{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T19:44:53Z","timestamp":1793130293801,"version":"4.5.0"},"reference-count":49,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2022,2,1]],"date-time":"2022-02-01T00:00:00Z","timestamp":1643673600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,2,1]],"date-time":"2022-02-01T00:00:00Z","timestamp":1643673600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Diabetes &amp; Metabolic Syndrome: Clinical Research &amp; Reviews"],"published-print":{"date-parts":[[2022,2]]},"DOI":"10.1016\/j.dsx.2022.102397","type":"journal-article","created":{"date-parts":[[2022,1,14]],"date-time":"2022-01-14T10:40:33Z","timestamp":1642156833000},"page":"102397","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":102,"title":["Prevalence and risk factors of lower limb amputations in patients with diabetic foot ulcers: A systematic review and meta-analysis"],"prefix":"10.1016","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8265-5235","authenticated-orcid":false,"given":"Beverly T.","family":"Rodrigues","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Venkat N.","family":"Vangaveti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravindra","family":"Urkude","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik","family":"Biros","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4899-7228","authenticated-orcid":false,"given":"Usman H.","family":"Malabu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.dsx.2022.102397_bib1","unstructured":"Horton A HW, Funnell M et\u00a0al. The standard of care for evaluation and treatment of diabetic foot ulcers."},{"issue":"2","key":"10.1016\/j.dsx.2022.102397_bib2","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1007\/s13167-018-0133-y","article-title":"Diabetes care in figures: current pitfalls and future scenario","volume":"9","author":"Duarte","year":"2018","journal-title":"EPMA J"},{"issue":"1","key":"10.1016\/j.dsx.2022.102397_bib3","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/2251-6581-13-42","article-title":"The cost of diabetes chronic complications among Iranian people with type 2 diabetes mellitus","volume":"13","author":"Farshchi","year":"2014","journal-title":"J\u00a0Diabetes Metab Disord"},{"key":"10.1016\/j.dsx.2022.102397_bib4","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/1476-0711-9-2","article-title":"Infected foot ulcers in male and female diabetic patients: a clinico-bioinformative study","volume":"9","author":"Shakil","year":"2010","journal-title":"Ann Clin Microbiol Antimicrob"},{"issue":"10","key":"10.1016\/j.dsx.2022.102397_bib5","doi-asserted-by":"crossref","first-page":"2121","DOI":"10.1038\/jid.2011.176","article-title":"Hemoglobin A1c predicts healing rate in diabetic wounds","volume":"131","author":"Christman","year":"2011","journal-title":"J\u00a0Invest Dermatol"},{"issue":"6","key":"10.1016\/j.dsx.2022.102397_bib6","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1016\/j.ejvs.2013.02.014","article-title":"Evidence-based management of PAD & the diabetic foot","volume":"45","author":"Brownrigg","year":"2013","journal-title":"Eur J Vasc Endovasc Surg Off J Eur Soc Surg"},{"issue":"1","key":"10.1016\/j.dsx.2022.102397_bib7","doi-asserted-by":"crossref","DOI":"10.4314\/ejhd.v25i1.69841","article-title":"Amare M Diabetic foot disease in Ethiopian patients: a hospital based study","volume":"25","author":"Amogne","year":"2011","journal-title":"Ethiop J Health Dev"},{"issue":"2","key":"10.1016\/j.dsx.2022.102397_bib8","first-page":"314","article-title":"Diabetic foot - the need for comprehensive multidisciplinary approach","volume":"18","author":"Korzon-Burakowska","year":"2011","journal-title":"Ann Agric Environ Med : AAEM."},{"issue":"1","key":"10.1016\/j.dsx.2022.102397_bib9","first-page":"71","article-title":"Diabetic foot infection","volume":"78","author":"Bader","year":"2008","journal-title":"Am Fam Physician"},{"issue":"1","key":"10.1016\/j.dsx.2022.102397_bib10","doi-asserted-by":"crossref","first-page":"102","DOI":"10.2174\/1570161118666200320112401","article-title":"The neuro-vascular consequence of diabetes: foot amputation and evaluation of its risk factors and health-related economic impact","volume":"19","author":"Naqvi","year":"2021","journal-title":"Curr Vasc Pharmacol"},{"issue":"4","key":"10.1016\/j.dsx.2022.102397_bib11","first-page":"233","article-title":"Representatives of Spanish Society of S, Representatives of Spanish Society of A, Vascular S, Representatives of Spanish Society of Emergency M, Spanish Internal Medicine S, et\u00a0al. Consensus document on treatment of infections in diabetic foot","volume":"24","author":"Blanes","year":"2011","journal-title":"Rev Espa\u00f1ola Quimioter Publ off de la Sociedad Espanola de Quimioterapia"},{"issue":"12","key":"10.1016\/j.dsx.2022.102397_bib12","doi-asserted-by":"crossref","first-page":"2193","DOI":"10.2337\/dc09-0651","article-title":"History of foot ulcer increases mortality among individuals with diabetes: ten-year follow-up of the Nord-Trondelag Health Study, Norway","volume":"32","author":"Iversen","year":"2009","journal-title":"Diabetes Care"},{"issue":"8","key":"10.1016\/j.dsx.2022.102397_bib13","first-page":"1301","article-title":"Systematic reviews and meta-analysis of published studies: an overview and best practices","volume":"6","author":"Mandrekar","year":"2011","journal-title":"J\u00a0Thorac Oncol Off Publ Int Assoc Study Lung Cancer"},{"issue":"11","key":"10.1016\/j.dsx.2022.102397_bib14","doi-asserted-by":"crossref","first-page":"974","DOI":"10.1136\/jech-2013-203104","article-title":"Meta-analysis of prevalence","volume":"67","author":"Barendregt","year":"2013","journal-title":"J\u00a0Epidemiol Community Health"},{"issue":"12","key":"10.1016\/j.dsx.2022.102397_bib15","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2016-011458","article-title":"Development of a critical appraisal tool to assess the quality of cross-sectional studies (AXIS)","volume":"6","author":"Downes","year":"2016","journal-title":"BMJ Open"},{"issue":"1","key":"10.1016\/j.dsx.2022.102397_bib16","first-page":"27","article-title":"Correlation between amputation of diabetic foot and nephropathy","volume":"4","author":"Akha","year":"2010","journal-title":"Iran J Kidney Dis"},{"issue":"7","key":"10.1016\/j.dsx.2022.102397_bib17","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0041492","article-title":"Trends in the incidence of lower extremity amputations in people with and without diabetes over a five-year period in the Republic of Ireland","volume":"7","author":"Buckley","year":"2012","journal-title":"PLoS One"},{"issue":"7","key":"10.1016\/j.dsx.2022.102397_bib18","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.2337\/dc07-2244","article-title":"Association between renal failure and foot ulcer or lower-extremity amputation in patients with diabetes","volume":"31","author":"Margolis","year":"2008","journal-title":"Diabetes Care"},{"issue":"1","key":"10.1016\/j.dsx.2022.102397_bib19","doi-asserted-by":"crossref","first-page":"98","DOI":"10.2337\/dc09-1497","article-title":"Lower-extremity amputation risk after charcot arthropathy and diabetic foot ulcer","volume":"33","author":"Sohn","year":"2010","journal-title":"Diabetes Care"},{"issue":"2","key":"10.1016\/j.dsx.2022.102397_bib20","doi-asserted-by":"crossref","first-page":"495","DOI":"10.2337\/diacare.26.2.495","article-title":"Effects of ethnicity and nephropathy on lower-extremity amputation risk among diabetic veterans","volume":"26","author":"Young","year":"2003","journal-title":"Diabetes Care"},{"issue":"1","key":"10.1016\/j.dsx.2022.102397_bib21","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1007\/s12020-012-9829-2","article-title":"Risk factors for ulceration and amputation in diabetic foot: study in a cohort of 496 patients","volume":"44","author":"Neto","year":"2013","journal-title":"Endocrine"},{"issue":"6","key":"10.1016\/j.dsx.2022.102397_bib22","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.1016\/j.jdiacomp.2016.03.033","article-title":"Amputations and mortality in in-hospital treated patients with peripheral artery disease and diabetic foot syndrome","volume":"30","author":"Malyar","year":"2016","journal-title":"J\u00a0Diabetes Complicat"},{"key":"10.1016\/j.dsx.2022.102397_bib23","first-page":"5941957","article-title":"Prevalence and risk factors for diabetic lower limb amputation: a clinic-based case control study","volume":"2016","author":"Rodrigues","year":"2016","journal-title":"J\u00a0Diabetes Res"},{"key":"10.1016\/j.dsx.2022.102397_bib24","article-title":"Foot complications in a representative Australian inpatient population","volume":"2017","author":"Lazzarini","year":"2017","journal-title":"J\u00a0Diabetes Res"},{"issue":"1","key":"10.1016\/j.dsx.2022.102397_bib25","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.dsx.2016.08.002","article-title":"Relationship between amputation and risk factors in individuals with diabetes mellitus: a study with Brazilian patients","volume":"11","author":"Mantovani","year":"2017","journal-title":"Diabetes & Metabolic Syndrome-Clinical Research & Reviews"},{"key":"10.1016\/j.dsx.2022.102397_bib26","article-title":"Prevalence of chronic complications, their risk factors, and the cardiovascular risk factors among patients with type 2 diabetes attending the diabetic clinic at a tertiary care hospital in Sri Lanka","volume":"2018","author":"Arambewela","year":"2018","journal-title":"J\u00a0Diabetes Res"},{"key":"10.1016\/j.dsx.2022.102397_bib27","doi-asserted-by":"crossref","first-page":"313","DOI":"10.2147\/DMSO.S165967","article-title":"Predictors of major lower limb amputation in type 2 diabetic patients referred for hospital care with diabetic foot syndrome","volume":"11","author":"Shatnawi","year":"2018","journal-title":"Diabetes, Metab Syndrome Obes Targets Ther"},{"issue":"10","key":"10.1016\/j.dsx.2022.102397_bib28","doi-asserted-by":"crossref","first-page":"2021","DOI":"10.2337\/dc12-0200","article-title":"Long-term prognosis of diabetic foot patients and their limbs: amputation and death over the course of a decade","volume":"35","author":"Morbach","year":"2012","journal-title":"Diabetes Care"},{"issue":"2","key":"10.1016\/j.dsx.2022.102397_bib29","doi-asserted-by":"crossref","first-page":"491","DOI":"10.2337\/diacare.26.2.491","article-title":"Amputation and mortality in new-onset diabetic foot ulcers stratified by etiology","volume":"26","author":"Moulik","year":"2003","journal-title":"Diabetes Care"},{"issue":"4","key":"10.1016\/j.dsx.2022.102397_bib30","doi-asserted-by":"crossref","first-page":"878","DOI":"10.2337\/dc09-2007","article-title":"High levels of foot ulceration and amputation risk in a multiracial cohort of diabetic patients on dialysis therapy","volume":"33","author":"Ndip","year":"2010","journal-title":"Diabetes Care"},{"issue":"4","key":"10.1016\/j.dsx.2022.102397_bib31","doi-asserted-by":"crossref","first-page":"286","DOI":"10.14310\/horm.2002.1245","article-title":"Predictors of amputation in diabetics with foot ulcer: single center experience in a large Turkish cohort","volume":"8","author":"Yesil","year":"2009","journal-title":"Hormones"},{"issue":"9","key":"10.1016\/j.dsx.2022.102397_bib32","doi-asserted-by":"crossref","first-page":"2123","DOI":"10.2337\/dc11-0844","article-title":"The Charcot foot in diabetes","volume":"34","author":"Rogers","year":"2011","journal-title":"Diabetes Care"},{"issue":"4","key":"10.1016\/j.dsx.2022.102397_bib33","first-page":"350","article-title":"Diabetic foot ulcers in the Hong Kong Chinese population: retrospective study","volume":"7","author":"Leung","year":"2001","journal-title":"Hong Kong Med J Xianggang yi xue za zhi\/Hong Kong Acad Med"},{"issue":"9","key":"10.1016\/j.dsx.2022.102397_bib34","doi-asserted-by":"crossref","first-page":"e63","DOI":"10.2337\/dc11-1906","article-title":"Characteristics and outcomes of subjects with diabetic foot ulceration","volume":"35","author":"Riaz","year":"2012","journal-title":"Diabetes Care"},{"issue":"1","key":"10.1016\/j.dsx.2022.102397_bib35","doi-asserted-by":"crossref","first-page":"48","DOI":"10.2337\/diacare.19.1.48","article-title":"Variation in the incidence and proportion of diabetes-related amputations in minorities","volume":"19","author":"Lavery","year":"1996","journal-title":"Diabetes Care"},{"key":"10.1016\/j.dsx.2022.102397_bib36","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1186\/1757-1146-4-S1-P46","article-title":"Implementing the indigenous diabetic foot project in the lower gulf of Australia","volume":"4","author":"Radowski","year":"2011","journal-title":"J\u00a0Foot Ankle Res"},{"issue":"7","key":"10.1016\/j.dsx.2022.102397_bib37","article-title":"High rates of amputation among Indigenous people in Western Australia","volume":"192","author":"Norman","year":"2010","journal-title":"MJA (Med J Aust)"},{"issue":"Suppl 1","key":"10.1016\/j.dsx.2022.102397_bib38","first-page":"99","article-title":"Foot problems in patients with diabetes and chronic kidney disease","volume":"38","author":"Valabhji","year":"2012","journal-title":"J\u00a0Ren Care"},{"issue":"11","key":"10.1016\/j.dsx.2022.102397_bib39","doi-asserted-by":"crossref","first-page":"2365","DOI":"10.2337\/dc10-1213","article-title":"Impact of chronic kidney disease on survival after amputation in individuals with diabetes","volume":"33","author":"Lavery","year":"2010","journal-title":"Diabetes Care"},{"issue":"6","key":"10.1016\/j.dsx.2022.102397_bib40","first-page":"1896","article-title":"Diabetic foot syndrome and renal function in type 1 and 2 diabetes mellitus show close association","volume":"24","author":"Wolf","year":"2009","journal-title":"Nephrol Dialysis Transplant Off Publ Eur Dialysis Transplant Assoc Euro Renal Assoc"},{"issue":"5","key":"10.1016\/j.dsx.2022.102397_bib41","first-page":"1109","article-title":"A\u00a0retrospective review of diabetic nephropathy patients during referral to the sub-urban nephrology clinic","volume":"23","author":"Menon","year":"2012","journal-title":"Saudi J Kidney Dis Transplant Off Publ Saudi CenterOrgan Transplant Saudi Arabia"},{"key":"10.1016\/j.dsx.2022.102397_bib42","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1186\/1475-2840-11-18","article-title":"A\u00a0retrospective analysis of amputation rates in diabetic patients: can lower extremity amputations be further prevented?","volume":"11","author":"Alvarsson","year":"2012","journal-title":"Cardiovasc Diabetol"},{"issue":"10","key":"10.1016\/j.dsx.2022.102397_bib43","doi-asserted-by":"crossref","first-page":"1907","DOI":"10.2337\/dc09-0295","article-title":"Wound chronicity, inpatient care, and chronic kidney disease predispose to MRSA infection in diabetic foot ulcers","volume":"32","author":"Yates","year":"2009","journal-title":"Diabetes Care"},{"issue":"5","key":"10.1016\/j.dsx.2022.102397_bib44","first-page":"492","article-title":"Quality of care of diabetes mellitus type II patients in Iran","volume":"12","author":"Delavari","year":"2009","journal-title":"Arch Iran Med"},{"issue":"11","key":"10.1016\/j.dsx.2022.102397_bib45","doi-asserted-by":"crossref","first-page":"2143","DOI":"10.2337\/dc08-1242","article-title":"Improved survival of diabetic foot ulcer patients 1995-2008: possible impact of aggressive cardiovascular risk management","volume":"31","author":"Young","year":"2008","journal-title":"Diabetes Care"},{"issue":"Suppl","key":"10.1016\/j.dsx.2022.102397_bib46","first-page":"32","article-title":"Characteristics associated with poor glycemic control among adults with self-reported diagnosed diabetes--National Health and Nutrition Examination Survey, United States, 2007-2010","volume":"61","author":"Ali","year":"2012","journal-title":"MMWR Morbidity Mortal Weekly Rep"},{"issue":"4","key":"10.1016\/j.dsx.2022.102397_bib47","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1097\/WON.0b013e31821e4dbd","article-title":"A\u00a0prospective study of the PUSH tool in diabetic foot ulcers","volume":"38","author":"Gardner","year":"2011","journal-title":"J\u00a0Wound, Ostomy Cont Nurs Off Publ Wound, Ostomy Continence Nurses Society WOCN"},{"issue":"1","key":"10.1016\/j.dsx.2022.102397_bib48","doi-asserted-by":"crossref","first-page":"17","DOI":"10.2302\/kjm.60.17","article-title":"Total management of diabetic foot ulcerations--Kobe classification as a new classification of diabetic foot wounds","volume":"60","author":"Terashi","year":"2011","journal-title":"Keio J Med"},{"issue":"7","key":"10.1016\/j.dsx.2022.102397_bib49","doi-asserted-by":"crossref","first-page":"1460","DOI":"10.2337\/dc10-0310","article-title":"Diabetic foot prevention: a neglected opportunity in high-risk patients","volume":"33","author":"Lavery","year":"2010","journal-title":"Diabetes Care"}],"container-title":["Diabetes &amp; Metabolic Syndrome: Clinical Research &amp; Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S187140212200011X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S187140212200011X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T09:16:55Z","timestamp":1761729415000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S187140212200011X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2]]},"references-count":49,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,2]]}},"alternative-id":["S187140212200011X"],"URL":"https:\/\/doi.org\/10.1016\/j.dsx.2022.102397","relation":{},"ISSN":["1871-4021"],"issn-type":[{"value":"1871-4021","type":"print"}],"subject":[],"published":{"date-parts":[[2022,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Prevalence and risk factors of lower limb amputations in patients with diabetic foot ulcers: A systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"Diabetes & Metabolic Syndrome: Clinical Research & Reviews","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.dsx.2022.102397","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 Diabetes India. Published by Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}],"article-number":"102397"}}