{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:38:52Z","timestamp":1787020732869,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,4,7]],"date-time":"2021-04-07T00:00:00Z","timestamp":1617753600000},"content-version":"vor","delay-in-days":96,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,4,7]],"date-time":"2021-04-07T00:00:00Z","timestamp":1617753600000},"content-version":"vor","delay-in-days":96,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Journal of Foot and Ankle Research"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>With growing global prevalence of diabetes mellitus, diabetes\u2010related foot disease (DFD) is contributing significantly to disease burden. As more healthcare resources are being dedicated to the management of DFD, service design and delivery is being scrutinised. Through a national survey, this study aimed to investigate the current characteristics of services which treat patients with DFD in Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An online survey was distributed to all 195 Australian members of the Australian and New Zealand Society for Vascular Surgery investigating aspects of DFD management in each member's institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From the survey, 52 responses were received (26.7%). A multidisciplinary diabetes foot unit (MDFU) was available in more than half of respondent's institutions, most of which were tertiary hospitals. The common components of MDFU were identified as podiatrists, endocrinologists, vascular surgeons and infectious disease physicians. Many respondents identified vascular surgery as being the primary admitting specialty for DFD patients that require hospitalisation (33\/52, 63.5%). This finding was consistent even in centres with MDFU clinics. Less than one third of MDFUs had independent admission rights.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The present study suggests that many tertiary centres in Australia provide their diabetic foot service in a multidisciplinary environment however their composition and function remain heterogeneous. These findings provide an opportunity to evaluate current practice and, to initiate strategies aimed to improve outcomes of patients with DFD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13047-021-00471-x","type":"journal-article","created":{"date-parts":[[2021,4,7]],"date-time":"2021-04-07T13:03:59Z","timestamp":1617800639000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Availability and service provision of multidisciplinary diabetes foot units in Australia: a cross\u2010sectional survey"],"prefix":"10.1002","volume":"14","author":[{"given":"Uyen Giao","family":"Vo","sequence":"first","affiliation":[{"name":"Vascular Surgery Department Fiona Stanley Hospital 11 Robin Warren Drive 6150 Murdoch Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly","family":"Gilfillan","sequence":"additional","affiliation":[{"name":"Vascular Surgery Department Fiona Stanley Hospital 11 Robin Warren Drive 6150 Murdoch Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma Jane","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Fiona Stanley Hospital 11 Robin Warren Drive 6150 Murdoch Western Australia Australia"},{"name":"Multidisciplinary Diabetes Foot Unit Fiona Stanley Hospital 11 Robin Warren Drive 6150 Murdoch Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurens","family":"Manning","sequence":"additional","affiliation":[{"name":"School of Medicine University of Western Australia 35 Stirling Highway 6009 Crawley Western Australia Australia"},{"name":"Department of Infectious Disease Fiona Stanley Hospital 11 Robin Warren Drive 6150 Murdoch Western Australia Australia"},{"name":"Multidisciplinary Diabetes Foot Unit Fiona Stanley Hospital 11 Robin Warren Drive 6150 Murdoch Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bijit","family":"Munshi","sequence":"additional","affiliation":[{"name":"Vascular Surgery Department Fiona Stanley Hospital 11 Robin Warren Drive 6150 Murdoch Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Hiew","sequence":"additional","affiliation":[{"name":"Department of Podiatry Fiona Stanley Hospital 11 Robin Warren Drive 6150 Murdoch Western Australia Australia"},{"name":"Multidisciplinary Diabetes Foot Unit Fiona Stanley Hospital 11 Robin Warren Drive 6150 Murdoch Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul Edward","family":"Norman","sequence":"additional","affiliation":[{"name":"School of Medicine University of Western Australia 35 Stirling Highway 6009 Crawley Western Australia Australia"},{"name":"Multidisciplinary Diabetes Foot Unit Fiona Stanley Hospital 11 Robin Warren Drive 6150 Murdoch Western Australia Australia"},{"name":"Vascular Surgery Department Fiona Stanley Hospital 11 Robin Warren Drive 6150 Murdoch Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8818-9079","authenticated-orcid":false,"given":"Jens Carsten","family":"Ritter","sequence":"additional","affiliation":[{"name":"School of Medicine Curtin University Kent Street 6102 Bentley Western Australia Australia"},{"name":"Multidisciplinary Diabetes Foot Unit Fiona Stanley Hospital 11 Robin Warren Drive 6150 Murdoch Western Australia Australia"},{"name":"Vascular Surgery Department Fiona Stanley Hospital 11 Robin Warren Drive 6150 Murdoch Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,4,7]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Global report on diabetes","author":"World Health Organization","year":"2016"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2018.02.023"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2014.04.011"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2695"},{"key":"e_1_2_12_6_1","unstructured":"ReiberG BoykoE SmithD. Lower Extremity Foot Ulcers and Amputations.Diabetes. 2 ed1995."},{"key":"e_1_2_12_7_1","unstructured":"Diabetes Foot Australia.Australian diabetes\u2010related foot disease strategy 2018\u20102022: The first step towards ending avoidable amputations within a generation Brisbane Australia;2017[Available 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January 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 March 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 April 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This project was conducted as a quality initiative benchmarking current practice against national and international standards and recommendations. All participants were active vascular surgeons and aware of the nature of the project. No real patient information was captured, and all data was non-identifiable. Ethical approval was not required for this survey of health professionals as it was assessed to have no ethical risk according to current recommendations [\n                      \n                      ].","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"27"}}