Diabetes-Related Amputations Surge 32.8% in Campinas Region, Reaching 5-Year High
Amputations due to diabetes mellitus in the Campinas region of São Paulo state saw a significant 32.8% increase in 2025, reaching the highest level in five years. A total of 591 procedures were performed last year, compared to 445 in 2024, surpassing figures from the preceding four years. This rise, encompassing all municipalities within the Regional Health Department (DRS) VII, was primarily driven by diabetes complications, as other causes like neoplasms and malformations saw only a modest 3.7% increase, and accidental causes decreased by 10.4%.
Lower extremities, particularly feet and toes, account for the vast majority of amputations, representing about 80% of the 9,148 procedures recorded between 2020 and 2025. In 2025 alone, foot and tarsus amputations reached 724 cases, and toe amputations increased from 194 to 209. The data also indicates that individuals aged 60 and above are most affected, accounting for approximately six in ten cases, with the 75+ age group experiencing the highest incidence. Overall amputation procedures, regardless of cause, also rose to 1,824 in 2025, the highest since 2020.
The reported surge in diabetes-related amputations in the Campinas region highlights a critical public health challenge, likely exacerbated by systemic factors rather than individual negligence. An aging population, increased longevity of individuals living with diabetes, delayed diagnoses, and suboptimal glycemic control contribute to the growing burden of complications. The data suggests a potential disconnect between healthcare access, patient education, and the long-term management of chronic conditions. Future healthcare strategies should focus on proactive screening, enhanced patient education regarding foot care, and improved access to specialized treatment to mitigate the progression of diabetic complications and reduce the incidence of preventable amputations.
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