{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T02:57:07Z","timestamp":1791255427441,"version":"4.1.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009592","name":"Beijing Municipal Science & Technology Commission","doi-asserted-by":"crossref","award":["No. Z181100001718027"],"award-info":[{"award-number":["No. Z181100001718027"]}],"id":[{"id":"10.13039\/501100009592","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the characteristics of diabetic foot ulcer (DFU) recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 573 patients with DFUs were recruited and divided into an initial group (395 patients) and a recurrence group (178 patients). The factors related to recurrence were analyzed using multivariate regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The recurrence group had longer diabetes duration (odds ratio [OR] 192; 95% confidence interval 120, 252 vs. 156; 96, 240); lower glycated hemoglobin levels (OR 8.1; 95% CI 6.8, 9.6 vs. 9.1; 7.4, 10.5), and higher rates than the initial group of amputation (37.5% vs. 2.0%), history of vascular intervention (21.3% vs. 3.9%), retinopathy (77.7% vs. 64.7%), callus (44.4% vs. 20.8%), foot deformity (51.2% vs. 24.6%), and outdoor sports shoe wearing (34.0% vs. 21.2%). Multiple factor logistic regression analysis showed that diabetes duration (OR 1.004), callus (OR 2.769), vascular intervention (OR 2.824) and amputation (OR 22.256) were independent risk factors for DFU recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Diabetes duration, callus, history of vascular intervention, and amputation were independent risk factors for recurrent DFUs in a cohort of Chinese patients with active DFU. The prevention and treatment of DFUs, especially callus treatment, foot care, and blood glucose control, should be improved in China.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0300060520987398","type":"journal-article","created":{"date-parts":[[2021,1,21]],"date-time":"2021-01-21T02:00:39Z","timestamp":1611194439000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Differences in initial versus recurrent diabetic foot ulcers at a specialized tertiary diabetic foot care center in China"],"prefix":"10.1177","volume":"49","author":[{"given":"Yuxia","family":"Cheng","sequence":"first","affiliation":[{"name":"Department of Endocrinology, PLA Strategic Support Force Medical Center (The 306th Hospital of the PLA), Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ping","family":"Zu","sequence":"additional","affiliation":[{"name":"Department of Nursing, PLA Strategic Support Force Medical Center (The 306th Hospital of the PLA), Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3456-1079","authenticated-orcid":false,"given":"Jie","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Nursing, PLA Strategic Support Force Medical Center (The 306th Hospital of the PLA), Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lintao","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Nursing, PLA Strategic Support Force Medical Center (The 306th Hospital of the PLA), Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongyan","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Nursing, PLA Strategic Support Force Medical Center (The 306th Hospital of the PLA), Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nursing, PLA Strategic Support Force Medical Center (The 306th Hospital of the PLA), Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4413-4321","authenticated-orcid":false,"given":"Aihong","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Nursing, PLA Strategic Support Force Medical Center (The 306th Hospital of the PLA), Beijing, 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