{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T15:05:39Z","timestamp":1772118339703,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,2,2]],"date-time":"2022-02-02T00:00:00Z","timestamp":1643760000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Metabolism Res"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>During the Covid\u201019 epidemic, many countries imposed population lockdown. This study aimed to analyse diabetic foot ulcer (DFU) evolution of outpatients between the lockdown period and 1\u00a0month after its end.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>We conducted a prospective, observational, single\u2010centre study without modification of care. All patients who followed up for a DFU in the study centre between 15 April 2020 and 11 May 2020 were included. The baseline assessment occurred 4\u00a0weeks after the beginning of lockdown and the follow\u2010up visit 4\u20136\u00a0weeks after easing of lockdown. The primary analysis was based on the Site, Ischaemia, Neuropathy, Bacterial infection, Area, Depth (SINBAD) classification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010seven patients were included, median 69.4\u00a0years, and 25 were followed\u2010up at easing of lockdown. The median SINBAD score was 2 (interquartile range 1; 3) at inclusion and 1 (1; 2) at easing of lockdown, with a mean change of \u22120.32 (95% confidence interval \u22120.93; 0.29). Seventy\u2010two percent of the population had a stable or improved score between the two visits. The proportion of patients using off\u2010loading footwear was higher among those whose SINBAD score improved compared to those whose score worsened or remained stable (72%, 44% and 28%, respectively). Diabetes type was linked to DFU prognosis. Five patients (20%) were hospitalized during the follow\u2010up period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Lockdown appears to have had a positive effect on DFU if patients remain under the care of their expert wound centre. We believe this effect is related to better compliance with offloading. The wide use of tele\u2010medicine seems relevant for the follow\u2010up of DFU.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/dmrr.3520","type":"journal-article","created":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T04:14:31Z","timestamp":1643170471000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Covid\u201019 lockdown showed a likely beneficial effect on diabetic foot ulcers"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5830-8962","authenticated-orcid":false,"given":"Jean\u2010Baptiste","family":"Bonnet","sequence":"first","affiliation":[{"name":"Endocrinology Diabetes Department CHU Montpellier Universit\u00e9 Montpellier  Montpellier France"},{"name":"Desbrest Institute of Epidemiology and Public Health IDESP UMR UA11 INSERM Universit\u00e9 Montpellier  Montpellier France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Val\u00e9rie","family":"Macioce","sequence":"additional","affiliation":[{"name":"Clinical Research and Epidemiology Unit CHU Montpellier Universit\u00e9 Montpellier  Montpellier France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulkader","family":"Jalek","sequence":"additional","affiliation":[{"name":"Endocrinology Diabetes Department CHU Montpellier Universit\u00e9 Montpellier  Montpellier France"},{"name":"Desbrest Institute of Epidemiology and Public Health IDESP UMR UA11 INSERM Universit\u00e9 Montpellier  Montpellier France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karim","family":"Bouchdoug","sequence":"additional","affiliation":[{"name":"Clinical Research and Epidemiology Unit CHU Montpellier Universit\u00e9 Montpellier  Montpellier France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9cile","family":"Elleau","sequence":"additional","affiliation":[{"name":"Endocrinology Diabetes Department CHU Montpellier Universit\u00e9 Montpellier  Montpellier France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie\u2010Fran\u00e7oise","family":"Gras\u2010Vidal","sequence":"additional","affiliation":[{"name":"Endocrinology Diabetes Department CHU Montpellier Universit\u00e9 Montpellier  Montpellier France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Pochic","sequence":"additional","affiliation":[{"name":"Endocrinology Diabetes Department CHU Montpellier Universit\u00e9 Montpellier  Montpellier France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antoine","family":"Avignon","sequence":"additional","affiliation":[{"name":"Endocrinology Diabetes Department CHU Montpellier Universit\u00e9 Montpellier  Montpellier France"},{"name":"Desbrest Institute of Epidemiology and Public Health IDESP UMR UA11 INSERM Universit\u00e9 Montpellier  Montpellier France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ariane","family":"Sultan","sequence":"additional","affiliation":[{"name":"Endocrinology Diabetes Department CHU Montpellier Universit\u00e9 Montpellier  Montpellier France"},{"name":"Phymedexp Universit\u00e9 de Montpellier Inserm CNRS CHRU de Montpellier  Montpellier France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,2,2]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc20-2650"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2020.108245"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2020.06.023"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13416"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1615439"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13680"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc07-2145"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3275"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3266"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.7547\/87507315-93-6-485"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-020-05351-w"},{"key":"e_1_2_10_13_1","volume-title":"COVID\u201019 and Diabetic Foot Disease [Internet]. 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