{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:24:11Z","timestamp":1787185451930,"version":"build-2736575974"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T00:00:00Z","timestamp":1767571200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Plast Surg"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Diabetic foot is a major cause of morbidity and nontraumatic amputations in India. Despite national guidelines, care remains fragmented across specialties. This study aimed to examine the roles of various surgical specialists in diabetic foot care in India.<\/jats:p>\n                  <jats:p>A web-based survey comprising 20 questions was distributed via WhatsApp to general, plastic, orthopaedic, and vascular surgeons across India. The survey assessed specialty involvement, interdisciplinary collaboration, procedural roles, availability of protocols, and awareness of newer techniques. Responses were analyzed using descriptive statistics.<\/jats:p>\n                  <jats:p>A total of 126 surgeons responded: 50% were plastic surgeons, followed by general (25%), orthopaedic (16%), and vascular surgeons (9%). While 94% favored dedicated diabetic foot clinics, only 16% reported the presence of written institutional protocols. Plastic surgeons were the most commonly identified team leaders (83%) and were predominantly involved in wound coverage (97%). Vascular surgeons led in revascularization (86%) and orthopaedic surgeons in deformity correction (62%). Collaboration was highest with physicians (79%). Awareness of nerve transfer techniques was high (86%), but practice was limited.<\/jats:p>\n                  <jats:p>The survey highlights strong support for multidisciplinary diabetic foot care but reveals widespread gaps in structured protocols and coordinated team roles. A national call to action is needed to implement unified, context-sensitive, team-based diabetic foot care pathways across health care levels.<\/jats:p>","DOI":"10.1055\/s-0045-1814164","type":"journal-article","created":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T23:48:07Z","timestamp":1767656887000},"page":"186-190","source":"Crossref","is-referenced-by-count":0,"title":["A Survey: Who Manages the Diabetic Foot in India?"],"prefix":"10.1055","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9031-8690","authenticated-orcid":false,"given":"Pawan","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Netaji Subhash Chandra Bose Government Medical College, Jabalpur, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0604-8676","authenticated-orcid":false,"given":"Dhananjaya","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Surgery, Netaji Subhash Chandra Bose Government Medical College, Jabalpur, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,1,5]]},"reference":[{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"494","DOI":"10.4103\/ijem.ijem_346_22","article-title":"The burden of diabetic foot ulcers in urban India: a community healthcare setup-based study","volume":"28","author":"P Patil","year":"2024","journal-title":"Indian J Endocrinol Metab"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"103011","DOI":"10.1016\/j.dsx.2024.103011","article-title":"Diabetic foot ulcers, their characteristics, and trends in survival: real world outcomes at a tertiary care facility in India","volume":"18","author":"Z Thomas","year":"2024","journal-title":"Diabetes Metab Syndr"},{"key":"ref4","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":"M Edmonds","year":"2021","journal-title":"J Clin Orthop Trauma"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1007\/s00125-022-05845-9","article-title":"Global trends in the incidence of hospital admissions for diabetes-related foot disease and amputations: a review of national rates in the 21st century","volume":"66","author":"P A Lazzarini","year":"2023","journal-title":"Diabetologia"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"1433","DOI":"10.1016\/j.jvs.2019.08.244","article-title":"A systematic review of multidisciplinary teams to reduce major amputations for patients with diabetic foot ulcers","volume":"71","author":"J Musuuza","year":"2020","journal-title":"J Vasc Surg"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/j.fcl.2022.03.001","article-title":"The interdisciplinary approach: preventive and therapeutic strategies for diabetic foot ulcers","volume":"27","author":"C Kurze","year":"2022","journal-title":"Foot Ankle Clin"},{"issue":"07","key":"ref8","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1308\/rcsann.2023.0010","article-title":"The surgical care of diabetic feet: a survey about clinics, acute care, and the surgical specialists involved","volume":"105","author":"B Campbell","year":"2023","journal-title":"Ann R Coll Surg Engl"},{"issue":"09","key":"ref9","doi-asserted-by":"crossref","first-page":"2110","DOI":"10.1016\/j.bjps.2021.01.012","article-title":"Saphenous nerve to posterior tibial nerve transfer: a new approach to restore sensations of sole in diabetic sensory polyneuropathy","volume":"74","author":"P Agarwal","year":"2021","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1016\/j.jcot.2021.04.012","article-title":"Surgical management of the acute severely infected diabetic foot - the \u2018infected diabetic foot attack\u2019. An instructional review","volume":"18","author":"R S Ahluwalia","year":"2021","journal-title":"J Clin Orthop Trauma"}],"container-title":["Indian Journal of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0045-1814164.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T23:29:31Z","timestamp":1787182171000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0045-1814164"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,5]]},"references-count":9,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2026,8,12]]},"published-print":{"date-parts":[[2026,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0045-1814164","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0970-0358","1998-376X"],"issn-type":[{"value":"0970-0358","type":"print"},{"value":"1998-376X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,5]]}}}