{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T17:46:35Z","timestamp":1792259195317,"version":"4.4.0"},"reference-count":64,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:00:00Z","timestamp":1792195200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:00:00Z","timestamp":1792195200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100015447","name":"Auckland District Health Board","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015447","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Foot and Ankle Research"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine hospitalisations caused by diabetes\u2010related foot disease (DFD) at the largest tertiary hospital in Aotearoa New Zealand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analysed hospital admission data for DFD\u2010caused hospitalisations from Auckland City Hospital (ACH), from 1 July 2014 to 30 June 2019, for people 15\u00a0years or older, using ICD10\u2010AM discharge codes and amputation procedure codes. DFD\u2010caused hospitalisations were defined where DFD was the principal reason for admission. Demographic variables and length of stay were also collected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During the study period, out of the total 11,222 hospitalisations in persons with diabetes, 1605 (14.3%) were DFD\u2010caused hospitalisations, which included 265 (16.5%) minor amputations and 94 (5.9%) major amputations. There were a total of 71,033 hospital bed days in persons with diabetes, of which 16,992 (23.9%) hospital bed days were due to DFD. Median length of stay in days was 4 (IQR: 1\u20138) for persons with diabetes; 7 (3\u201314) for DFD\u2010caused hospitalisations, 13 (8\u201322) for minors and 17 (13\u201326) for major amputations. The DFD\u2010caused hospitalisation rate per 1000 persons with diabetes increased by 86% from 6.2 (95% CI: 5.2, 7.2) in 2014\/15 to 11.5 (10.2, 12.8) in 2018\/19 and combined minor and major amputation rates increased 82% from 1.1 (0.7, 1.5) to 2.0 (1.4, 2.5). The rate of first DFD\u2010caused hospitalisation was highest for M\u0101ori at 7.5 (5.8 9.5), followed by Pacific at 5.3 (4.5, 6.2) and lowest for European\/Other at 3.7 (3.3, 4.1) per 1000 person\u2010years with diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>DFD\u2010caused hospitalisations and amputations made up nearly a quarter of all hospital bed days used by people with diabetes and nearly doubled over 5\u00a0years. The highest rates were found in adults of M\u0101ori and Pacific ethnicity. Most DFD\u2010caused hospitalisations did not involve amputations (78%). The high and increasing burden of DFD\u2010caused hospitalisations suggest surveillance could monitor necessary changes to preventative foot care services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jfa2.70225","type":"journal-article","created":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T17:05:46Z","timestamp":1792256746000},"source":"Crossref","is-referenced-by-count":0,"title":["Diabetes\u2010Related Foot Disease as the Principal Reason for Hospital Admission: 5\u00a0Years of Data From a Major Tertiary Hospital in Aotearoa New Zealand"],"prefix":"10.1002","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5193-2620","authenticated-orcid":false,"given":"Michele","family":"Garrett","sequence":"first","affiliation":[{"name":"Faculty of Medical and Health Sciences School of Medicine University of Auckland  Auckland New Zealand"},{"name":"Te Toka Tumai Auckland Te Whatu Ora | Health New Zealand  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0043-2423","authenticated-orcid":false,"given":"Rinki","family":"Murphy","sequence":"additional","affiliation":[{"name":"Faculty of Medical and Health Sciences School of Medicine University of Auckland  Auckland New Zealand"},{"name":"Te Toka Tumai Auckland Te Whatu Ora | Health New Zealand  Auckland New Zealand"},{"name":"Counties Manukau Te Whatu Ora | Health New Zealand  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9142-9264","authenticated-orcid":false,"given":"Arier","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics School of Population Health University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8235-7964","authenticated-orcid":false,"given":"Peter A.","family":"Lazzarini","sequence":"additional","affiliation":[{"name":"Australian Centre for Health Services Innovation School of Public Health and Social Work Queensland University of Technology  Brisbane Australia"},{"name":"Allied Health Research Collaborative The Prince Charles Hospital  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6002-4766","authenticated-orcid":false,"given":"Timothy","family":"Kenealy","sequence":"additional","affiliation":[{"name":"Department of General Practice &amp; Primary Health Care School of Population Health University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,17]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(11)61068\u20104"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2019.107843"},{"key":"e_1_2_11_4_1","unstructured":"PricewaterhouseCoopers (PwC) \u201cThe Economic and Social Cost of Type 2 Diabetes\u201d (2021) https:\/\/healthierlives.co.nz\/wp\u2010content\/uploads\/Economic\u2010and\u2010Social\u2010Cost\u2010of\u2010Type\u20102\u2010Diabetes\u2010FINAL\u2010REPORT_Secure\u20105.pdf."},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.26635\/6965.6500"},{"issue":"1370","key":"e_1_2_11_6_1","first-page":"23","article-title":"Prevalence of Diagnoses and Undiagnosed Diabetes and Prediabetes in New Zealand: Findings From the 2008\/09 Adult Nutrition Survey","volume":"126","author":"Coppell K. 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