{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T19:27:31Z","timestamp":1770751651549,"version":"3.50.0"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2008,1,31]],"date-time":"2008-01-31T00:00:00Z","timestamp":1201737600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis &amp; Rheumatism"],"published-print":{"date-parts":[[2008,2,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To establish the prevalence of foot ulceration in patients with rheumatoid arthritis (RA) in secondary care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A postal survey of all patients with RA (n = 1,130) under the care of rheumatologists in Bradford, West Yorkshire, UK was performed. The prevalence data were validated through clinical examination, case\u2010note review, and contact with health professionals. The false\u2010negative rate was investigated in a subsample of patients (n = 70) who denied any history of ulceration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The postal survey achieved a 78% response rate. Following validation, the point prevalence of foot ulceration was 3.39% and the overall prevalence was 9.73%. The false\u2010positive rate was initially high at 21.21%, but use of diagrammatic questionnaire data to exclude leg ulceration reduced the rate to 10.76%. The false\u2010negative rate was 11.76%. The most common sites for ulceration were the dorsal aspect of hammer toes, the metatarsal heads, and the metatarsophalangeal joint in patients with hallux abducto valgus, with 33% of patients reporting multiple sites of ulceration. Patients with open\u2010foot and healed\u2010foot ulceration had significantly longer RA disease duration, reported significantly greater use of special footwear, and had a higher prevalence of foot surgery than ulcer\u2010free patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Foot ulceration affects a significant proportion of patients with RA. Further work is needed to establish risk factors for foot ulceration in RA and to target foot health provision more effectively.<\/jats:p><\/jats:sec>","DOI":"10.1002\/art.23335","type":"journal-article","created":{"date-parts":[[2008,1,31]],"date-time":"2008-01-31T19:52:10Z","timestamp":1201809130000},"page":"200-205","source":"Crossref","is-referenced-by-count":43,"title":["The prevalence of foot ulceration in patients with rheumatoid arthritis"],"prefix":"10.1002","volume":"59","author":[{"given":"Jill","family":"Firth","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire","family":"Hale","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"Helliwell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jackie","family":"Hill","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E. Andrea","family":"Nelson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,1,31]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"724","article-title":"Painful feet in rheumatoid arthritis","volume":"109","author":"Minaker K","year":"1973","journal-title":"Can Med Assoc J"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.4159\/harvard.9780674423947"},{"key":"e_1_2_6_4_2","first-page":"1","article-title":"The rheumatoid foot: a clinical study with pathological and roentgenological comments","volume":"45","author":"Vainio K","year":"1956","journal-title":"Ann Chir Gynaecol Fenn Suppl"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2005.050823"},{"issue":"2","key":"e_1_2_6_6_2","first-page":"669","article-title":"Foot ulceration in patients with rheumatic diseases [abstract]","volume":"65","author":"Davys HJ","year":"2006","journal-title":"Ann Rheum Dis"},{"key":"e_1_2_6_7_2","volume-title":"2001 Census: standard area statistics","author":"Office for National Statistics","year":"2001"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780310302"},{"key":"e_1_2_6_9_2","first-page":"507","article-title":"The frequency of leg ulceration in rheumatoid arthritis: a survey","volume":"10","author":"Thurtle OA","year":"1983","journal-title":"J Rheumatol"},{"key":"e_1_2_6_10_2","volume-title":"CASS short course handbook: design and administration of postal and self\u2010completion surveys","author":"McColl E","year":"2005"},{"key":"e_1_2_6_11_2","unstructured":"UitenbroekDG.SISA\u2010binomial. URL:www.quantitativeskills.com\/sisa\/statistics\/diagnos.htm."},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.329.7458.168"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s005230070031"},{"key":"e_1_2_6_14_2","first-page":"14","article-title":"The prevalence of leg ulceration: a review of the literature","volume":"3","author":"Closs SJ","year":"2003","journal-title":"J EWMA"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800730905"},{"key":"e_1_2_6_16_2","doi-asserted-by":"crossref","first-page":"227","DOI":"10.2340\/0001555572227230","article-title":"A demographic survey of leg and foot ulcer patients in a defined population","volume":"72","author":"Lindholm C","year":"1992","journal-title":"Acta Derm Venereol"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800791015"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF03166911"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1996.02099.x"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/02813430050202587"},{"key":"e_1_2_6_21_2","first-page":"310","article-title":"Chronic ulcers of the leg: a study of prevalence in a Scottish community","volume":"41","author":"Dale JJ","year":"1983","journal-title":"Health Bull (Edinb)"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2004.029124"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.28.8.1869"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keg364"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/36.9.932"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-5491.2002.00698.x"},{"key":"e_1_2_6_27_2","first-page":"78","article-title":"Factors associated with development of foot lesions in the diabetic","volume":"93","author":"Delbridge L","year":"1983","journal-title":"Surgery"},{"key":"e_1_2_6_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8227(97)01380-6"},{"key":"e_1_2_6_29_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.1994.tb00310.x"},{"key":"e_1_2_6_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00400259"},{"key":"e_1_2_6_31_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-9136(199710)14:10<867::AID-DIA475>3.0.CO;2-L"},{"key":"e_1_2_6_32_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070402500105"}],"container-title":["Arthritis Care &amp; Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fart.23335","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/art.23335","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T22:41:46Z","timestamp":1696977706000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/art.23335"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,1,31]]},"references-count":31,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2008,2,15]]}},"alternative-id":["10.1002\/art.23335"],"URL":"https:\/\/doi.org\/10.1002\/art.23335","archive":["Portico"],"relation":{},"ISSN":["0893-7524","1529-0123"],"issn-type":[{"value":"0893-7524","type":"print"},{"value":"1529-0123","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,1,31]]}}}