{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:54:32Z","timestamp":1777712072674,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,3,28]],"date-time":"2019-03-28T00:00:00Z","timestamp":1553731200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The International Journal of Lower Extremity Wounds"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:p>The excess risk of amputation in the diabetic population is well documented. However, approximately half of all amputations in England are in people that do not have diabetes - the remainder being mainly peripheral arterial disease. Whilst the prevalence of foot ulcers in the population without diabetes is significantly lower than their diabetic counterparts, the actual number of people with ulcers, and, therefore, the burden on services, is, the same. In addition to this inequality, the prevalence of amputation is greater in men than women and in the North of England compared with the South. We suggest that whilst diabetes is an important inequality to continue addressing, it is not the only one.<\/jats:p>","DOI":"10.1177\/1534734619834749","type":"journal-article","created":{"date-parts":[[2019,3,28]],"date-time":"2019-03-28T08:48:33Z","timestamp":1553762913000},"page":"112-113","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["The Epidemiology of Amputation Inequality Extends Beyond Diabetes in England"],"prefix":"10.1177","volume":"18","author":[{"given":"Naseer","family":"Ahmad","sequence":"first","affiliation":[{"name":"Manchester Royal Infirmary, Manchester, UK"},{"name":"University of Manchester, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1894-3755","authenticated-orcid":false,"given":"Una","family":"Adderley","sequence":"additional","affiliation":[{"name":"University of Leeds, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mihai","family":"Ionac","sequence":"additional","affiliation":[{"name":"Victor Babe\u0219 University, Timisoara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank L.","family":"Bowling","sequence":"additional","affiliation":[{"name":"Manchester Royal Infirmary, Manchester, UK"},{"name":"University of Manchester, Manchester, UK"},{"name":"Victor Babe\u0219 University, Timisoara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,3,28]]},"reference":[{"key":"bibr1-1534734619834749","doi-asserted-by":"publisher","DOI":"10.1177\/1479164116651390"},{"key":"bibr2-1534734619834749","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0182081"},{"key":"bibr3-1534734619834749","unstructured":"Health and Social Care Information Centre. Health survey for England 2014: health, social care and lifestyles. http:\/\/healthsurvey.hscic.gov.uk\/media\/33473\/HSE-2014-summary-report.pdf. Accessed February 22, 2019."},{"key":"bibr4-1534734619834749","unstructured":"Mackenzie P. Diabetes footcare pathway blueprint 2017. www.england.nhs.uk\/north\/wp-content\/uploads\/sites\/5\/2018\/05\/NWCSN_Diabetes_Footcare_Final_Report_2017-1.pdf. Accessed November 2018."},{"key":"bibr5-1534734619834749","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2017.26.6.292"},{"key":"bibr6-1534734619834749","unstructured":"National Health Service England. NHS Diabetes Prevention Program (NHS DPP). https:\/\/www.england.nhs.uk\/diabetes\/diabetes-prevention\/. Accessed February 22, 2019."},{"key":"bibr7-1534734619834749","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13512"},{"key":"bibr8-1534734619834749","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7092"},{"key":"bibr9-1534734619834749","first-page":"129","volume":"5","author":"Ndip A","year":"2012","journal-title":"Int J Gen Med"},{"key":"bibr10-1534734619834749","unstructured":"NCEPOD. Lower limb amputation: working together. https:\/\/www.ncepod.org.uk\/2014report2\/downloads\/WorkingTogetherFullReport.pdf. Accessed February 22, 2019."},{"key":"bibr11-1534734619834749","unstructured":"Office for National Statistics. United Kingdom population mid-year estimates. https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/populationandmigration\/populationestimates. Accessed February 22, 2019."},{"key":"bibr12-1534734619834749","unstructured":"GOV.UK. Ethnicity facts and figures: British population. https:\/\/www.ethnicity-facts-figures.service.gov.uk\/british-population\/demographics\/age-groups\/latest. 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