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This review of the literature highlights the vital role of the dialysis team in prevention, early detection, and support of treatment of diabetic foot ulcers. Our review has five goals\u2014(a) increase nephrologists\u2019 understanding of the high morbidity and mortality associated with chronic foot ulcers and (lower extrimity)\u00a0LE amputations in ESKD; (b) promote nephrologists\u2019 understanding of grading systems for diabetic foot ulcer severity, in order to expedite communication with local diabetic foot experts; (c) promote collaboration between nephrologists and infectious disease specialists regarding the dose, route, and delivery logistics of intravenous antibiotics for infected chronic foot ulcers, in particular in the presence of osteomyelitis and other deep\u2010seated infections; (d) increase the awareness of dialysis nurses, technicians, dietitians, social workers and administrators regarding evidence\u2010based and multidisciplinary approaches to patients\u2019 diabetic foot ulcers; (e) encourage the application of published works integrating patient\u2010centered diabetic foot education into the dialysis setting to reduce lower extremity amputations.<\/jats:p>","DOI":"10.1111\/sdi.12875","type":"journal-article","created":{"date-parts":[[2020,4,11]],"date-time":"2020-04-11T04:20:22Z","timestamp":1586578822000},"page":"245-253","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["How ESKD complicates the management of diabetic foot ulcers: The vital role of the dialysis team in prevention, early detection, and support of multidisciplinary treatment to reduce lower extremity amputations"],"prefix":"10.1111","volume":"33","author":[{"given":"Gen\u00e8ve M.","family":"Allison","sequence":"first","affiliation":[{"name":"Division of Geographic Medicine and Infectious Diseases Tufts Medical Center Boston MA USA"},{"name":"Center for Wound Healing and Hyperbaric Medicine Tufts Medical Center Boston MA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin","family":"Flanagin","sequence":"additional","affiliation":[{"name":"Division of Nephrology Tufts Medical Center Boston MA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,4,10]]},"reference":[{"key":"e_1_2_14_2_1","volume-title":"IDF Diabetes Atlas","author":"International Diabetes Federation","year":"2019"},{"issue":"45","key":"e_1_2_14_3_1","first-page":"1158","article-title":"Lower extremity disease among persons aged > or =40 years with and without diabetes\u2013United States, 1999\u20132002","volume":"54","author":"Centers for Disease Control and Prevention (CDC)","year":"2005","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc18-S010"},{"key":"e_1_2_14_5_1","unstructured":"United States Renal Data System.2018 USRDS Annual Data Report: epidemiology of kidney disease in the United States. 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