{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T23:46:43Z","timestamp":1790466403684,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,10,9]],"date-time":"2017-10-09T00:00:00Z","timestamp":1507507200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Home monitoring of skin temperature is effective to prevent diabetic foot ulceration. We explored the validity of various definitions for the &gt;2\u00b72\u00b0C left\u2010to\u2010right threshold used as a warning signal for impending ulceration. Twenty patients with diabetes and peripheral neuropathy monitored their skin temperature with an infrared thermometer at the plantar hallux, metatarsal heads, midfoot and heel four times a day for 6 consecutive days. Environmental temperature and walking activity were monitored and associated with foot temperature. The average temperature difference between feet was 0\u00b765\u00b0C. At single locations, a left\u2010to\u2010right temperature difference of &gt;2\u00b72\u00b0C was found 245 times (8\u00b75% of measurements). Confirmation of these above\u2010threshold readings on the following day was found seven times (0\u00b73%). Corrected for individual left\u2010to\u2010right mean foot temperature differences, this reduced to four (0\u00b72%). No ulcers developed in the week after monitoring. Left\u2010to\u2010right foot temperature differences were not significantly correlated with walking activity, environmental temperature or time of day. The &gt;2\u00b72\u00b0C left\u2010to\u2010right foot temperature threshold for impending ulceration is not valid as single measurement, but validity improves to acceptable levels when an above\u2010threshold temperature difference is confirmed the following day and further improves with individual correction. The threshold is independent of time of day, environmental temperature and walking activity.<\/jats:p>","DOI":"10.1111\/iwj.12811","type":"journal-article","created":{"date-parts":[[2017,10,9]],"date-time":"2017-10-09T02:42:38Z","timestamp":1507516958000},"page":"1346-1351","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":60,"title":["An explorative study on the validity of various definitions of a 2\u00b72\u00b0C temperature threshold as warning signal for impending diabetic foot ulceration"],"prefix":"10.1111","volume":"14","author":[{"given":"Anke M","family":"Wijlens","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Radboud University Medical Center  Nijmegen the Netherlands"},{"name":"Department of Podiatry, School of Health Saxion University of Applied Sciences  Enschede the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Holloway","sequence":"additional","affiliation":[{"name":"College of Biomedical &amp; Life Sciences, Centre for Medical Education, School of Medicine Cardiff University  Wales UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sicco A","family":"Bus","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Academic Medical Center University of Amsterdam  Amsterdam the Netherlands"},{"name":"Department of Surgery Diabetic Foot Unit, Ziekenhuisgroep Twente  Almelo and Hengelo the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaap J","family":"van Netten","sequence":"additional","affiliation":[{"name":"Department of Surgery Diabetic Foot Unit, Ziekenhuisgroep Twente  Almelo and Hengelo the Netherlands"},{"name":"School of Clinical Sciences Queensland University of Technology  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,10,9]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2253"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67698-2"},{"key":"e_1_2_6_4_1","first-page":"6","article-title":"The epidemiology of diabetic foot problems","volume":"13","author":"Reiber GE","year":"1995","journal-title":"Diabet Med"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.9.3.267"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2231"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.11.2642"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2007.06.028"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc06-1600"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2701"},{"key":"e_1_2_6_11_1","first-page":"11","article-title":"Diagnostic values for skin temperature assessment to detect diabetes\u2010related foot complications","volume":"14","author":"Van Netten JJ","year":"2014","journal-title":"Diabetes Technol Ther"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(96)80083-4"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/77.2.169"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2696"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2695"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1088\/1361-6579\/38\/1\/33"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/1757-1146-6-30"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2010.12.003"}],"container-title":["International Wound Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fiwj.12811","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/iwj.12811","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T07:20:31Z","timestamp":1696490431000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/iwj.12811"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,9]]},"references-count":17,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,12]]}},"alternative-id":["10.1111\/iwj.12811"],"URL":"https:\/\/doi.org\/10.1111\/iwj.12811","archive":["Portico"],"relation":{},"ISSN":["1742-4801","1742-481X"],"issn-type":[{"value":"1742-4801","type":"print"},{"value":"1742-481X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,10,9]]},"assertion":[{"value":"2017-03-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-08-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-10-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}