Table 2 Joinpoint analysis for age-standardized incidence rates (ASIRs) for lower extremity amputation (LEA) proximal to toes in the Middle East and North Africa region (MENA) 20 + countries for years 1990 to 2019 in male patients
Country | Trend 1 | Trend 2 | Trend 3 | Trend 4 | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
Year | APC (-95%CI to + 95CI%) | P-Value | Year | APC (-95%CI to + 95CI%) | P-Value | Year | APC (-95%CI to + 95CI%) | P-Value | Year | APC (-95%CI to + 95CI%) | P-Value | |
Afghanistan | 1990–1998 | 6.33 (-1.26 to 25.52) | 0.076 | 1998–2003 | -17.74 (-34.74 to -3.87) | 0.044 | 2003–2019 | 9.99 (6.59 to 14.61) | 0.022 | |||
Algeria | 1990–1997 | 8.62 (6.16 to 11.59) | < 0.001 | 1997–2005 | -6.86 (-10.74 to -5.14) | < 0.001 | 2005–2019 | -1.01 (-1.79 to -0.01) | 0.050 | |||
Bahrain | 1990–2019 | -0.18 (-0.28 to -0.06) | 0.004 | |||||||||
Egypt | 1990–2005 | -0.56 (-0.99 to -0.26) | 0.001 | 2005–2019 | 1.31 (0.94 to 1.82) | < 0.001 | ||||||
Emirates | 1990–1995 | 0.19 (0.03 to 0.31) | 0.029 | 1995–2000 | 0.92 (0.8 to 1.09) | < 0.001 | 2000–2005 | -0.04 (-0.14 to 0.07) | 0.430 | 2005–2010 | -1.66 (-1.78 to -1.56) | < 0.001 |
Iran | 1990–1992 | -33.77 (-48.61 to -12.18) | < 0.001 | 1992–2019 | -0.84 (-1.4 to -0.07) | 0.040 | ||||||
Iraq | 1990–2001 | -4.33 (-7.67 to -1.39) | 0.008 | 2001–2006 | 57 (41.57 to 84.48) | < 0.001 | 2006–2010 | -34.27 (-46.26 to -21.87) | < 0.001 | 2010–2016 | 24.83 (15.93 to 42.67) | < 0.001 |
Jordan | 1990–2015 | -0.55 (-0.79 to -0.34) | < 0.001 | 2015–2019 | 7.93 (4.04 to 16.71) | < 0.001 | ||||||
Kuwait | 1990–1993 | -50.64 (-67.91 to -40.77) | < 0.001 | 1993–2019 | -0.17 (-0.94 to 0.59) | 0.601 | ||||||
Lebanon | 1990–2003 | -5.65 (-7.43 to -4.46) | 0.008 | 2003–2006 | 19.08 (4.92 to 26.46) | 0.019 | 2006–2009 | -13.46 (-18.86 to -2.72) | 0.019 | 2009–2019 | 4.6 (2.66 to 8.69) | 0.005 |
Libya | 1990–2019 | 3.03 (1.01 to 5.16) | 0.003 | |||||||||
Morocco | 1990–1995 | 0.73 (0.07 to 2.26) | 0.027 | 1995–2001 | -0.41 (-1.7 to 1.86) | 0.102 | 2001–2004 | 2.45 (-2.78 to 3.26) | 0.093 | 2004–2007 | -3.04 (-3.68 to 0.24) | 0.067 |
Oman | 1990–1996 | 0.91 (0.46 to 1.74) | 0.024 | 1996–2007 | 0.23 (-0.31 to 0.63) | 0.124 | 2007–2010 | -1.94 (-2.3 to 0.6) | 0.150 | |||
Palestine | 1990–1998 | -11.97 (-18.55 to -7.42) | < 0.001 | 1998–2001 | 102.04 (54.14 to 127.38) | 0.000 | 2001–2008 | 0.43 (-8.42 to 8.94) | 0.988 | 2010–2019 | -1.02 (-1.25 to -0.42) | 0.017 |
Qatar | 1990–1997 | -0.09 (-0.19 to -0.03) | 0.026 | 1997–2005 | 0.48 (0.08 to 0.55) | 0.032 | 2005–2011 | -1.24 (-1.36 to 0.46) | 0.126 | 2011–2014 | -1.01 (-1.19 to -0.92) | < 0.001 |
Saudi Arabia | 1990–2014 | 1.37 (1.32 to 1.43) | < 0.001 | 2014–2019 | -1.31 (-2.21 to -0.69) | 0.000 | ||||||
Sudan | 1990–1994 | -18.96 (-29.96 to -13.31) | < 0.001 | 1994–1997 | 25.03 (10.88 to 35.73) | < 0.001 | 1997–2000 | -13.13 (-20.26 to -3.37) | 0.024 | 2000–2003 | 32.24 (17.49 to 43.58) | 0.024 |
Syria | 1990–2010 | 1.2 (-0.76 to 3.22) | 0.158 | 2010–2013 | 254.49 (1.12 to 297.74) | 0.042 | 2013–2017 | -17.8 (-26.42 to 246.84) | 0.151 | 2017–2019 | -59.66 (-71.56 to -34.24) | < 0.001 |
Tunisia | 1990–2002 | 0.75 (0.43 to 1.65) | 0.002 | 2002–2019 | -0.04 (-0.52 to 0.15) | 0.640 | ||||||
Turkey | 1990–1999 | 3.37 (0.82 to 8.63) | 0.020 | 1999–2002 | -17.33 (-21.43 to -6.03) | 0.005 | 2002–2019 | 2.38 (1.31 to 3.89) | 0.004 | |||
Yemen | 1990–2008 | -0.59 (-1.5 to 0.07) | 0.077 | 2008–2014 | 10.14 (4.95 to 14.57) | 0.003 | 2014–2017 | 50.4 (36.74 to 61.17) | 0.000 | 2017–2019 | -10.29 (-22.23 to 5.46) | 0.146 |