{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T18:48:04Z","timestamp":1789152484762,"version":"build-2803163510"},"reference-count":47,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T00:00:00Z","timestamp":1662508800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T00:00:00Z","timestamp":1662508800000},"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":[[2025,3]]},"abstract":"<jats:p>There are few data comparing outcomes after hallux amputation or partial first ray resection after diabetic foot ulcer (DFU). In a similar context, the choice to perform one of these two surgeries is attributable to clinician preference based on experience and characteristics of the patient and the DFU. Therefore, the purpose of this study was to determine the more definitive surgery between hallux amputation and partial first ray resection. We abstracted data from a cohort of 70 patients followed for a 1-year postoperative period to support clinical practice. We also attempted to identify patient characteristics leading to these outcomes. Our results suggested no statistical difference between the type of surgery and outcomes such as recurrence of DFU and amputation at 3, 6, and 12 months or death. However, there was a statistically significantly increased likelihood of re-ulceration for patients with CAD who underwent hallux amputation (p\u2009=\u20090.02). There was also a significantly increased likelihood of re-ulceration for people with depression or a history when the partial ray resection was performed (p =\u20090.02). Patients with prior amputation showed a higher probability of undergoing another re-amputation with partial ray resection (p\u2009=\u20090.01). Although the trends that emerge from this project are limited to what is observed in this statistical context, where the number of patients included and the number of total observations per outcome were limited, it highlights interesting data for future research to inform clinical decisions to support best practices for the benefit of patients.<\/jats:p>","DOI":"10.1177\/15347346221122859","type":"journal-article","created":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T03:15:29Z","timestamp":1662520529000},"page":"225-234","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Outcomes of Hallux Amputation Versus Partial First Ray Resection in People with Non-Healing Diabetic Foot Ulcers: A Pragmatic Observational Cohort Study"],"prefix":"10.1177","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5901-8964","authenticated-orcid":false,"given":"Virginie","family":"Blanchette","sequence":"first","affiliation":[{"name":"Universit\u00e9 du Qu\u00e9bec \u00e0 Trois-Rivi\u00e8res"},{"name":"Keck School of Medicine of University of Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis","family":"Houde","sequence":"additional","affiliation":[{"name":"Universit\u00e9 du Qu\u00e9bec \u00e0 Trois-Rivi\u00e8res"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David G.","family":"Armstrong","sequence":"additional","affiliation":[{"name":"Keck School of Medicine of University of Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2561-9243","authenticated-orcid":false,"given":"Brian M.","family":"Schmidt","sequence":"additional","affiliation":[{"name":"University of Michigan Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,9,7]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13047-020-00383-2"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.2147\/DMSO.S154304"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1615439"},{"key":"e_1_3_2_5_2","article-title":"Survival at 10 years following lower extremity amputations in patients with diabetic foot disease","author":"Soo BP","unstructured":"Soo BP, Rajbhandari S, Egun A, Ranasinghe U, Lahart IM, Pappachan JM. Survival at 10 years following lower extremity amputations in patients with diabetic foot disease. Endocrine. 2020;69(1):100\u2013106.","journal-title":"Endocrine"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11892-019-1212-8"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-008-0940-0"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-006-0491-1"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12020-020-02431-0"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2020.108113"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc05-2425"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc20-1743"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000002713"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.3402\/dfa.v3i0.12169"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.7547\/1020412"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(97)80116-0"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.4239\/wjd.v11.i9.391"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3268"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/1534734613502033"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2017.07.015"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198801000-00026"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2013.02.004"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.foot.2012.10.002"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.10.003"},{"key":"e_1_3_2_25_2","doi-asserted-by":"crossref","unstructured":"Schaper NC van Netten JJ Apelqvist J Practical guidelines on the prevention and management of diabetic foot disease (IWGDF 2019 update). Diab Metab Res Rev. 2020;36(S1):e3266.","DOI":"10.1002\/dmrr.3266"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cis460"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2482-14-83"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2016.05.011"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/1534734609334808"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2017.02.008."},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.4103\/0253-7176.116232."},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12249"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1177\/1938640018770285"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2017.08.586"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.08.003"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(96)80125-6"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.1177\/1534734616660224"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.14310\/horm.2002.1245"},{"key":"e_1_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.3991"},{"key":"e_1_3_2_40_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0211481"},{"key":"e_1_3_2_41_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0182081"},{"issue":"1","key":"e_1_3_2_42_2","doi-asserted-by":"crossref","DOI":"10.1136\/bmjdrc-2016-000366","article-title":"Comorbid depression and risk of lower extremity amputation in people with diabetes: Systematic review and meta-analysis","volume":"5","author":"O\u2019Neill SM","year":"2017","unstructured":"O\u2019Neill SM, Kabir Z, McNamara G, Buckley CM. Comorbid depression and risk of lower extremity amputation in people with diabetes: Systematic review and meta-analysis. BMJ Open Diabetes Research and Care. 2017;5(1):e000366.","journal-title":"BMJ Open Diabetes Research and Care"},{"key":"e_1_3_2_43_2","doi-asserted-by":"publisher","DOI":"10.1177\/1938640019857795"},{"key":"e_1_3_2_44_2","doi-asserted-by":"publisher","DOI":"10.1055\/a-0942-1789"},{"key":"e_1_3_2_45_2","article-title":"Re-amputation and survival following toe amputation: Outcome data from a tertiary referral centre","author":"Collins PM","unstructured":"Collins PM, Joyce DP, O\u2019Beirn ES, et al. Re-amputation and survival following toe amputation: Outcome data from a tertiary referral centre. Irish Journal of Medical Science (1971-). 2022;191(3):1193\u20131199","journal-title":"Irish Journal of Medical Science (1971-)"},{"key":"e_1_3_2_46_2","doi-asserted-by":"crossref","unstructured":"Schmidt BM Holmes CM Ye W Pop-Busui R. A tale of two eras: Mining big data from electronic health records to determine limb salvage rates with podiatry. Curr Diabetes Rev. 2019;15(6):497\u2013502.","DOI":"10.2174\/1573399814666181017104818"},{"key":"e_1_3_2_47_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13047-020-0380-8"},{"key":"e_1_3_2_48_2","article-title":"A systematic review with meta-analysis of the impact of access and quality of diabetic foot care delivery in preventing lower extremity amputation","author":"Monteiro-Soares M","unstructured":"Monteiro-Soares M, Vale-Lima J, Martiniano J, Pinheiro-Torres S, Dias V, Boyko EJ. A systematic review with meta-analysis of the impact of access and quality of diabetic foot care delivery in preventing lower extremity amputation. J Diabetes Complicat. 2021;35(4):107837.","journal-title":"J Diabetes Complicat."}],"container-title":["The International Journal of Lower Extremity Wounds"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15347346221122859","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15347346221122859","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15347346221122859","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:05:08Z","timestamp":1777457108000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15347346221122859"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,7]]},"references-count":47,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1177\/15347346221122859"],"URL":"https:\/\/doi.org\/10.1177\/15347346221122859","relation":{},"ISSN":["1534-7346","1552-6941"],"issn-type":[{"value":"1534-7346","type":"print"},{"value":"1552-6941","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,7]]}}}