{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T09:58:54Z","timestamp":1787738334652,"version":"build-2784847793"},"reference-count":38,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T00:00:00Z","timestamp":1750032000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Advances in Wound Care"],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The objective of this study was to evaluate the impact of a multidisciplinary team (MDT) approach in the management of diabetic foot ulcers (DFUs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Approach:<\/jats:title>\n                    <jats:p>A multidisciplinary diabetic foot care center (MDDFCC) was opened at our institution in August 2018. Outcomes of DFU treatment, including re-admission, amputation, and mortality rates, were compared before and after opening the MDDFCC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Patients seen after the MDDFCC was opened had a lower risk of 1-year re-admission (hazard ratio [HR] = 0.697, 95% confidence interval [CI]: 0.387\u20130.988), 1-year major amputation (HR = 0.447, 95% CI: 0.091\u20130.984), and 1-year disease-specific mortality (HR = 0.277, 95% CI: 0.105\u20130.730). PEDIS score (HR = 2.343, 95% CI: 1.264\u20132.971), history of dialysis (HR = 1.858, 95% CI: 1.258\u20134.053), and consultation with a physiatrist (HR = 0.368, 95% CI: 0.172\u20130.788), orthopedist (HR = 0.105, 95% CI: 0.042\u20130.261), or social worker (HR = 0.370, 95% CI: 0.082\u20130.871) were associated with 1-year major amputation. One-year major amputation (HR = 2.636, 95% CI: 1.586\u20134.570), age (HR = 1.094, 95% CI: 1.051\u20131.140), and C-reactive protein level (HR = 1.052, 95% CI: 1.008\u20131.098) were associated with 1-year disease-specific mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Innovation:<\/jats:title>\n                    <jats:p>Plastic surgeons received patients at the MDDFCC, with active participation by all contributing members. This arrangement brought advantages, including more aggressive and timely surgical intervention, a more timely and higher rate of percutaneous transluminal angioplasty, and equally robust integrated medical care by all other members.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The MDDFCC approach may be a potential organizational structure with for treating DFUs, resulting in significant improvements in outcomes of DFU including a lower re-admission, amputation, and mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/wound.2024.0182","type":"journal-article","created":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T04:06:06Z","timestamp":1750392366000},"page":"711-721","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Multidisciplinary Management Improves Re-Admission, Major Amputation, and Mortality Rates in Patients with Diabetic Foot Ulcers"],"prefix":"10.1177","volume":"15","author":[{"given":"Chi-Wei","family":"Chiu","sequence":"first","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan."},{"name":"Wound Care Center, Mackay Memorial Hospital, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen-Teng","family":"Yao","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan."},{"name":"Wound Care Center, Mackay Memorial Hospital, Taipei, Taiwan."},{"name":"Department of Medicine, Mackay Medical College, Taipei, Taiwan."},{"name":"Department of Materials Science and Engineering, National Taiwan University, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chieh-Ming","family":"Yu","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan."},{"name":"Wound Care Center, Mackay Memorial Hospital, Taipei, Taiwan."},{"name":"Department of Medicine, Mackay Medical College, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Fan","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan."},{"name":"Wound Care Center, Mackay Memorial Hospital, Taipei, Taiwan."},{"name":"Department of Medicine, Mackay Medical College, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya-Shu","family":"Chan","sequence":"additional","affiliation":[{"name":"School of Health Care Administration, College of Management, Taipei Medical University, Taipei, Taiwan."},{"name":"Division of Secretariat, Superintendent Administration Office, Mackay Memorial Hospital, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsuan-Yu","family":"Huang","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan."},{"name":"Wound Care Center, Mackay Memorial Hospital, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"An-Li","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan."},{"name":"Department of Medicine, Mackay Medical College, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying-Chun","family":"Liu","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan."},{"name":"Wound Care Center, Mackay Memorial Hospital, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu-Tien","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Medicine, Mackay Medical College, Taipei, Taiwan."},{"name":"Department of Emergency Medicine, Mackay Memorial Hospital, Taipei, Taiwan."},{"name":"Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liong-Rung","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Medicine, Mackay Medical College, Taipei, Taiwan."},{"name":"Department of Emergency Medicine, Mackay Memorial Hospital, Taipei, Taiwan."},{"name":"Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yueh-Hung","family":"Lin","sequence":"additional","affiliation":[{"name":"Wound Care Center, Mackay Memorial Hospital, Taipei, Taiwan."},{"name":"Department of Medicine, Mackay Medical College, Taipei, Taiwan."},{"name":"Division of Cardiology, Departments of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kung-Chen","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Medicine, Mackay Medical College, Taipei, Taiwan."},{"name":"Department of Biomedical Engineering, National Yang-Ming Chiao-Tung University, Taipei, Taiwan."},{"name":"Division of General Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan."},{"name":"Bariatric Surgery and Obesity Prevention Center, Mackay Memorial Hospital, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chia-Meng","family":"Yu","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan."},{"name":"Wound Care Center, Mackay Memorial Hospital, Taipei, Taiwan."},{"name":"Department of Medicine, Mackay Medical College, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen-Chen","family":"Huang","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan."},{"name":"Wound Care Center, Mackay Memorial Hospital, Taipei, Taiwan."},{"name":"Department of Medicine, Mackay Medical College, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwang-Yi","family":"Tung","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan."},{"name":"Wound Care Center, Mackay Memorial Hospital, Taipei, Taiwan."},{"name":"Department of Medicine, Mackay Medical College, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6185-6270","authenticated-orcid":false,"given":"Ming-Feng","family":"Tsai","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan."},{"name":"Wound Care Center, Mackay Memorial Hospital, Taipei, Taiwan."},{"name":"Department of Medicine, Mackay Medical College, Taipei, Taiwan."},{"name":"Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taipei, Taiwan."},{"name":"Bariatric Surgery and Obesity Prevention Center, Mackay Memorial Hospital, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,16]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMe1616575"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/MED.0b013e328350583a"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2695"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/wound.2015.0635"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2016.11.020"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1615439"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/2042018817744513"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc13-2176"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc20-0072"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.10.003"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13054"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67698-2"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00592-020-01662-x"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.08.244"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2019.107996"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2017.26.6.324"},{"issue":"3","key":"e_1_3_3_18_2","first-page":"155","article-title":"Reduction of amputation rates in multidisciplinary foot clinics: A systematic review","volume":"22","author":"Quinlivan E","year":"2014","unstructured":"Quinlivan E, , Jones SL, , Causby R, et al. Reduction of amputation rates in multidisciplinary foot clinics: A systematic review. Wound Practice Res, 2014; 22(3):155\u2013162.","journal-title":"Wound Practice Res"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.04.010"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2523"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(07)60001-5"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1179\/acb.2001.005"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3280"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/0003319710395558"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12902-020-00568-7"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.706"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-008-1089-6"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2017.07.029"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0003-9993(03)00477-5"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.11.032"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.4.901"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001488.pub4"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001488.pub5"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007610.pub3"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2701"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0124739"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.07.131"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9093009"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2021.30.Sup6.S34"}],"container-title":["Advances in Wound Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/wound.2024.0182","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/wound.2024.0182","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/wound.2024.0182","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T14:33:36Z","timestamp":1786545216000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/wound.2024.0182"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,16]]},"references-count":38,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10,1]]}},"alternative-id":["10.1089\/wound.2024.0182"],"URL":"https:\/\/doi.org\/10.1089\/wound.2024.0182","relation":{},"ISSN":["2162-1918","2162-1934"],"issn-type":[{"value":"2162-1918","type":"print"},{"value":"2162-1934","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,16]]}}}