{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T17:16:54Z","timestamp":1782494214255,"version":"3.54.5"},"reference-count":21,"publisher":"American Diabetes Association","issue":"9","license":[{"start":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T00:00:00Z","timestamp":1751500800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.diabetesjournals.org\/journals\/pages\/license"}],"funder":[{"name":"VA Clinical Science Research and Development","award":["CX-0016-01"],"award-info":[{"award-number":["CX-0016-01"]}]},{"DOI":"10.13039\/100022914","name":"Claude D. Pepper Older Americans Independence Center, School of Medicine, University of Maryland","doi-asserted-by":"publisher","award":["P30 AG028747"],"award-info":[{"award-number":["P30 AG028747"]}],"id":[{"id":"10.13039\/100022914","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["K23DK131261 and K23DK131261-03S1"],"award-info":[{"award-number":["K23DK131261 and K23DK131261-03S1"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Diabetic foot ulcers (DFUs) often lead to amputations. Limb salvage aims to preserve the lower extremity, but the complexity of care and uncertainty of healing can delay patients\u2019 return to normal activities. This study aimed to understand military veterans\u2019 preferences regarding limb salvage for DFUs, using a discrete choice experiment (DCE).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESEARCH DESIGN AND METHODS<\/jats:title>\n                    <jats:p>A DCE was conducted with 98 veterans with diabetes at the Baltimore Veterans Affairs Medical Center. Participants were presented with 10 choice sets involving different levels of postrecovery mobility, amputation levels, and future surgery risks. These attributes were developed through literature review and interviews. Data were analyzed using a multinomial logit model to estimate the utility of each attribute level and assess preference heterogeneity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>The study population was older (mean age 69 years), Black (61%), and male (94%). Half (53%) had a prior foot complication. Postrecovery mobility was the most important attribute (relative importance 53%), followed by amputation level (30%) and future surgery risk (18%). Veterans valued mobility highly, with significant utility differences between walking unaided and needing a wheelchair or scooter. They were willing to accept higher amputation levels to improve mobility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Postrecovery mobility is a critical factor for veterans with DFUs, outweighing concerns about amputation level and future surgical risks. It should be a focus of shared decision-making. The study is limited by its single-site setting and study population. Broader research is needed. Understanding patient preferences through DCE can inform more patient-centered approaches to DFU management, potentially improving outcomes and satisfaction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2337\/dc25-0478","type":"journal-article","created":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T11:27:08Z","timestamp":1751542028000},"page":"1517-1523","update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":8,"title":["Understanding Patient Preferences Regarding Limb Salvage for Diabetic Foot Ulcers: A Discrete Choice Experiment"],"prefix":"10.2337","volume":"48","author":[{"given":"Lyndsay M.","family":"O\u2019Hara","sequence":"first","affiliation":[{"name":"Veterans Affairs Maryland Healthcare System 1 , Baltimore, MD"},{"name":"Department of Epidemiology and Public Health, University of Maryland School of Medicine 2 , Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8147-4146","authenticated-orcid":false,"given":"Alison D.","family":"Lydecker","sequence":"additional","affiliation":[{"name":"Veterans Affairs Maryland Healthcare System 1 , Baltimore, MD"},{"name":"Department of Epidemiology and Public Health, University of Maryland School of Medicine 2 , Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gwen L.","family":"Robinson","sequence":"additional","affiliation":[{"name":"Veterans Affairs Maryland Healthcare System 1 , Baltimore, MD"},{"name":"Department of Epidemiology and Public Health, University of Maryland School of Medicine 2 , Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan N.","family":"O\u2019Hara","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Maryland School of Medicine 3 , Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin J.","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Rush University Medical Center 4 , Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4247-8286","authenticated-orcid":false,"given":"Alyson J.","family":"Littman","sequence":"additional","affiliation":[{"name":"Seattle Epidemiologic Research and Information Center, Department of Veterans, VA Puget Sound Health Care System 5 , Seattle, WA"},{"name":"Seattle-Denver Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System 6 , Seattle, WA"},{"name":"Department of Epidemiology, University of Washington School of Public Health 7 , Seattle, WA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2561-9243","authenticated-orcid":false,"given":"Brian 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