{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T16:04:37Z","timestamp":1789142677269,"version":"build-2803163510"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,1,28]],"date-time":"2024-01-28T00:00:00Z","timestamp":1706400000000},"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":["International Wound Journal"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    This retrospective cohort study aims to assess whether the implementation of a multidisciplinary approach in the Gosford Hospital High\u2010Risk Foot Clinic improved outcomes of diabetic foot ulcers. Ulceration is a common foot complication of diabetes mellitus and greatly increases patient morbidity and mortality. Patients who attended at least one appointment at the Gosford Hospital High\u2010Risk Foot Clinic in 2017 or 2019 were identified through the Gosford Hospital Podiatry department's records. The 2017 and 2019 cohorts were compared on measures of ulcer healing, incidence of amputation, incidence of vascular intervention and surgical debridement, percentage of patients admitted to hospital due to complications and use of systemic antibiotic therapy. Sixty\u2010one patients in 2017 and 59 patients in 2019 met inclusion criteria, and from them, 207 ulcers were included. Between 2017 and 2019, there was a 6.2\u2010week reduction in time to 100% ulcer healing in 2019 (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.021), and 10.1% more ulcers healed within 52\u2009weeks (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.22, 95% confidence interval [CI] [\u22125.9%, 25.5%]). Whilst there was no significant difference in incidence of patients receiving amputation, there was an increased absolute number of amputations in 2019. Implementation of a multidisciplinary approach at the Gosford Hospital High\u2010Risk Foot Clinic led to improvements in diabetic foot ulcer healing.\n                  <\/jats:p>","DOI":"10.1111\/iwj.14570","type":"journal-article","created":{"date-parts":[[2024,1,28]],"date-time":"2024-01-28T20:39:20Z","timestamp":1706474360000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Effect of a multidisciplinary team approach on the management of diabetic foot ulcers on the\n                    <scp>Central Coast<\/scp>\n                    : A review of the\n                    <scp>Gosford Hospital High\u2010Risk Foot Clinic<\/scp>"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0192-2241","authenticated-orcid":false,"given":"Stephanie Mae","family":"Macfarlane","sequence":"first","affiliation":[{"name":"School of Medicine and Public Health University of Newcastle  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarina Xinyan","family":"Zhao","sequence":"additional","affiliation":[{"name":"School of Medicine and Public Health University of Newcastle  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane Olivia","family":"Lafrenz","sequence":"additional","affiliation":[{"name":"School of Medicine and Public Health University of Newcastle  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manisha Vanya","family":"Nagaratnam","sequence":"additional","affiliation":[{"name":"School of Medicine and Public Health University of Newcastle  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Tchen","sequence":"additional","affiliation":[{"name":"School of Medicine and Public Health University of Newcastle  Newcastle New South Wales Australia"},{"name":"Department of Vascular Surgery Central Coast Local Health District  Gosford New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clare Elizabeth","family":"Linton","sequence":"additional","affiliation":[{"name":"Department of Podiatry Central Coast Local Health District  Gosford New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lili","family":"Yuen","sequence":"additional","affiliation":[{"name":"School of Medicine and Public Health University of Newcastle  Newcastle New South Wales Australia"},{"name":"Department of Endocrinology Central Coast Local Health District  Gosford New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,28]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Diabetes Feet Australia.Diabetes Feet Australia;2021. Accessed February 17 2021.https:\/\/www.diabetesfeetaustralia.org\/for-health-professionals\/"},{"key":"e_1_2_9_3_1","unstructured":"HealthStats NSW.NSW Ministry of Health;2020. Accessed February 18 2021.https:\/\/www.healthstats.nsw.gov.au\/#\/indicator?name=\u2010dia\u2010phs&location=LHD&view=Trend&measure=prevalence&groups=&filter=LHD Central%20Coast%20LHD"},{"key":"e_1_2_9_4_1","volume-title":"Diabetes","author":"Australian Institute of Health and Welfare","year":"2021"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.31128\/AJGP\u201011\u201019\u20105161"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3280"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/0973\u20103930.62596"},{"key":"e_1_2_9_8_1","volume-title":"Central Coast Local Health District [Internet]","author":"NSW Health","year":"2023"},{"key":"e_1_2_9_9_1","volume-title":"Central Coast NSW Community Profile","author":"ID Community Demographic Resources","year":"2022"},{"key":"e_1_2_9_10_1","volume-title":"Submission to the Federal Government: \u201cRaise the Rate\u201d for Newstart and Youth Allowance","author":"Community Partnerships","year":"2019"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3266"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.08.244"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.3402\/dfa.v1i0.5731"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100028\u20101112149"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12902\u2010016\u20100111\u20100"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc07\u20101159"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1534734614521234"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13095"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0130609"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc07\u20101178"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2006.05.014"},{"key":"e_1_2_9_22_1","volume-title":"Management of Data and Information in Research: A guide supporting the Australian Code for the Responsible Conduct of Research","author":"Australian Government National Health and Research Council","year":"2019"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13047\u2010015\u20100089\u20102"},{"key":"e_1_2_9_24_1","volume-title":"The Diabetic Foot","author":"Boulton A","year":"2020"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3272"},{"key":"e_1_2_9_26_1","volume-title":"Sydney NSW, 2018. 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