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Evidence\u2010based practice guidelines strongly recommend frequent CSWD of diabetes\u2010related foot ulcers (DFU) based on expert opinion and observational studies which suggest that more frequent debridement is associated with better healing outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To document current practice with regards to CSWD of DFU and whether this is performed at every visit, how often and what factors determine debridement frequency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Survey data were collected and managed using REDCap electronic data tools, a secure, web\u2010based application. The survey was distributed through podiatry managers and relevant clinical networks between October 2017 and February 2018.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred clinicians opened the survey and seventy\u2010five surveys were completed by <jats:italic>n<\/jats:italic> =\u200953\u00a0NSW Health (Australia) employed podiatrists (representing 41% of all NSW Health podiatrists), 11 privately practicing podiatrists, and 11\u00a0nurses. Most (<jats:italic>n<\/jats:italic> =\u200947) worked in metropolitan areas versus regional\/remote (<jats:italic>n<\/jats:italic> =\u200928). CSWD was the most frequently used debridement method, performed at every visit by most (84%) of podiatrists. Callus, slough and infection presence were the top 3\u00a0most important determinants of frequency, with staff time (a limiting factor) ranking 4th. Regional\/remote podiatrists practiced less frequent debridement compared with those in metropolitan areas (debridement every 2\u2009weeks or less\u2009=\u200971% regional podiatrists versus 45% metropolitan podiatrists) (<jats:italic>p<\/jats:italic> =\u20090.024).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion and clinical implications<\/jats:title><jats:p>CSWD was the predominant form of debridement used with debridement occurring at every treatment visit for most of the clinicians surveyed. Debridement frequency was determined by clinical wound indications and staffing resources, with regional\/remote podiatrists providing debridement less often than their metropolitan colleagues.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s13047-021-00489-1","type":"journal-article","created":{"date-parts":[[2021,8,12]],"date-time":"2021-08-12T09:03:03Z","timestamp":1628758983000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Frequency of sharp wound debridement in the management of diabetes\u2010related foot ulcers: exploring current practice"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9452-8169","authenticated-orcid":false,"given":"Vanessa L","family":"Nube","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health Sydney Medical School (Central) The University of Sydney Camperdown Australia"},{"name":"Department of Podiatry Royal Prince Alfred Hospital, Sydney Missenden Rd 2050 Camperdown NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer A","family":"Alison","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sydney School of Health Sciences The University of Sydney Camperdown Australia"},{"name":"Allied Health Sydney Local Health District Camperdown Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen M","family":"Twigg","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sydney Medical School (Central) The University of Sydney Camperdown Australia"},{"name":"Department of Endocrinology Royal Prince Alfred Hospital Sydney, Camperdown Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,8,12]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129334\u2010200611000\u201000011"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3283"},{"issue":"1","key":"e_1_2_12_4_1","first-page":"61","article-title":"Effect of extensive debridement and treatment on the healing of diabetic foot ulcers. 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