{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T18:39:08Z","timestamp":1793558348334,"version":"4.5.0"},"reference-count":24,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"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","jfas.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Foot and Ankle Surgery"],"published-print":{"date-parts":[[2025,11]]},"DOI":"10.1053\/j.jfas.2025.05.013","type":"journal-article","created":{"date-parts":[[2025,7,4]],"date-time":"2025-07-04T20:39:37Z","timestamp":1751661577000},"page":"729-732","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["The impact of minor amputation on occurrence of major amputation in patients with diabetic foot ulcers"],"prefix":"10.1053","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-5423-5639","authenticated-orcid":false,"given":"Nivan","family":"Wadhawan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1888-2411","authenticated-orcid":false,"given":"Naohiro","family":"Shibuya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3235-0473","authenticated-orcid":false,"given":"Daniel C.","family":"Jupiter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1053\/j.jfas.2025.05.013_bib0001","unstructured":"Centers for Disease Control and Prevention. National Diabetes Statistics Report. 2024; https:\/\/www.cdc.gov\/diabetes\/php\/data-research\/index.html. Accessed August 1, 2024."},{"key":"10.1053\/j.jfas.2025.05.013_bib0002","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.jcot.2021.01.017","article-title":"The current burden of diabetic foot disease","volume":"17","author":"Edmonds","year":"2021","journal-title":"J Clin Orthop Trauma"},{"key":"10.1053\/j.jfas.2025.05.013_bib0003","doi-asserted-by":"crossref","DOI":"10.3389\/fsurg.2022.1003339","article-title":"Surgical amputation for patients with diabetic foot ulcers: a Chinese expert panel consensus treatment guide","volume":"9","author":"Liao","year":"2022","journal-title":"Front Surg"},{"key":"10.1053\/j.jfas.2025.05.013_bib0004","doi-asserted-by":"crossref","first-page":"2019","DOI":"10.2147\/DMSO.S307815","article-title":"Risk factors for major amputation in diabetic foot ulcer patients","volume":"14","author":"Lu","year":"2021","journal-title":"Diabetes Metab Syndr Obes"},{"issue":"3","key":"10.1053\/j.jfas.2025.05.013_bib0005","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1111\/iwj.12642","article-title":"Comparison of five systems of classification of diabetic foot ulcers and predictive factors for amputation","volume":"14","author":"Jeon","year":"2017","journal-title":"Int Wound J"},{"issue":"5","key":"10.1053\/j.jfas.2025.05.013_bib0006","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1053\/j.jfas.2024.05.013","article-title":"Trajectories of diabetes-related sequelae for identifying transition probabilities, and optimal timepoints for prevention of ulceration, infection, and amputation","volume":"63","author":"Jupiter","year":"2024","journal-title":"J Foot Ankle Surg"},{"issue":"3","key":"10.1053\/j.jfas.2025.05.013_bib0007","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1053\/j.jfas.2024.10.012","article-title":"Diabetic foot infection severity as a predictor of re-ulceration following partial forefoot amputation","volume":"64","author":"Kochhar","year":"2025","journal-title":"J Foot Ankle Surg"},{"issue":"6","key":"10.1053\/j.jfas.2025.05.013_bib0008","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1053\/j.jfas.2024.07.005","article-title":"Depression as a prognostic factor in lower extremity amputation for diabetic foot: insights from a prospective study on wound healing, infections, and early mortality","volume":"63","author":"Korkmaz","year":"2024","journal-title":"J Foot Ankle Surg"},{"issue":"3","key":"10.1053\/j.jfas.2025.05.013_bib0009","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1053\/j.jfas.2019.09.019","article-title":"Transmetatarsal and minor amputation versus major leg amputation: 30-day readmissions, reamputations, and complications","volume":"59","author":"Jupiter","year":"2020","journal-title":"J Foot Ankle Surg"},{"issue":"5","key":"10.1053\/j.jfas.2025.05.013_bib0010","doi-asserted-by":"crossref","DOI":"10.1016\/j.jdiacomp.2021.107886","article-title":"Minor vs. major leg amputation in adults with diabetes: Six-month readmissions, reamputations, and complications","volume":"35","author":"Ratliff","year":"2021","journal-title":"J Diabetes Complications"},{"issue":"2","key":"10.1053\/j.jfas.2025.05.013_bib0011","first-page":"84","article-title":"Long-term outcomes of major and minor lower limb amputation: eight-year retrospective analysis from a single tertiary referral centre","volume":"3","author":"Bergman","year":"2024","journal-title":"J Vasc Soc G B Irel"},{"issue":"1","key":"10.1053\/j.jfas.2025.05.013_bib0012","first-page":"25","article-title":"Quality of life of diabetes amputees following major and minor lower limb amputations","volume":"74","author":"Nazri","year":"2019","journal-title":"Med J Malaysia"},{"issue":"1","key":"10.1053\/j.jfas.2025.05.013_bib0013","doi-asserted-by":"crossref","first-page":"42","DOI":"10.2106\/00004623-197658010-00007","article-title":"Energy cost of walking of amputees: the influence of level of amputation","volume":"58","author":"Waters","year":"1976","journal-title":"J Bone Joint Surg Am"},{"issue":"9","key":"10.1053\/j.jfas.2025.05.013_bib0014","doi-asserted-by":"crossref","first-page":"1033","DOI":"10.3928\/0147-7447-19920901-07","article-title":"Energy demands for walking in dysvascular amputees as related to the level of amputation","volume":"15","author":"Pinzur","year":"1992","journal-title":"Orthopedics"},{"key":"10.1053\/j.jfas.2025.05.013_bib0015","article-title":"Factors that affect the one-year mortality rate after lower limb amputation in the Hong Kong Chinese population","volume":"28","author":"Chung","year":"2021","journal-title":"Journal Orthop Trauma Rehabil"},{"issue":"1","key":"10.1053\/j.jfas.2025.05.013_bib0016","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/s13047-020-00383-2","article-title":"Five year mortality and direct costs of care for people with diabetic foot complications are comparable to cancer","volume":"13","author":"Armstrong","year":"2020","journal-title":"J Foot Ankle Res"},{"issue":"4","key":"10.1053\/j.jfas.2025.05.013_bib0017","first-page":"12","article-title":"A closer look at mortality after lower extremity amputation","volume":"31","author":"Thorud","year":"2018","journal-title":"Podiatry Today"},{"issue":"6","key":"10.1053\/j.jfas.2025.05.013_bib0018","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1007\/s10016-005-7973-3","article-title":"Midfoot amputations expand limb salvage rates for diabetic foot infections","volume":"19","author":"Stone","year":"2005","journal-title":"Ann Vasc Surg"},{"issue":"2","key":"10.1053\/j.jfas.2025.05.013_bib0019","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1007\/s00402-021-04106-5","article-title":"Salami-Tactics: when is it time for a major cut after multiple minor amputations?","volume":"143","author":"Berli","year":"2023","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1053\/j.jfas.2025.05.013_bib0020","series-title":"R: A language and environment for statistical computing","year":"2022"},{"key":"10.1053\/j.jfas.2025.05.013_bib0021","series-title":"RStudio: integrated development environment for R","year":"2022"},{"issue":"3","key":"10.1053\/j.jfas.2025.05.013_bib0022","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1053\/j.jfas.2024.01.010","article-title":"The effect of limb salvage efforts in different age groups: relationships between major and minor amputations","volume":"63","author":"Song","year":"2024","journal-title":"J Foot Ankle Surg"},{"issue":"5","key":"10.1053\/j.jfas.2025.05.013_bib0023","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1080\/17483107.2019.1602853","article-title":"Psychosocial and physical adjustments and prosthesis satisfaction in amputees: a systematic review of observational studies","volume":"15","author":"Luza","year":"2020","journal-title":"Disabil Rehabil Assist Technol"},{"issue":"7","key":"10.1053\/j.jfas.2025.05.013_bib0024","doi-asserted-by":"crossref","DOI":"10.1016\/j.jdiacomp.2022.108222","article-title":"Amputation and infection are the greatest fears in patients with diabetes foot complications","volume":"36","author":"Wukich","year":"2022","journal-title":"J Diabetes Complications"}],"container-title":["The Journal of Foot and Ankle Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1067251625001838?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1067251625001838?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T11:05:14Z","timestamp":1761390314000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1067251625001838"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":24,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["S1067251625001838"],"URL":"https:\/\/doi.org\/10.1053\/j.jfas.2025.05.013","relation":{},"ISSN":["1067-2516"],"issn-type":[{"value":"1067-2516","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The impact of minor amputation on occurrence of major amputation in patients with diabetic foot ulcers","name":"articletitle","label":"Article Title"},{"value":"The Journal of Foot and Ankle Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1053\/j.jfas.2025.05.013","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 by the American College of Foot and Ankle Surgeons. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}