{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T14:03:10Z","timestamp":1787320990893,"version":"build-2736575974"},"reference-count":14,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Endocrinol."],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To develop an early risk assessment system for high-risk diabetic feet.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The system framework was established through literature review and two rounds of Delphi expert consultation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The two rounds of consultation achieved effective response rates of 73.3% and 100.0%, with authority coefficients of 0.802 and 0.933, and Kendall\u2019s coefficients of concordance (W) of 0.302 and 0.103 (all P &amp;lt; 0.05). Consensus was reached on an early risk assessment system comprising 6 dimensions (risk factor identification, neurological assessment, vascular evaluation, foot skin and nail examination, self-care ability assessment, and healthcare resource accessibility) and 42 items, enabling structured risk stratification for high-risk diabetic feet.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The Delphi-validated system demonstrates good scientific rigor, rationality, practicality, and targetedness. This evidence-based tool can guide nursing training, standardize prevention and control practices, refine teaching programs, and evaluate institutional capabilities for high-risk diabetic foot management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fendo.2026.1819338","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T04:25:17Z","timestamp":1781497517000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The exploration and research on the establishment of an early risk assessment system for high-risk diabetic feet"],"prefix":"10.3389","volume":"17","author":[{"given":"Haixia","family":"Qi","sequence":"first","affiliation":[{"name":"School of Nursing, Lanzhou University","place":["Lanzhou, China"]},{"name":"Department of Endocrinology, The First Hospital of Lanzhou University","place":["Lanzhou, 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