{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:37:28Z","timestamp":1789173448262,"version":"build-2803163510"},"reference-count":11,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,4,13]],"date-time":"2021-04-13T00:00:00Z","timestamp":1618272000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims\/hypothesis<\/jats:title><jats:p>The aim of this study was to examine the impact of the COVID\u201019 epidemic on the hospitalization rates for diabetic foot ulcer (DFU), osteomyelitis and lower limb revascularization procedure in people with DFU.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This nationwide retrospective cohort study included hospital data on all people hospitalized in France for diabetes in weeks 2\u201343 in 2020, including the COVID\u201019 lockdown period, compared to same period in 2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The number of hospitalizations for DFU decreased significantly in weeks 12\u201319 (during the lockdown) (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a010<jats:sup>\u22124<\/jats:sup>). Hospitalization for foot osteomyelitis also decreased significantly in weeks 12\u201319 (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a010<jats:sup>\u22124<\/jats:sup>). The trend was the same for lower limb amputations and revascularizations associated with DFU or amputation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions\/interpretation<\/jats:title><jats:p>The marked drop in hospitalization rates for DFU, osteomyelitis and lower limb revascularization procedures in people with DFU observed in France during the lockdown period suggests that COVID\u201019 was a barrier to DFU care, and may illustrate the combined deleterious effects of hospital overload and changes in health\u2010related behaviour.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.14577","type":"journal-article","created":{"date-parts":[[2021,4,2]],"date-time":"2021-04-02T11:34:35Z","timestamp":1617363275000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Impact of the COVID\u201019 Epidemic on hospitalization for diabetic foot ulcers during lockdown: A French nationwide population\u2010based study"],"prefix":"10.1111","volume":"38","author":[{"given":"Anne\u2010Sophie","family":"Mariet","sequence":"first","affiliation":[{"name":"Biostatistics and Bioinformatics (DIM) Dijon University Hospital Dijon France"},{"name":"University of Burgundy and Franche\u2010Comte Dijon France"},{"name":"INSERM, CIC 1432 Dijon France"},{"name":"Clinical Investigation Center Clinical Epidemiology\/Clinical Trials Unit Dijon University Hospital Dijon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Benzenine","sequence":"additional","affiliation":[{"name":"Biostatistics and Bioinformatics (DIM) Dijon University Hospital Dijon France"},{"name":"University of Burgundy and Franche\u2010Comte Dijon France"},{"name":"INSERM, CIC 1432 Dijon France"},{"name":"Clinical Investigation Center Clinical Epidemiology\/Clinical Trials Unit Dijon University Hospital Dijon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4317-6714","authenticated-orcid":false,"given":"Benjamin","family":"Bouillet","sequence":"additional","affiliation":[{"name":"INSERM Unit LNC\u2010UMR 1231 University of Burgundy Dijon France"},{"name":"Department of Endocrinology, Diabetes and Metabolic Disorders Dijon University Hospital Dijon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Verg\u00e8s","sequence":"additional","affiliation":[{"name":"INSERM Unit LNC\u2010UMR 1231 University of Burgundy Dijon France"},{"name":"Department of Endocrinology, Diabetes and Metabolic Disorders Dijon University Hospital Dijon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Quantin","sequence":"additional","affiliation":[{"name":"Biostatistics and Bioinformatics (DIM) Dijon University Hospital Dijon France"},{"name":"University of Burgundy and Franche\u2010Comte Dijon France"},{"name":"INSERM, CIC 1432 Dijon France"},{"name":"Clinical Investigation Center Clinical Epidemiology\/Clinical Trials Unit Dijon University Hospital Dijon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1809-2455","authenticated-orcid":false,"given":"Jean\u2010Michel","family":"Petit","sequence":"additional","affiliation":[{"name":"INSERM Unit LNC\u2010UMR 1231 University of Burgundy Dijon France"},{"name":"Department of Endocrinology, Diabetes and Metabolic Disorders Dijon University Hospital Dijon France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,4,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30566-3"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-020-05180-x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14319"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2020.06.023"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2018.27.3.186"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1534734620921382"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2020202348"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30937-5"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0177176"},{"key":"e_1_2_9_11_1","first-page":"e3396","article-title":"Fast\u2010track pathway for diabetic foot ulceration during COVID\u201019 crisis: a document from International Diabetic Foot Care Group and D\u2010Foot International","volume":"17","author":"Meloni M","year":"2020","journal-title":"Diabetes Metab Res Rev"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc20-1176"}],"container-title":["Diabetic 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