{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:17:47Z","timestamp":1747185467791,"version":"3.40.5"},"reference-count":18,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,8,31]],"date-time":"2024-08-31T00:00:00Z","timestamp":1725062400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aims<\/jats:title><jats:p>The COVID\u201019 pandemic significantly disrupted lower limb diabetes care. We aimed to map trends in diabetes\u2010related lower limb amputation and hospitalisation rates through the COVID\u201019 pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective cohort study of all individuals who underwent a lower limb amputation for a diabetes\u2010related foot complication from 2018 to 2021 at the Royal Melbourne Hospital, a quaternary hospital in Australia. Hospitalisation rates with a diabetes\u2010related foot complication were collected for comparison. The start of the COVID\u201019 epoch was defined as 16 March 2020, when a state of emergency was declared in Melbourne.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the study period, 360 lower limb amputations for diabetes\u2010related foot complications were performed in 247 individuals. The median monthly number of amputations remained stable prior to and during the COVID\u201019 epoch; there was a median of 8.0 amputations per month (interquartile range (IQR) =\u20096.5\u201311) before COVID\u201019, compared to 6.5 amputations (IQR\u2009=\u20095.0\u20138.3) during the COVID\u201019 epoch (<jats:italic>P<\/jats:italic> =\u20090.23). Hospitalisation with a diabetes\u2010related foot complication significantly increased from a median monthly rate of 11 individuals (IQR\u2009=\u20099.0\u201314) before COVID\u201019 to 19 individuals (IQR\u2009=\u200914\u201322) during the COVID\u201019 epoch (<jats:italic>p<\/jats:italic> &lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite increased hospitalisations for diabetes\u2010related foot complications during COVID\u201019, there was not a corresponding increase in amputation rates. Face\u2010to\u2010face care of diabetes\u2010related foot complications was prioritised at this centre and may have contributed to stable amputation rates during the pandemic.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.16514","type":"journal-article","created":{"date-parts":[[2024,8,31]],"date-time":"2024-08-31T09:30:02Z","timestamp":1725096602000},"page":"1796-1801","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The experience of an adult diabetic foot unit continuing face\u2010to\u2010face consults during the <scp>COVID\u201019<\/scp> pandemic"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0702-5740","authenticated-orcid":false,"given":"Joanna Y.","family":"Gong","sequence":"first","affiliation":[{"name":"Department of Diabetes and Endocrinology Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucy","family":"Collins","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahul D.","family":"Barmanray","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology Royal Melbourne Hospital  Melbourne Victoria Australia"},{"name":"Department of Medicine The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nang S. K.","family":"Pang","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minh V.","family":"Le","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul R.","family":"Wraight","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology Royal Melbourne Hospital  Melbourne Victoria Australia"},{"name":"Department of Medicine The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,8,31]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc20-1347"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc13-2176"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc20-2852"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.42354"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1358863X211021918"},{"key":"e_1_2_7_7_1","unstructured":"Australian Clinical Triage Guide for People With Diabetes\u2010Related Foot Disease During the COVID\u201019 Pandemic: Diabetes Feet Australia; 2020 [cited 2024 18 Jun]. Available from URL:https:\/\/www.diabetesfeetaustralia.org\/wp-content\/uploads\/2020\/12\/COVID19-Australian-Clinical-Triage-Guide-for-DFD-V1-16.12.20.pdf"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.7547\/20-224"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2020.108245"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3396"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000030139"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14577"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc20-1176"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13047-021-00447-x"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2022.110189"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc20-1743"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc21-2268"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.50664"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.21.5.855"}],"container-title":["Internal Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.16514","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T15:05:43Z","timestamp":1730732743000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/imj.16514"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,31]]},"references-count":18,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1111\/imj.16514"],"URL":"https:\/\/doi.org\/10.1111\/imj.16514","archive":["Portico"],"relation":{},"ISSN":["1444-0903","1445-5994"],"issn-type":[{"type":"print","value":"1444-0903"},{"type":"electronic","value":"1445-5994"}],"subject":[],"published":{"date-parts":[[2024,8,31]]},"assertion":[{"value":"2024-04-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}