{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T15:33:37Z","timestamp":1789659217208,"version":"4.0.1"},"reference-count":156,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Metabolism Res"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Diabetic foot ulceration (DFU) and lower limb complications are highly prevalent in people with end\u2010stage kidney disease (ESKD), particularly those receiving dialysis; however, the overall burden and outcomes remain incompletely characterised. This systematic review with narrative synthesis aimed to summarise study characteristics and evidence on the epidemiology of DFU in ESKD, including incidence, prevalence, wound healing outcomes, and associations with lower\u2010extremity amputation (LEA) and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>MEDLINE (via PubMed), EMBASE and the Cochrane Database of Systematic Reviews were searched from inception to 31 January 2026 for longitudinal and cross\u2010sectional studies, including registry data, in adults with ESKD or on dialysis. Outcomes included DFU epidemiology, wound healing, revascularisation, LEA and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The review included 64 observational studies. In dialysis\u2010dependent populations, DFU incidence is high and increases with advancing renal impairment, often preceding dialysis initiation. Evidence on whether dialysis initiation itself increases DFU risk is limited and heterogeneous, although observational cohorts suggest a temporal association with haemodialysis initiation, particularly within the first 2\u00a0years. Data comparing haemodialysis and peritoneal dialysis are scarce. Wound healing outcomes were variable, with earlier recurrence observed, although multidisciplinary care improved healing, largely driven by perfusion and ulcer severity rather than renal function alone. Although based on observational and heterogeneous data, dialysis\u2010dependent ESKD was frequently identified as an independent predictor of LEA after adjustment for confounders, with coexisting peripheral arterial disease, a key determinant of adverse limb outcomes. Mortality risk appeared to compound following amputation, with observational data suggesting high post\u2010amputation mortality (approaching 50% at 2\u00a0years and 70% at 5\u00a0years), consistent with a shift towards limb loss rather than increased DFU occurrence. Interpretation is limited by study heterogeneity, observational design, limited long\u2010term data on healing and recurrence, and inadequate stratification by dialysis modality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Current evidence underscores substantial gaps in understanding the natural history and optimal management of diabetic foot disease in dialysis\u2010dependent ESKD. Future research should prioritise well\u2010designed prospective studies to delineate dialysis\u2010specific risk pathways, incorporate robust stratification by dialysis modality, and evaluate interventions targeting ischaemia and limb preservation. Standardisation of outcome reporting, particularly for healing durability and recurrence, will be essential to enable meaningful comparisons and guide the development of tailored multidisciplinary care models for this high\u2010risk population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/dmrr.70189","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T11:50:18Z","timestamp":1781610618000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Diabetic Foot Ulceration in Dialysis\u2010Dependent End\u2010Stage Kidney Disease: A Systematic Review of Epidemiology, Clinical Outcomes and Mortality Risk"],"prefix":"10.1002","volume":"42","author":[{"given":"J. Z. M.","family":"Lim","sequence":"first","affiliation":[{"name":"Diabetes, Endocrinology and Metabolism Centre Manchester Royal Infirmary Manchester University NHS Foundation Trust  Manchester UK"},{"name":"Division of Diabetes, Endocrinology and Gastroenterology Faculty of Biology, Medicine and Health University of Manchester  Manchester UK"},{"name":"Department of Cardiovascular and Metabolic Medicine Institute of Life Course and Medical Sciences, University of Liverpool  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Selvarajah","sequence":"additional","affiliation":[{"name":"Department of Oncology and Metabolism Faculty of Health University of Sheffield  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0389-636X","authenticated-orcid":false,"given":"S.","family":"Mitra","sequence":"additional","affiliation":[{"name":"Department of Nephrology Manchester University NHS Foundation Trust  Manchester UK"},{"name":"Manchester Academy of Health Sciences Centre (MAHSC)  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N. S. L.","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Paediatric Nephrology Royal Manchester Children's Hospital  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Rayman","sequence":"additional","affiliation":[{"name":"Diabetes Centre Ipswich Hospital East Suffolk and North Essex NHS Foundation Trust  Ipswich UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Vileikyte","sequence":"additional","affiliation":[{"name":"Faculty of Health and Medicine Lancaster Medical School Lancaster University  Lancaster UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. L.","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\/0000-0001-7856-1201","authenticated-orcid":false,"given":"A. J. M.","family":"Boulton","sequence":"additional","affiliation":[{"name":"Diabetes, Endocrinology and Metabolism Centre Manchester Royal Infirmary Manchester University NHS Foundation Trust  Manchester UK"},{"name":"Division of Diabetes, Endocrinology and Gastroenterology Faculty of Biology, Medicine and Health University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,16]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12020\u2010024\u201003696\u20105"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.2337\/dci22\u20100027"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.120.050686"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ackd.2017.10.011"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1615439"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(23)01301\u20106"},{"key":"e_1_2_11_8_1","volume-title":"Endotext","author":"Boulton A. J. M.","year":"2023"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.10578"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc06\u20102313"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semvascsurg.2025.01.002"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12160\u2010017\u20109918\u20109"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/371938"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2014.09.006"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010022\u201015906\u2010z"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102702.2006.01349.x"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102369\u201015\u20104"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1681\/asn.2014020222"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/hdi.12138"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjdrc\u20102015\u2010000158"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12933\u2010024\u201002527\u20101"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/15347346221074111"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.70713"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12966"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2018.2436"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc19\u20100296"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.0801"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125\u2010024\u201006262\u2010w"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2009.04.035"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13300\u2010021\u201001050\u2010w"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabet.2025.101606"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfad106"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/nep.13596"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc10\u20100255"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.02.051"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc07\u20102244"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3657"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882\u2010019\u20101594\u20105"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfl427"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12146"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/945075"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/7217586"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.7547\/16\u2010056"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.recot.2025.04.018"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10071368"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1210\/js.2019\u2010SAT\u2010135"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcq227"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464\u20105491.2002.00698.x"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3651"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfad063d_4430"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.1097\/asw.0000000000000117"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742\u2010481X.2012.01044.x"},{"key":"e_1_2_11_53_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc12\u20100200"},{"key":"e_1_2_11_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2020.108621"},{"key":"e_1_2_11_55_1","unstructured":"NHS Digital \u201cNational Diabetes Foot Care Audit 2020 to 2025 \u201dNovember 2025 https:\/\/digital.nhs.uk\/data\u2010and\u2010information\/publications\/statistical\/national\u2010diabetes\u2010footcare\u2010audit\/2025."},{"key":"e_1_2_11_56_1","doi-asserted-by":"publisher","DOI":"10.1177\/08968608231195492"},{"key":"e_1_2_11_57_1","doi-asserted-by":"publisher","DOI":"10.1177\/10711007241262792"},{"key":"e_1_2_11_58_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3786"},{"issue":"2","key":"e_1_2_11_59_1","first-page":"96","article-title":"The Association Between Declining Kidney Function and Diabetic Foot Disease","volume":"21","author":"McIntosh C.","year":"2018","journal-title":"Diabetic Foot Journal"},{"key":"e_1_2_11_60_1","doi-asserted-by":"publisher","DOI":"10.1016\/s2214\u2010109x(19)30255\u20104"},{"key":"e_1_2_11_61_1","doi-asserted-by":"publisher","DOI":"10.1111\/nep.13914"},{"key":"e_1_2_11_62_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.26.4.1241"},{"key":"e_1_2_11_63_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehu163"},{"key":"e_1_2_11_64_1","doi-asserted-by":"publisher","DOI":"10.3109\/0886022x.2013.828261"},{"key":"e_1_2_11_65_1","doi-asserted-by":"publisher","DOI":"10.4103\/jnrp.jnrp_186_17"},{"key":"e_1_2_11_66_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(05)67698\u20102"},{"key":"e_1_2_11_67_1","doi-asserted-by":"publisher","DOI":"10.1080\/0886022x.2025.2547305"},{"key":"e_1_2_11_68_1","doi-asserted-by":"publisher","DOI":"10.7547\/87507315\u201092\u20109\u2010479"},{"key":"e_1_2_11_69_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2020.108621"},{"key":"e_1_2_11_70_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.70122"},{"key":"e_1_2_11_71_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2012.09.024"},{"key":"e_1_2_11_72_1","doi-asserted-by":"publisher","DOI":"10.1177\/1708538116673015"},{"key":"e_1_2_11_73_1","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12976"},{"issue":"6","key":"e_1_2_11_74_1","first-page":"477","article-title":"Outcome of Severe Diabetic Foot Ulcers After Standardised Management in a Specialised Unit","volume":"28","author":"Hartemann\u2010Heurtier A.","year":"2002","journal-title":"Diabetes & Metabolism"},{"key":"e_1_2_11_75_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2020.29.8.464"},{"key":"e_1_2_11_76_1","doi-asserted-by":"publisher","DOI":"10.1002\/jca.22132"},{"key":"e_1_2_11_77_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2016.04.030"},{"key":"e_1_2_11_78_1","doi-asserted-by":"publisher","DOI":"10.1080\/2000625x.2018.1471927"},{"key":"e_1_2_11_79_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018\u2010021\u201002686\u2010x"},{"key":"e_1_2_11_80_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx502.P1408"},{"key":"e_1_2_11_81_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125\u2010017\u20104350\u2010z"},{"key":"e_1_2_11_82_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.01.025"},{"key":"e_1_2_11_83_1","doi-asserted-by":"publisher","DOI":"10.1089\/wound.2017.0778"},{"key":"e_1_2_11_84_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010002\u20106335\u20103"},{"key":"e_1_2_11_85_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2233"},{"key":"e_1_2_11_86_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2006.11.036"},{"key":"e_1_2_11_87_1","doi-asserted-by":"publisher","DOI":"10.1177\/21514593231195992"},{"key":"e_1_2_11_88_1","doi-asserted-by":"publisher","DOI":"10.1002\/jfa2.70026"},{"key":"e_1_2_11_89_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2024.108876"},{"key":"e_1_2_11_90_1","doi-asserted-by":"publisher","DOI":"10.1177\/1538574406293739"},{"key":"e_1_2_11_91_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.12.054"},{"key":"e_1_2_11_92_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2014.08.022"},{"key":"e_1_2_11_93_1","doi-asserted-by":"publisher","DOI":"10.1177\/1538574420968671"},{"key":"e_1_2_11_94_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9093009"},{"key":"e_1_2_11_95_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125\u2010011\u20102279\u20101"},{"key":"e_1_2_11_96_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523\u20101755.1999.00668.x"},{"key":"e_1_2_11_97_1","doi-asserted-by":"publisher","DOI":"10.1053\/ajkd.2003.50000"},{"key":"e_1_2_11_98_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.9.2198"},{"key":"e_1_2_11_99_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523\u20101755.2004.00420.x"},{"key":"e_1_2_11_100_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2005.05.003"},{"key":"e_1_2_11_101_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2024.12.057"},{"key":"e_1_2_11_102_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9061780"},{"key":"e_1_2_11_103_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3690"},{"key":"e_1_2_11_104_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9113745"},{"key":"e_1_2_11_105_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.05.027"},{"key":"e_1_2_11_106_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2005.07.005"},{"key":"e_1_2_11_107_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464\u20105491.2011.03555_2.x"},{"key":"e_1_2_11_108_1","doi-asserted-by":"publisher","DOI":"10.2337\/db12\u20101\u2010377"},{"key":"e_1_2_11_109_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2025.112435"},{"key":"e_1_2_11_110_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12526"},{"key":"e_1_2_11_111_1","doi-asserted-by":"publisher","DOI":"10.1177\/14791641231154162"},{"key":"e_1_2_11_112_1","doi-asserted-by":"publisher","DOI":"10.14814\/phy2.70415"},{"key":"e_1_2_11_113_1","doi-asserted-by":"publisher","DOI":"10.1071\/ah20182"},{"key":"e_1_2_11_114_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfn724"},{"key":"e_1_2_11_115_1","doi-asserted-by":"publisher","DOI":"10.1530\/eje\u201017\u20100070"},{"key":"e_1_2_11_116_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13765"},{"key":"e_1_2_11_117_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125\u2010008\u20100940\u20100"},{"key":"e_1_2_11_118_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2009.06.005"},{"key":"e_1_2_11_119_1","doi-asserted-by":"publisher","DOI":"10.11622\/smedj.2020104"},{"key":"e_1_2_11_120_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12902\u2010020\u201000614\u20104"},{"issue":"1","key":"e_1_2_11_121_1","first-page":"27","article-title":"Correlation Between Amputation of Diabetic Foot and Nephropathy","volume":"4","author":"Akha O.","year":"2010","journal-title":"Iranian Journal of Kidney Diseases"},{"key":"e_1_2_11_122_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463\u20101326.2010.01284.x"},{"key":"e_1_2_11_123_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12404"},{"key":"e_1_2_11_124_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ekir.2020.03.019"},{"key":"e_1_2_11_125_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2022.108222"},{"key":"e_1_2_11_126_1","doi-asserted-by":"publisher","DOI":"10.1111\/dom.16519"},{"key":"e_1_2_11_127_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2016.11.020"},{"key":"e_1_2_11_128_1","doi-asserted-by":"publisher","DOI":"10.1177\/1358863x18824654"},{"key":"e_1_2_11_129_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13047\u2010020\u201000383\u20102"},{"key":"e_1_2_11_130_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.03.452"},{"key":"e_1_2_11_131_1","unstructured":"NHS England National Diabetes Foot Care Audit 2018\u20132023 (2024) https:\/\/digital.nhs.uk\/data\u2010and\u2010information\/publications\/statistical\/national\u2010diabetes\u2010footcare\u2010audit\/2018\u20102023."},{"key":"e_1_2_11_132_1","doi-asserted-by":"publisher","DOI":"10.34067\/kid.0000000741"},{"key":"e_1_2_11_133_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2024.01.001"},{"key":"e_1_2_11_134_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2022.07.007"},{"key":"e_1_2_11_135_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882\u2010015\u20100021\u20109"},{"key":"e_1_2_11_136_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12933\u2010023\u201002107\u20109"},{"key":"e_1_2_11_137_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2014.04.011"},{"key":"e_1_2_11_138_1","doi-asserted-by":"publisher","DOI":"10.1111\/dom.14840"},{"key":"e_1_2_11_139_1","doi-asserted-by":"publisher","DOI":"10.1177\/1938640017694722"},{"key":"e_1_2_11_140_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfv114"},{"key":"e_1_2_11_141_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882\u2010017\u20100711\u20106"},{"key":"e_1_2_11_142_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.21.7.1071"},{"key":"e_1_2_11_143_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.28.8.1869"},{"key":"e_1_2_11_144_1","doi-asserted-by":"publisher","DOI":"10.34067\/KID.0007872021"},{"key":"e_1_2_11_145_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinme.2024.100138"},{"key":"e_1_2_11_146_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125\u2010021\u201005440\u20104"},{"key":"e_1_2_11_147_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.23.3.432"},{"key":"e_1_2_11_148_1","doi-asserted-by":"publisher","DOI":"10.1177\/089686080302300307"},{"key":"e_1_2_11_149_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eprac.2022.11.013"},{"key":"e_1_2_11_150_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2008.05.003"},{"key":"e_1_2_11_151_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.15027"},{"key":"e_1_2_11_152_1","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.13019"},{"key":"e_1_2_11_153_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13054"},{"key":"e_1_2_11_154_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfl241"},{"key":"e_1_2_11_155_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3281"},{"key":"e_1_2_11_156_1","doi-asserted-by":"publisher","DOI":"10.1002\/pdi.886"},{"key":"e_1_2_11_157_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3648"}],"container-title":["Diabetes\/Metabolism Research and Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/dmrr.70189","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/dmrr.70189","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/dmrr.70189","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T16:48:08Z","timestamp":1785170888000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/dmrr.70189"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,16]]},"references-count":156,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/dmrr.70189"],"URL":"https:\/\/doi.org\/10.1002\/dmrr.70189","archive":["Portico"],"relation":{},"ISSN":["1520-7552","1520-7560"],"issn-type":[{"value":"1520-7552","type":"print"},{"value":"1520-7560","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,16]]},"assertion":[{"value":"2026-04-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70189"}}