{"id":"https://openalex.org/W7167407448","doi":"https://doi.org/10.13429/j.cnki.cjcr.2026.06.001","title":"Beyond the wound\uff1awhy diabetic foot is the\u201ctip of the iceberg\u201dof systemic disease","display_name":"Beyond the wound\uff1awhy diabetic foot is the\u201ctip of the iceberg\u201dof systemic disease","publication_year":2026,"publication_date":"2026-06-01","ids":{"openalex":"https://openalex.org/W7167407448","doi":"https://doi.org/10.13429/j.cnki.cjcr.2026.06.001"},"language":"zh","primary_location":{"id":"pmh:oai:doaj.org/article:80916168125a4bf9a2b5401e4e474088","doi":"https://doi.org/10.13429/j.cnki.cjcr.2026.06.001","is_oa":false,"landing_page_url":"https://doaj.org/article/80916168125a4bf9a2b5401e4e474088","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Zhongguo linchuang yanjiu, Vol 39, Iss 6, Pp 815-819 (2026)","raw_type":"article"},"volume":null,"type":"article","indexed_in":["doaj"],"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/A5132911869","display_name":"JI Linlin(\u5180\u9e9f\u9e9f)","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"JI Linlin","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5100557985","display_name":"Han Junfeng","orcid":"https://orcid.org/0009-0005-8596-1891","observed_orcids":["https://orcid.org/0009-0005-8596-1891"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"HAN Junfeng","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":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.49913434,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"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/T10771","display_name":"Wound Healing and Treatments","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"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"}}],"keywords":[{"id":"https://openalex.org/keywords/diabetic-foot-ulcer","display_name":"diabetic foot ulcer","score":1.0},{"id":"https://openalex.org/keywords/systemic-disease","display_name":"systemic disease","score":0.6629999876022339},{"id":"https://openalex.org/keywords/cardiovascular-risk","display_name":"cardiovascular risk","score":0.4950000047683716},{"id":"https://openalex.org/keywords/chronic-kidney-disease","display_name":"chronic kidney disease","score":0.984000027179718},{"id":"https://openalex.org/keywords/amputation-risk","display_name":"amputation risk","score":0.7850000262260437},{"id":"https://openalex.org/keywords/sarcopenia","display_name":"sarcopenia","score":0.996999979019165},{"id":"https://openalex.org/keywords/malnutrition","display_name":"malnutrition","score":0.9919999837875366},{"id":"https://openalex.org/keywords/wound-healing","display_name":"wound healing","score":0.8830000162124634},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.9760000109672546},{"id":"https://openalex.org/keywords/cognitive-impairment","display_name":"cognitive impairment","score":0.996999979019165},{"id":"https://openalex.org/keywords/systemic-inflammation","display_name":"systemic inflammation","score":0.9660000205039978},{"id":"https://openalex.org/keywords/oxidative-stress","display_name":"oxidative stress","score":0.9639999866485596},{"id":"https://openalex.org/keywords/endothelial-dysfunction","display_name":"endothelial dysfunction","score":0.9959999918937683},{"id":"https://openalex.org/keywords/multidisciplinary-management","display_name":"multidisciplinary management","score":0.7269999980926514},{"id":"https://openalex.org/keywords/nutritional-screening","display_name":"nutritional screening","score":0.8370000123977661}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8784000277519226},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.671500027179718},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.6177999973297119},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.5702999830245972},{"id":"https://openalex.org/C2777858829","wikidata":"https://www.wikidata.org/wiki/Q52856","display_name":"Diabetic foot","level":3,"score":0.5702000260353088},{"id":"https://openalex.org/C551997983","wikidata":"https://www.wikidata.org/wiki/Q12167","display_name":"Malnutrition","level":2,"score":0.5419999957084656},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.5062000155448914},{"id":"https://openalex.org/C2778653478","wikidata":"https://www.wikidata.org/wiki/Q1054718","display_name":"Kidney disease","level":2,"score":0.48899999260902405},{"id":"https://openalex.org/C2776252253","wikidata":"https://www.wikidata.org/wiki/Q7663815","display_name":"Systemic inflammation","level":3,"score":0.4846999943256378},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.43299999833106995},{"id":"https://openalex.org/C2779159551","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Comorbidity","level":2,"score":0.42489999532699585},{"id":"https://openalex.org/C2778674544","wikidata":"https://www.wikidata.org/wiki/Q1414805","display_name":"Systemic disease","level":3,"score":0.41040000319480896},{"id":"https://openalex.org/C22467394","wikidata":"https://www.wikidata.org/wiki/Q849359","display_name":"Multidisciplinary approach","level":2,"score":0.40470001101493835},{"id":"https://openalex.org/C2778426790","wikidata":"https://www.wikidata.org/wiki/Q1649580","display_name":"Organ dysfunction","level":3,"score":0.39809998869895935},{"id":"https://openalex.org/C144587487","wikidata":"https://www.wikidata.org/wiki/Q1369234","display_name":"Systemic risk","level":3,"score":0.38119998574256897},{"id":"https://openalex.org/C2776214593","wikidata":"https://www.wikidata.org/wiki/Q1787939","display_name":"Sarcopenia","level":2,"score":0.33570000529289246},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.3314000070095062},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.3100000023841858},{"id":"https://openalex.org/C2776204877","wikidata":"https://www.wikidata.org/wiki/Q477415","display_name":"Amputation","level":2,"score":0.30880001187324524},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.30869999527931213},{"id":"https://openalex.org/C2776035688","wikidata":"https://www.wikidata.org/wiki/Q1606558","display_name":"Affect (linguistics)","level":2,"score":0.3025999963283539},{"id":"https://openalex.org/C2778144972","wikidata":"https://www.wikidata.org/wiki/Q52859","display_name":"Diabetic foot ulcer","level":4,"score":0.2980000078678131},{"id":"https://openalex.org/C2780972559","wikidata":"https://www.wikidata.org/wiki/Q550061","display_name":"Endothelial dysfunction","level":2,"score":0.29280000925064087},{"id":"https://openalex.org/C2777180221","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 diabetes","level":3,"score":0.2888000011444092},{"id":"https://openalex.org/C159641895","wikidata":"https://www.wikidata.org/wiki/Q108377937","display_name":"Renal function","level":2,"score":0.2851000130176544},{"id":"https://openalex.org/C2779922275","wikidata":"https://www.wikidata.org/wiki/Q1129105","display_name":"Diabetic nephropathy","level":3,"score":0.2800999879837036},{"id":"https://openalex.org/C3018799218","wikidata":"https://www.wikidata.org/wiki/Q188193","display_name":"Organ system","level":3,"score":0.2791999876499176},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.26809999346733093},{"id":"https://openalex.org/C117365660","wikidata":"https://www.wikidata.org/wiki/Q962589","display_name":"Myokine","level":3,"score":0.26499998569488525}],"mesh":[],"locations_count":1,"locations":[{"id":"pmh:oai:doaj.org/article:80916168125a4bf9a2b5401e4e474088","doi":"https://doi.org/10.13429/j.cnki.cjcr.2026.06.001","is_oa":false,"landing_page_url":"https://doaj.org/article/80916168125a4bf9a2b5401e4e474088","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Zhongguo linchuang yanjiu, Vol 39, Iss 6, Pp 815-819 (2026)","raw_type":"article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"score":0.772240936756134,"id":"https://metadata.un.org/sdg/2","display_name":"Zero hunger"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Diabetic":[0],"foot":[1],"ulcer\uff08DFU\uff09has":[2],"traditionally":[3],"been":[4,117],"regarded":[5],"as":[6,103,105,129],"a":[7,19,54,84,91],"localized":[8],"wound":[9,88,146],"problem,":[10],"but":[11],"emerging":[12],"evidence":[13],"indicates":[14],"that":[15],"it":[16],"is":[17,102,110],"essentially":[18],"focal":[20],"manifestation":[21],"of":[22,48,60,63,78,96,154,174],"systemic":[23,130,172],"metabolic-inflammatory-immune":[24],"decompensation.":[25],"Building":[26],"upon":[27],"the":[28,35,39,45,76,163,171,181],"\u201ccardio-renal-metabolic-foot\u201d":[29],"connection,":[30],"this":[31],"review":[32],"further":[33],"integrates":[34],"muscle-nutrition":[36],"dimension":[37,41],"and":[38,70,81,107,136,159,167,184],"psychological-cognitive":[40,160],"to":[42,87,148,177],"systematically":[43],"elaborate":[44],"multisystem":[46],"hazards":[47],"DFU.":[49],"Patients":[50],"with":[51,100,151],"DFU":[52,101,175],"have":[53,65,115],"more":[55,178],"than":[56],"twofold":[57],"increased":[58],"risk":[59,77],"cardiovascular":[61],"death\uff1b40%-60%":[62],"them":[64],"comorbid":[66],"chronic":[67],"kidney":[68],"disease,":[69],"declining":[71],"renal":[72],"function":[73],"significantly":[74],"elevates":[75],"amputation.":[79],"Sarcopenia":[80],"malnutrition":[82],"constitute":[83],"double":[85],"barrier":[86],"healing,":[89],"forming":[90],"vicious":[92],"cycle.":[93],"The":[94],"incidence":[95],"depression":[97],"in":[98],"patients":[99],"high":[104],"47%,":[106],"cognitive":[108,168],"dysfunction":[109],"prevalent,":[111],"yet":[112],"these":[113],"conditions":[114],"long":[116],"clinically":[118],"overlooked.":[119],"These":[120],"dimensions":[121,169],"mutually":[122],"reinforce":[123],"each":[124],"other":[125],"through":[126],"mechanisms":[127],"such":[128],"inflammation,":[131],"oxidative":[132],"stress,":[133],"endothelial":[134],"dysfunction,":[135],"reduced":[137],"behavioral":[138],"adherence.":[139],"Clinical":[140],"management":[141],"should":[142],"shift":[143],"from":[144],"isolated":[145],"care":[147],"multidisciplinary":[149],"collaboration,":[150],"routine":[152],"integration":[153],"sarcopenia":[155],"assessment,":[156],"nutritional":[157],"screening,":[158],"support.":[161],"Incorporating":[162],"muscle,":[164],"nutritional,":[165],"psychological,":[166],"into":[170],"framework":[173],"helps":[176],"comprehensively":[179],"understand":[180],"disease":[182],"burden":[183],"optimize":[185],"individualized":[186],"treatment":[187],"strategies.":[188]},"counts_by_year":[],"updated_date":"2026-10-12T09:40:04.860316","created_date":"2026-07-06T00:00:00"}
