{"id":"https://openalex.org/W26643343","doi":null,"title":"Meticulous attention to foot care improves the prognosis in diabetic ulceration of the foot.","display_name":"Meticulous attention to foot care improves the prognosis in diabetic ulceration of the foot.","publication_year":1992,"publication_date":"1992-01-01","ids":{"openalex":"https://openalex.org/W26643343","mag":"26643343","pmid":"https://pubmed.ncbi.nlm.nih.gov/1729750"},"language":"en","primary_location":{"id":"pmid:1729750","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1729750","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Surgery, gynecology & obstetrics","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5003451842","display_name":"GARETH D. GRIFFITHS","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"G D Griffiths","raw_affiliation_strings":["Department of Surgery, James Graham Brown Cancer Center, Louisville, Kentucky 40292"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, James Graham Brown Cancer Center, Louisville, Kentucky 40292","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5108222826","display_name":"T. Jeffery Wieman","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"T J Wieman","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":2.1169,"has_fulltext":false,"cited_by_count":36,"citation_normalized_percentile":{"value":0.85143394,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"174","issue":"1","first_page":"49","last_page":"51"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11227","display_name":"Diabetic Foot Ulcer Assessment and Management","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11227","display_name":"Diabetic Foot Ulcer Assessment and Management","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12433","display_name":"Skin Diseases and Diabetes","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2708","display_name":"Dermatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10455","display_name":"Foot and Ankle Surgery","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/diabetic-foot-ulcer","display_name":"diabetic foot ulcer","score":0.9779999852180481},{"id":"https://openalex.org/keywords/foot-care-clinic","display_name":"foot care clinic","score":0.7059999704360962},{"id":"https://openalex.org/keywords/patient-education","display_name":"patient education","score":0.6079999804496765},{"id":"https://openalex.org/keywords/ulcer-healing-time","display_name":"ulcer healing time","score":0.8410000205039978},{"id":"https://openalex.org/keywords/major-amputation","display_name":"major amputation","score":0.890999972820282},{"id":"https://openalex.org/keywords/partial-foot-amputation","display_name":"partial foot amputation","score":0.8420000076293945},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.7760000228881836},{"id":"https://openalex.org/keywords/diabetic-foot-care","display_name":"diabetic foot care","score":0.4729999899864197}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9881396293640137},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.6971208453178406},{"id":"https://openalex.org/C115076146","wikidata":"https://www.wikidata.org/wiki/Q1651051","display_name":"Foot (prosody)","level":2,"score":0.6734670996665955},{"id":"https://openalex.org/C2779901536","wikidata":"https://www.wikidata.org/wiki/Q945238","display_name":"Peripheral neuropathy","level":3,"score":0.6467914581298828},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.6010256409645081},{"id":"https://openalex.org/C2777858829","wikidata":"https://www.wikidata.org/wiki/Q52856","display_name":"Diabetic foot","level":3,"score":0.5659060478210449},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5277044177055359},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.5021543502807617},{"id":"https://openalex.org/C2778313320","wikidata":"https://www.wikidata.org/wiki/Q550455","display_name":"Retinopathy","level":3,"score":0.49573764204978943},{"id":"https://openalex.org/C2777466421","wikidata":"https://www.wikidata.org/wiki/Q1266890","display_name":"Vascular disease","level":2,"score":0.44078564643859863},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.37711068987846375},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011379","descriptor_name":"Prognosis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016523","descriptor_name":"Foot Ulcer","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D016523","descriptor_name":"Foot Ulcer","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D016523","descriptor_name":"Foot Ulcer","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D048909","descriptor_name":"Diabetes Complications","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"pmid:1729750","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1729750","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Surgery, gynecology & obstetrics","raw_type":"Journal Article"},{"id":"mag:26643343","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1729750","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":12,"referenced_works":["https://openalex.org/W2164830432","https://openalex.org/W2161908501","https://openalex.org/W2105376278","https://openalex.org/W2079989445","https://openalex.org/W1979556755","https://openalex.org/W2043053327","https://openalex.org/W2171289544","https://openalex.org/W2166471470","https://openalex.org/W2129996162","https://openalex.org/W2097822381","https://openalex.org/W1887206955","https://openalex.org/W1959357974"],"related_works":["https://openalex.org/W2034463349","https://openalex.org/W4402821830","https://openalex.org/W3171365431","https://openalex.org/W7221836493","https://openalex.org/W1987750457","https://openalex.org/W2031623459","https://openalex.org/W2132846438","https://openalex.org/W2155388146","https://openalex.org/W2604737443","https://openalex.org/W2102005701"],"abstract_inverted_index":{"Ulceration":[0],"of":[1,8,22,40,53,92,99,156,161,175,186,207,266,272,308,323],"the":[2,38,49,90,93,145,182,225,264,267,269,291,303,318,321,336],"foot":[3,54,260,313,327,341],"is":[4],"a":[5,19,45,195,324],"major":[6,250],"cause":[7],"morbidity":[9,337],"in":[10,56,63,131,136,191,201,296],"patients":[11,58,66,78,130,190,257],"with":[12,86,123,148,217,240,339],"diabetes,":[13,157],"and":[14,34,51,59,75,134,154,169,173,255,306,311,330],"its":[15,61],"treatment":[16,274,307],"has":[17,280],"become":[18],"significant":[20],"part":[21],"general":[23],"surgical":[24],"practice.":[25],"It":[26],"is,":[27],"therefore,":[28],"important":[29],"to":[30,37,48,77,121,150,231,263,283,302],"develop":[31],"an":[32],"efficient":[33],"effective":[35],"approach":[36],"care":[39,50,74,112,328],"this":[41],"complication.":[42],"We":[43,70,288],"established":[44],"clinic":[46,329],"dedicated":[47,325],"prevention":[52],"ulcers":[55,107],"diabetic":[57,326,340],"since":[60],"inception":[62],"1985,":[64],"343":[65],"have":[67],"been":[68,281],"seen.":[69],"provide":[71],"regular":[72,331],"prophylactic":[73,111],"education":[76],"without":[79],"ulcers,":[80],"as":[81,83],"well":[82],"treating":[84],"those":[85,104,117,200,295],"ulcers.":[87],"To":[88],"assess":[89],"effectiveness":[91],"clinic,":[94,268],"we":[95],"compared":[96,216,239],"two":[97,146],"groups":[98,147],"patients.":[100],"Group":[101,114],"1":[102,133,193,298],"contained":[103],"who":[105,118],"had":[106,194],"while":[108],"attending":[109],"our":[110],"program.":[113],"2":[115],"comprised":[116],"were":[119,128,140,177],"referred":[120],"us":[122],"lesions":[124,176,208,230],"already":[125],"present.":[126],"There":[127,139],"21":[129],"group":[132,137,192,202,297],"150":[135],"2.":[138,203],"no":[141,179],"statistical":[142],"differences":[143],"between":[144,181],"respect":[149],"age,":[151],"sex,":[152],"type":[153],"duration":[155],"smoking":[158],"history,":[159],"prevalence":[160],"peripheral":[162,164],"neuropathy,":[163],"vascular":[165],"disease,":[166],"renal":[167],"impairment":[168],"retinopathy.":[170],"The":[171,204,249],"sites":[172],"sizes":[174],"also":[178],"different":[180],"groups.":[183],"In":[184],"spite":[185],"these":[187],"similarities,":[188],"however,":[189],"significantly":[196],"better":[197],"prognosis":[198,293],"than":[199,223,247],"over-all":[205],"number":[206],"per":[209],"patient":[210,332],"was":[211,233,253,275],"lower":[212,254],"(1.52":[213],"+/-":[214,219,236,242,285],"0.98,":[215],"2.06":[218],"1.33,":[220],"p":[221,245],"less":[222,246],"0.05),":[224],"mean":[226,270],"time":[227],"required":[228,258],"for":[229,294],"heal":[232],"shorter":[234],"(111.9":[235],"80.5":[237],"days":[238],"160.5":[241],"151.3":[243],"days,":[244],"0.05).":[248],"amputation":[251],"rate":[252],"fewer":[256],"partial":[259],"amputation.":[261],"Prior":[262],"opening":[265],"length":[271],"inpatient":[273],"30":[276],"days.":[277,287],"This":[278],"now":[279],"reduced":[282],"12.9":[284],"12.8":[286],"conclude":[289],"that":[290,320],"improved":[292],"can":[299,334],"be":[300],"attributed":[301],"earlier":[304],"detection":[305],"both":[309],"potential":[310],"actual":[312],"lesions.":[314],"These":[315],"results":[316],"support":[317],"contention":[319],"establishment":[322],"review":[333],"reduce":[335],"associated":[338],"ulceration.":[342]},"counts_by_year":[{"year":2020,"cited_by_count":1},{"year":2015,"cited_by_count":3},{"year":2014,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
