{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T18:50:44Z","timestamp":1791831044836,"version":"4.3.4"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T00:00:00Z","timestamp":1660867200000},"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":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A monitoring tool for the wound\u2010healing process of diabetic foot ulcers (DFUs) was developed. It comprises seven domains, namely, depth, maceration, inflammation\/infection, size, tissue type of the wound bed, type of wound edge, and tunnelling\/undermining. It was named \u201cDMIST\u201d based on the initials of its domains. Although DMIST is useful for assessing wound\u2010healing processes, the monitoring items related to wound healing remain unclear, thereby making the selection of optimal care based on the assessment difficult. We identified the relationship between the DMIST items and wound healing. This study was a secondary analysis of five previous investigations and was conducted using DMIST based on the diabetic foot ulcer assessment scale score and DFU images. Multivariate logistic regression was used to calculate odds ratios (ORs) and 95% confidence intervals (95% CIs) after simultaneously controlling for potential confounders. The examined DFU healing status revealed that some DFUs healed at 4\u2009weeks from baseline, whereas some DFUs did not. Variables considered in the models were the scores of each DMIST domain. The study population comprised 146 Indonesian patients and 33 Japanese patients. Depth, maceration, and size were associated with DFU healing at 4\u2009weeks from baseline [depth: OR\u00a0=\u00a00.317 (95% CI: 0.145\u20100.693, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.004); maceration: OR\u00a0=\u00a00.445 (95% CI: 0.221\u20100.896, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.023); size: OR\u00a0=\u00a00.623 (95% CI: 0.451\u20100.862, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.004)]. Our findings suggest that appropriate management of maceration promotes DFU healing.<\/jats:p>","DOI":"10.1111\/iwj.13880","type":"journal-article","created":{"date-parts":[[2022,8,20]],"date-time":"2022-08-20T01:44:20Z","timestamp":1660959860000},"page":"345-350","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Relationship between items of <scp>DMIST<\/scp> and healing of diabetic foot ulcers"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0204-7772","authenticated-orcid":false,"given":"Sayumi","family":"Tsuchiya","sequence":"first","affiliation":[{"name":"Department of Clinical Nursing, Division of Health Sciences, Institute of Medical, Pharmaceutical, and Health Sciences Kanazawa University  Ishikawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5794-7826","authenticated-orcid":false,"family":"Suriadi","sequence":"additional","affiliation":[{"name":"Kitamura Wound Care Clinic Pontianak  West Borneo Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiromi","family":"Sanada","sequence":"additional","affiliation":[{"name":"Global Nursing Research Center, Graduate School of Medicine The University of Tokyo  Tokyo Japan"},{"name":"Department of Gerontological Nursing\/Wound Care Management, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junko","family":"Sugama","sequence":"additional","affiliation":[{"name":"Research Center for Implementation Nursing Science Initiative, School of Health Sciences Fujita Health University  Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makoto","family":"Oe","sequence":"additional","affiliation":[{"name":"Department of Clinical Nursing, Division of Health Sciences, Institute of Medical, Pharmaceutical, and Health Sciences Kanazawa University  Ishikawa 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