%0 Journal Article %T Author reponse %J Archive of "Canadian Journal of Surgery". %D 2017 %R 10.1503/cjs.1760053 %X We thank Dr. Ascencio-Montiel for his interest in our study and agree with his comments regarding both the strengths and weakness of administrative databases. We agree that major amputation in diabetic patients is a global public health crisis, and we, and others, are actively pursuing multidisciplinary limb-preservation strategies. We applaud Dr. Ascencio-Montiel¡¯s efforts to do the same in Mexico %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5608568/