{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T23:00:19Z","timestamp":1793919619779,"version":"4.8.0"},"reference-count":32,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,5,14]],"date-time":"2023-05-14T00:00:00Z","timestamp":1684022400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Metabolism Res"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Diabetes\u2010related foot disease is a major source of patient burden and societal costs. Investing in evidence\u2010based international guidelines on diabetes\u2010related foot disease is important to reduce this burden and costs, provided the guidelines are focused on outcomes important to key stakeholders and are evidence\u2010based and properly implemented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>The International Working Group on the Diabetic Foot (IWGDF) has published and updated international guidelines since 1999. The 2023 updates were made using the Grading of Recommendations Assessment Development and Evaluation evidence\u2010to\u2010decision framework. This concerns formulating relevant clinical questions and important outcomes, conducting systematic reviews of the literature and meta\u2010analyses where appropriate, completing summary of judgement tables, and writing recommendations that are specific, unambiguous and actionable, along with their transparent rationale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We herein describe the development of the 2023 IWGDF Guidelines on the prevention and management of diabetes\u2010related foot disease, which consists of seven chapters, each prepared by a separate working group of international experts. These chapters provide guidelines related to diabetes\u2010related foot disease on prevention; classification of diabetes\u2010related foot ulcer, offloading, peripheral artery disease, infection, wound healing interventions, and active Charcot neuro\u2010osteoarthropathy. Based on these seven guidelines, the IWGDF Editorial Board also produced a set of practical guidelines. Each guideline underwent extensive review by the members of the IWGDF Editorial Board as well as independent international experts in each field.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We believe that the adoption and implementation of the 2023 IWGDF guidelines by healthcare providers, public health agencies, and policymakers will improve the prevention and management of diabetes\u2010related foot disease, and subsequently reduce the worldwide patient and societal burden caused by this disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/dmrr.3656","type":"journal-article","created":{"date-parts":[[2023,5,14]],"date-time":"2023-05-14T07:58:55Z","timestamp":1684051135000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Standards for the development and methodology of the 2023 IWGDF guidelines"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8357-9163","authenticated-orcid":false,"given":"Sicco A.","family":"Bus","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine Amsterdam UMC University of Amsterdam  Amsterdam the Netherlands"},{"name":"Amsterdam Movement Sciences, Program Rehabilitation &amp; Development  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4586-2910","authenticated-orcid":false,"given":"Matilde","family":"Monteiro\u2010Soares","sequence":"additional","affiliation":[{"name":"Portuguese Red Cross School of Health  Lisbon Portugal"},{"name":"MEDCIDS\u2014Departamento de Medicina da Comunidade Informa\u00e7\u00e3o e Decis\u00e3o em Sa\u00fade Faculty of Medicine of the University of Porto  Porto Portugal"},{"name":"RISE@ CINTESIS Faculty of Medicine Oporto University  Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5294-4789","authenticated-orcid":false,"given":"Fran","family":"Game","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology University Hospitals of Derby and Burton NHS Foundation Trust  Derby UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6420-6046","authenticated-orcid":false,"given":"Jaap J.","family":"van Netten","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine Amsterdam UMC University of Amsterdam  Amsterdam the Netherlands"},{"name":"Amsterdam Movement Sciences, Program Rehabilitation &amp; Development  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Apelqvist","sequence":"additional","affiliation":[{"name":"Department of Endocrinology University Hospital of Malm\u00f6  Malm\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6258-5997","authenticated-orcid":false,"given":"Robert","family":"Fitridge","sequence":"additional","affiliation":[{"name":"Discipline of Surgery The University of Adelaide and Vascular and Endovascular Service Royal Adelaide Hospital  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5720-8908","authenticated-orcid":false,"given":"Eric","family":"Senneville","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases Gustave Dron Hospital  Tourcoing France"},{"name":"Univ\u2010lille  Lille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolaas C.","family":"Schaper","sequence":"additional","affiliation":[{"name":"Div. Endocrinology MUMC+, CARIM and CAPHRI Institute  Maastricht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"IWGDF Editorial Board","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,14]]},"reference":[{"key":"e_1_2_13_2_1","volume-title":"IDF Diabetes Atlas","author":"International Diabetes Federation","year":"2021"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc19\u20101614"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(05)67698\u20102"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejmra1615439"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc06\u20100306"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125\u2010008\u20100940\u20100"},{"key":"e_1_2_13_8_1","unstructured":"Time to Act: diabetes and foot care.A Joint 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