{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T20:59:14Z","timestamp":1760821154282,"version":"3.37.3"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Exp Clin Endocrinol Diabetes"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n                    Background Diabetes is a major risk factor for foot ulceration and leg\n                    amputation, but the effect of intensive glycaemic control on wound healing is\n                    unknown. While an interdisciplinary approach has been shown to be important in\n                    the management of diabetic foot ulcer (DFU), there is no standardised definition\n                    of such an interdisciplinary team.<\/jats:p><jats:p>\n                    Objective To investigate the role of an opportunistic, rapid-access,\n                    inter-disciplinary model of diabetes care at a foot wound clinic.<\/jats:p><jats:p>\n                    Methods A retrospective case-control study of patients with DFUs\n                    attending a diabetes foot wound clinic over a 6-month period. Outcomes in\n                    patients who were seen by a rapid-access interdisciplinary team (RAIT)\n                    consisting of an endocrinologist, diabetes educator and dietician during the\n                    standard wound care those who were not seen by this team were compared.<\/jats:p><jats:p>\n                    Results Fifty-five patients were seen by the RAIT and 64 control patients\n                    were not seen by this team during their attendance of a diabetes foot wound\n                    clinic. Patients in the intervention group had non-significantly higher baseline\n                    HbA1c and a significantly larger proportion were active cigarette smokers. Both\n                    groups achieved comparable reduction in the total number of DFUs per patient\n                    (p=0.971). Patients in the intervention group had a 60.1%\n                    reduction in wound size compared to 52.4% reduction in control group\n                    (p=0.526).<\/jats:p><jats:p>\n                    Conclusion Our study shows that the use of a rapid-access\n                    interdisciplinary team to assess and manage patients\u2019 diabetes in a foot\n                    wound clinic is feasible. Patients with higher-risk diabetes foot wounds exposed\n                    to RAIT had comparable wound healing outcomes to lower risk patients.<\/jats:p>","DOI":"10.1055\/a-1151-4731","type":"journal-article","created":{"date-parts":[[2020,5,7]],"date-time":"2020-05-07T22:37:54Z","timestamp":1588891074000},"page":"837-841","source":"Crossref","is-referenced-by-count":4,"title":["A \u2018Speed-Dating\u2019 Model of Wound Care? Rapid,\n                    High-Volume Assessment of Patients With Diabetes in a Multidisciplinary Foot\n                    Wound Clinic"],"prefix":"10.1055","volume":"129","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4808-5448","authenticated-orcid":false,"given":"Jasper A.","family":"Sung","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism, Westmead Hospital, Sydney,\n                    Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seema","family":"Gurung","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism, Westmead Hospital, Sydney,\n                    Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"Lam","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism, Westmead Hospital, Sydney,\n                    Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shehzi","family":"Yusaf","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism, Westmead Hospital, Sydney,\n                    Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauro","family":"Vicaretti","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Westmead Hospital, Sydney,\n                    Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindy","family":"Begg","sequence":"additional","affiliation":[{"name":"Foot Wound Clinic, Westmead Hospital, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N. Wah","family":"Cheung","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism, Westmead Hospital, Sydney,\n                    Australia"},{"name":"The University of Sydney, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suja","family":"Padmanabhan","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism, Westmead Hospital, Sydney,\n                    Australia"},{"name":"The University of Sydney, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian M.","family":"Girgis","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism, Westmead Hospital, Sydney,\n                    Australia"},{"name":"The University of Sydney, Sydney, Australia"},{"name":"Department of Diabetes and Endocrinology, Royal North Shore Hospital,\n                    Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,5,7]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"2634","DOI":"10.1007\/s00125-006-0431-0","article-title":"Predictors, consequences and costs of diabetes-related lower extremity\n                    amputation complicating type 2 diabetes: The Fremantle Diabetes Study","volume":"49","author":"W A Daves","year":"2006","journal-title":"Diabetologia"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1679","DOI":"10.2337\/dc08-9021","article-title":"Comprehensive foot examination and risk assessment: A report of the task force\n                    of the foot care interest group of the American Diabetes Association, with\n                    endorsement by the American Association of Clinical Endocrinologists","volume":"31","author":"A J Boulton","year":"2008","journal-title":"Diabetes Care"},{"key":"ref3","first-page":"CD010764","article-title":"Intensive versus conventional glycaemic control for treating diabetic foot\n                    ulcers","volume":"13","author":"M E Fernando","year":"2016","journal-title":"Cocchrane Database Syst Rev"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1016\/S0140-6736(98)07019-6","article-title":"Intensive blood glucose control with sulphonylureas or insulin compared with\n                    conventional treatment and risk of complications in patients with type 2\n                    diabetes (UKPDS 33)","volume":"352","year":"1998","journal-title":"Lancet"},{"key":"ref5","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":"A L Christman","year":"2011","journal-title":"J Invest Dermatol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1177\/1534734615593190","article-title":"HbA1c and lower extremity amputation risk in patients with diabetes: a\n                    meta-analysis","volume":"14","author":"Z Y Zhou","year":"2015","journal-title":"Int J Low Extrem Wounds"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"277","DOI":"10.12968\/jowc.2005.14.6.26792","article-title":"Effect of glycaemic control on apoptosis in diabetic wounds","volume":"14","author":"N K Rai","year":"2005","journal-title":"J Wound Care"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.amjms.2015.11.011","article-title":"The effect of short-term hyperglycemia on the innate immune system","volume":"351","author":"N Jafar","year":"2016","journal-title":"Am J Med Sci"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1111\/wrr.12391","article-title":"WHS guidelines update: Diabetic foot ulcer treatment guidelines","volume":"24","author":"L A Lavery","year":"2016","journal-title":"Wound Repair Regen"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/j.diabres.2016.12.007","article-title":"International Working Group on the Diabetic Foot (IWGDF). Prevention and\n                    management of foot problems in diabetes: A summary guidance for daily practice\n                    2015, based on the IWGDF guidance documents","volume":"124","author":"N C Schaper","year":"2017","journal-title":"Diabetes Res Clin Pract"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1016\/j.jvs.2013.01.053","article-title":"Modifiable risk factor burden and the prevalence of peripheral artery disease in\n                    different vascular territories","volume":"58","author":"J S Berger","year":"2013","journal-title":"J Vasc Surg"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1002\/dmrr.2701","article-title":"Prevention of foot ulcers in the at-risk patient with diabetes: A systematic\n                    review","volume":"32","author":"J J Van Netten","year":"2016","journal-title":"Diabetes Metab Res Rev"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1016\/j.amjmed.2010.01.023","article-title":"Depression and incident diabetic foot ulcers: A prospective cohort study","volume":"123","author":"L H Williams","year":"2010","journal-title":"Am J Med"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1111\/nyas.13569","article-title":"Update on management of diabetic foot ulcers","volume":"1411","author":"E Everett","year":"2018","journal-title":"Ann NY Acad Sci"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1001\/archsurg.136.7.765","article-title":"A new concept of a multidisciplinary wound healing center and a national expert\n                    function of wound healing","volume":"136","author":"F Gottrup","year":"2001","journal-title":"Arch Surg"},{"key":"ref18","first-page":"46","article-title":"SGLT2 inhibitors and amputation risk: Real-world data from a diabetes foot wound\n                    clinic","volume":"13","author":"J Sung","year":"2018","journal-title":"J Clin Transl Endocrinol"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1089\/wound.2015.0668","article-title":"A predictive model for diabetic foot ulcer outcome: The wound healing index","volume":"5","author":"C E Fife","year":"2016","journal-title":"Adv Wound Care (New Rochelle)"}],"container-title":["Experimental and Clinical Endocrinology &amp; Diabetes"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1151-4731.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,29]],"date-time":"2021-10-29T23:07:51Z","timestamp":1635548871000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1151-4731"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,7]]},"references-count":17,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2021,10,29]]},"published-print":{"date-parts":[[2021,11]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1151-4731","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0947-7349","1439-3646"],"issn-type":[{"type":"print","value":"0947-7349"},{"type":"electronic","value":"1439-3646"}],"subject":[],"published":{"date-parts":[[2020,5,7]]}}}