{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T04:12:33Z","timestamp":1747282353958,"version":"3.40.5"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T00:00:00Z","timestamp":1741824000000},"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":["Internal Medicine Journal"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aims<\/jats:title><jats:p>Despite being a major cause of hospitalisations, there is limited literature on the trends in diabetes\u2010related foot disease (DFD) in Victoria, Australia. The aim of this study was to assess the incidence of DFD admissions and outcomes in inpatients with DM at a major Victorian health service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Inpatients aged &gt;18\u2009years with DM and DFD between 2013 and 2022 were identified using International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD\u201010\u2010AM) codes. Admission, demographic and mortality data were extracted from the hospital electronic database. Prevalence and incidence of DM, DFD and amputations were analysed. Independent <jats:italic>t<\/jats:italic> tests, Mann\u2013Whitney <jats:italic>U<\/jats:italic> tests and \u03c7<jats:sup>2<\/jats:sup> tests were used to compare groups. Linear regression models were used to explore trends, with logistic and Poisson regression for analysis of 5\u2010year mortality and length of stay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over 10\u2009years, 37\u2009561 patients with DM required 110 736 admissions at Western Health. DFD prevalence was 17% (<jats:italic>n<\/jats:italic> =\u20096397). An increasing burden of annual DM admissions was observed (6855 to 12\u2009182), with increased rates of DFD admissions (\u03b2\u2009=\u20090.480, <jats:italic>P<\/jats:italic> &lt;\u20090.001). Minor amputation rates increased (\u03b2\u2009=\u20090.028, <jats:italic>P<\/jats:italic> =\u20090.001), whilst major amputation rates remained stable. DFD cohorts experienced longer admissions (median 4.11 (interquartile range 1.74\u20139.06) vs 1.83 (interquartile range 0.28\u20134.50) days, <jats:italic>P<\/jats:italic> &lt;\u20090.001), higher re\u2010admissions (76% vs 47%, <jats:italic>P<\/jats:italic> &lt;\u20090.001) and 5\u2010year mortality (23.4% vs 12.7%, <jats:italic>P<\/jats:italic> &lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This large retrospective audit demonstrated an increasing burden of inpatient DM and DFD at Western Health, Victoria in Australia, with greater morbidity and mortality in DFD patients. Health networks need to be prepared for greater health service utilisation required by DFD cohorts, and further funding to prevent DFD is of particular importance to avoid overwhelming health services.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.70036","type":"journal-article","created":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T11:41:59Z","timestamp":1741866119000},"page":"803-811","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trends in diabetes\u2010related foot disease in a tertiary health service in Australia: a 10\u2010year retrospective study"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8922-6601","authenticated-orcid":false,"given":"Huy H.","family":"Do","sequence":"first","affiliation":[{"name":"Department of Endocrinology and Diabetes Western Health  St. Albans Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanita","family":"Botha","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Diabetes Western Health  St. Albans Victoria Australia"},{"name":"Biostatistics Units, Faculty of Health Deakin University  Burwood Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eleanor","family":"Garnys","sequence":"additional","affiliation":[{"name":"Podiatry Department Western Health  Footscray Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Casie","family":"Barrette","sequence":"additional","affiliation":[{"name":"Podiatry Department Western Health  Footscray Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanh H.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Diabetes Western Health  St. Albans Victoria Australia"},{"name":"Department of Medicine The University of Melbourne  Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3268"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13047-021-00447-x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc19-1614"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13047-023-00688-y"},{"key":"e_1_2_7_6_1","unstructured":"GovernmentA.2016Australian Commission on Safety and Quality in Health Care Australia. 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