{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T10:27:35Z","timestamp":1771324055651,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T00:00:00Z","timestamp":1762128000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T00:00:00Z","timestamp":1762128000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Foot and Ankle Research"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>A lower extremity amputation has traditionally been considered as a last resort treatment option for people with a diabetes\u2010related foot ulcer (DFU). However, some people will opt for an earlier amputation to overcome the daily lifestyle challenges from ongoing conservative wound management. Even so, making the decision for non\u2010emergency amputation is challenging due to the lack of clear recommendations or evidence\u2010based resources. Therefore, this study aimed to gather recommendations from people with lived experience of a DFU or amputation, family members, health practitioners, and experts to guide decision\u2010making for amputation due to diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Nominal group technique was used to gather and vote on recommendations to support people making decisions for amputation. This technique allows all voices to participate and inform ideas. Two separate cohorts were recruited, one group was comprised people with lived experience (of DFU or amputation due to diabetes) and family members (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a04 participants). The other group consisted of health practitioners and experts (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a05 participants). During these workshops, research findings from a previous scoping review (94 papers) and interviews with people with lived experience and health experts (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a026) were presented to participants to gather iterative feedback. Recommendations were constructed using the previous findings and the participants' experience and expertise, which were voted on and later analysed using summative content analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 13 recommendations were established by the people with lived experience and their family members, and 15 recommendations from health experts. Seven categories were established from these combined recommendations which described the priority considerations: \u2018Consider timing, with early discussions to move forward\u2019, \u2018Address every element of quality of life\u2019, \u2018Understand individual goals and priorities to make personalised decisions\u2019, \u2018Collaborate with support networks\u2019, \u2018Provide information and options\u2019, \u2018Communicate with respect and transparency\u2019, and \u2018Offer functional person\u2010centred systems\u2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The recommendations highlight the need for early and transparent discussions that prioritise individual goals, quality of life needs and collaboration with support networks, to enable person\u2010centred and evidence\u2010based decisions. These recommendations provide a foundation for the development of guidelines to support timely and informed collaborative decisions in the future.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jfa2.70095","type":"journal-article","created":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T03:56:12Z","timestamp":1762228572000},"source":"Crossref","is-referenced-by-count":0,"title":["Using Nominal Group Technique to Gather Recommendations in the Decision\u2010Making for Amputation Due to Diabetes"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7691-1263","authenticated-orcid":false,"given":"Emilee Kim Ming","family":"Ong","sequence":"first","affiliation":[{"name":"Allied Health and Human Performance Unit University of South Australia  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn","family":"Murray","sequence":"additional","affiliation":[{"name":"Allied Health and Human Performance Unit University of South Australia  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Hillier","sequence":"additional","affiliation":[{"name":"Allied Health and Human Performance Unit University of South Australia  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Causby","sequence":"additional","affiliation":[{"name":"Allied Health and Human Performance Unit University of South Australia  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,3]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/8866126"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.12551"},{"issue":"11","key":"e_1_2_14_4_1","first-page":"16","article-title":"When a Diabetic Foot Ulcer Results in Amputation: A Qualitative Study of the Lived Experience of 15 Patients","volume":"60","author":"Foster D.","year":"2014","journal-title":"Ostomy\/Wound Management"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13047\u2010022\u201000556\u20101"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2699"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.70043"},{"key":"e_1_2_14_8_1","unstructured":"M.Dillon S.Fatone andM.Quigley.2021 A Decision Aid for People Facing Partial Foot Amputation due to Peripheral Arterial Disease https:\/\/static1.squarespace.com\/static\/5dd90b64e7b0381e7556a8d9\/t\/5ddd05695957c152ac283624\/1574766481312\/DILLON+Decision+aid+Final+11082016.pdf."},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13047\u2010022\u201000545\u20104"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13047\u2010021\u201000503\u20106"},{"key":"e_1_2_14_11_1","volume-title":"Diabetic Foot Infections: Antibiotic Management Clinical Guideline South Australia: SA Health","author":"SA Health","year":"2019"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-10-5251-4_100"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40900\u2010021\u201000311\u2010z"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2042\u20107174.1996.tb00844.x"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11096\u2010016\u20100257\u2010x"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2023.111015"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/10.1.76"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12906\u2010018\u20102352\u20100"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10742\u2010014\u20100121\u20101"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_14_21_1","volume-title":"Qualitative Research Methods. Background to Qualitative Research","author":"Liamputtong P.","year":"2013"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/2333393617742282"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.2147\/ppa.s309366"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40273\u2010016\u20100389\u20109"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102788.2005.00738.x"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2010.514646"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.5812\/ircmj.12454"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0738\u20103991(03)00208\u20108"},{"key":"e_1_2_14_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.cd009727.pub2"},{"key":"e_1_2_14_30_1","volume-title":"Person\u2010Centred Care Australia","author":"Australian Commission on Safety and Quality in Health Care","year":"2024"},{"key":"e_1_2_14_31_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102017\u2010021161"}],"container-title":["Journal of Foot and Ankle Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jfa2.70095","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jfa2.70095","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jfa2.70095","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T09:33:12Z","timestamp":1771320792000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jfa2.70095"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,3]]},"references-count":30,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1002\/jfa2.70095"],"URL":"https:\/\/doi.org\/10.1002\/jfa2.70095","archive":["Portico"],"relation":{},"ISSN":["1757-1146","1757-1146"],"issn-type":[{"value":"1757-1146","type":"print"},{"value":"1757-1146","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,3]]},"article-number":"e70095"}}