{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T07:22:55Z","timestamp":1774596175195,"version":"3.50.1"},"reference-count":53,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T00:00:00Z","timestamp":1774224000000},"content-version":"vor","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"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":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>A substantial body of literature exists on the perioperative management of pharmacological agents specifically prothrombotic agents, antiplatelets, anticoagulants and disease\u2010modifying antirheumatic drugs (DMARDs) aimed at mitigating risks associated with both the medications themselves and the comorbidities they treat. However, a clear and consistent consensus on best practice is either lacking or poorly defined especially in foot surgery. To address this gap, a working group of podiatric surgeons convened to develop a Clinical Consensus Statement (CCS) for the perioperative management of these drugs in foot and ankle surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A five\u2010member panel identified four key areas of interest: prothrombotic agents, antiplatelets, anticoagulants and disease\u2010modifying antirheumatic drugs. They conducted a comprehensive literature review to assess the available data and identify evidence gaps, ultimately formulating nineteen questions grouped within these areas using a modified Delphi method. These questions were presented to delegates at the 2022 Faculty of Podiatric Surgery (FoPS) Conference.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The recommendations from the clinical consensus statement are summarised in Appendix 1 highlighting the strength of each recommendation. Although more high\u2010level evidence is needed to inform decision\u2010making in this area, this consensus statement has utilised the available evidence base and reflects current practice. Rather than providing a definitive guideline, it provides valuable interim guidance for elective foot surgery, however, does not replace local trust policies and guidelines.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jfa2.70121","type":"journal-article","created":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T04:58:50Z","timestamp":1774328330000},"source":"Crossref","is-referenced-by-count":0,"title":["Clinical Consensus Statement: Perioperative Management of Prothrombotics, Antiplatelets, Anticoagulants, DMARDs and Biologics in Elective Podiatric Surgery"],"prefix":"10.1002","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0910-7347","authenticated-orcid":false,"given":"Jade","family":"Tang","sequence":"first","affiliation":[{"name":"Braintree Rehabilitation Hospital: Encompass Health Rehabilitation Hospital of Braintree  Chelmsford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lesley","family":"Posmyk","sequence":"additional","affiliation":[{"name":"North Tees and Hartlepool NHS Foundation Trust  Stockton\u2010on\u2010Tees UK"},{"name":"Nottinghamshire Healthcare NHS Foundation Trust  Nottingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Cowden","sequence":"additional","affiliation":[{"name":"Sheffield Teaching Hospitals NHS Foundation Trust  Sheffield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Lang","sequence":"additional","affiliation":[{"name":"Essex Partnership University NHS Foundation Trust  Essex UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Milnes","sequence":"additional","affiliation":[{"name":"East Birmingham Hospital: Birmingham Heartlands Hospital  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorna","family":"Donson","sequence":"additional","affiliation":[{"name":"Wye Valley NHS Trust  Hereford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,23]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"National Institute of Clinical Excellent NICE 2018.NG89: Venous Thromboembolism in Over 16s: Reducing the Risk of Hospital\u2010Acquired Deep Vein Thrombosis or Pulmonary Embolism www.nice.org.uk\/guidance\/NG89."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h2135"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/rth2.12763"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39556.66644.80"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.foot.2014.07.007"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010015\u20103976\u2010y"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.08\u20101631"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1071100718794851"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh\u20102018\u2010CHC"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.302.6771.269"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood.2023021717"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood.2023022619"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1056\/EVIDtt2100050"},{"key":"e_1_2_11_15_1","volume-title":"StatPearls","author":"Cooper D. 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