2 diabetes, and no diabetes. The incidence of discharges attributed to amputations were calculated overall and stratified by diabetes status and year.We calculated length of stay and in-hospital fatality stratified by diabetes status and type of LEA. RESULTS—From 2001 to 2008, 46,536minor LEAs and 43,528 major LEAs were performed. In patients with type 1 diabetes, the incidence of minor and major amputations decrease