당뇨병 합병증으로 인한 하지 절단율의 지역적 변이 및 지역 특성 요인과의 관계 분석

• Published in: 대한족부족관절학회지 Vol. 23; no. 3; pp. 121 - 130
• Main Authors: 원성훈, 김재형, 천동일, 이영, 박수연, 정광영, 박근현, 조재호, Won, Sung Hun, Kim, Jahyung, Chun, Dong-Il, Yi, Young, Park, Suyeon, Jung, Kwang-Young, Park, Gun-Hyun, Cho, Jaeho
• Format: Journal Article
• Language: Korean
• Published: 대한족부족관절학회 01.09.2019
• Subjects: 정형외과학; Spatial analysis; Diabetes mellitus; Diabetic foot; Amputation
• ISSN: 1738-3757; 2288-8551
• DOI: 10.14193/jkfas.2019.23.3.121

Purpose: To investigate the spatial distribution of diabetes-related lower limb amputations and analyze the relationship between the spatial distribution of diabetes-related lower limb amputations and regional factors. Materials and Methods: This study was performed based on the data from the Korean Health Insurance Review and Assessment Service, in 2016. The unit of analysis was the administrative districts of city·gun·gu. The dependent variable was the age- and sex-adjusted incidence of diabetes-related lower limb amputations and the regional variables were selected to represent two aspects: socioeconomic factors, and health and medical factors. Along with traditional ordinary least square (OLS) regression analysis, geographically weighted regression (GWR) was applied for spatial analysis. Results: The age- and sex-adjusted incidence of diabetes-related lower limb amputation varied according to region. OLS regression showed that the incidence of diabetes-related lower limb amputation had significant relationships with the health and medical factors (number of healthcare institution and doctors per 100,000 population). In GWR, the effects of regional factors were not consistent. Conclusion: The spatial distribution of the incidence of diabetes-related lower limb amputations and the effects of regional factors varied according to the regions. The regional characteristics should be considered when establishing health policy related to diabetic foot care.