Historically, amputations in sub-Saharan Africa (SSA) were performed to address pathologic changes due to traumatic injury.1 However, SSA countries are currently experiencing the epidemiologic double burden of disease; as treatment for and education about infectious diseases improve, these countries are increasingly faced with a transition to noncommunicable chronic diseases (NCDs), including diabetes and peripheral vascular disease.2 This transition is attributed to longer life expectancy and greater exposure to risk factors that include smoking, poor diet, and sedentary lifestyle.2 We hypothesized that NCDs have overtaken trauma as the primary cause for amputation in SSA, with postoperative mortality driven by untreated or undertreated medical conditions.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Forrester JD, Teslovich NC, Nigo L, Brown JA, Wren SM. Undertreated Medical Conditions vs Trauma as Primary Indications for Amputation at a Referral Hospital in Cameroon. JAMA Surg. 2018;153(9):858–860. doi:10.1001/jamasurg.2018.1059
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: