{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T20:18:32Z","timestamp":1775247512801,"version":"3.50.1"},"reference-count":38,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,8,1]],"date-time":"2019-08-01T00:00:00Z","timestamp":1564617600000},"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":["Wound Repair Regeneration"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Hemodialysis patients are at high risk for foot ulceration. The aim of this prospective study was to describe the prevalence and risk factors for foot ulcers in hemodialysis\u2010dependent patients. From 2012 until 2015, all hemodialysis patients (<jats:italic>n<\/jats:italic> = 66) above18 years of age, treated at the Alrijne Hospital (Leiderdorp, the Netherlands), were included. Demographics and medical history were collected and the quality of life was measured. Data were collected on common risk factors for foot ulceration: peripheral arterial disease, peripheral neuropathy with or without foot deformities, diabetes mellitus (DM), hypertension, smoking, previous foot ulcer, edema, pedicure attendance, and orthopedic footwear. Sixty\u2010six hemodialysis patients were evaluated; the prevalence of foot ulcer was 21\/66 (31.8%). Risk factors were history of foot ulceration in 27\/66 (40.9%), ankle\u2010brachial index (ABI) &lt;0.9, and toe pressure\u2009&lt;\u200980\u2009mmHg in 38\/66 (57.6%). The percentage of DM in the group of foot\u2010ulcers was higher 13\/21 (61.9%) vs. 20\/45 (44.4%) in the non\u2010ulcer group, this was not significant (<jats:italic>p<\/jats:italic> = 0.183). No differences were found in ABI, toe pressure, peripheral neuropathy and foot deformity, between the DM and non DM group. The mortality between ulcer vs. no ulcer was significant different: 13\/21 (61.9%) vs. 11\/45 (24.4%) (<jats:italic>p<\/jats:italic> = 0.003). Approximately, one\u2010third of hemodialysis patient have a foot ulcer 21\/66 (32%). Arterial insufficiency is associated with an increased risk of foot ulcers. In patients with a foot ulcer, survival is significantly lower than in patients without a foot ulcer; interventions to reduce foot ulceration should be implemented for all hemodialysis patients and include frequent inspection, and prompt treatment. Further research should focus on the prevention of foot ulcers in dialysis\u2010dependent patients.<\/jats:p>","DOI":"10.1111\/wrr.12750","type":"journal-article","created":{"date-parts":[[2019,7,12]],"date-time":"2019-07-12T15:58:48Z","timestamp":1562947128000},"page":"687-692","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Prevalence of foot ulcers in dialysis\u2010dependent patients"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7139-820X","authenticated-orcid":false,"given":"Wouter","family":"Brekelmans","sequence":"first","affiliation":[{"name":"Division of Surgery Alrijne Ziekenhuis  Leiderdorp The Netherlands"},{"name":"Alrijne Wound Centre  Leiderdorp The Netherlands"},{"name":"Division of Surgery Leids Universitair Medisch Centrum  Leiden The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Boudewijn L. 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