{"id":"https://openalex.org/W7203697045","doi":"https://doi.org/10.20956/qxyycq06","title":"Management Strategies of Diabetic Foot Ulcers with Tunneling or Undermining: A Scoping Review","display_name":"Management Strategies of Diabetic Foot Ulcers with Tunneling or Undermining: A Scoping Review","publication_year":2026,"publication_date":"2026-08-17","ids":{"openalex":"https://openalex.org/W7203697045","doi":"https://doi.org/10.20956/qxyycq06"},"language":"en","primary_location":{"id":"doi:10.20956/qxyycq06","doi":"https://doi.org/10.20956/qxyycq06","is_oa":true,"landing_page_url":"https://doi.org/10.20956/qxyycq06","pdf_url":"https://journal.unhas.ac.id/index.php/icon/article/download/49635/14901","source":{"id":"https://openalex.org/S4210240386","display_name":"Indonesian Contemporary Nursing Journal (ICON Journal)","issn_l":"2528-2557","issn":["2528-2557","2686-116X"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":"https://openalex.org/P4310315277","host_organization_name":"Hasanuddin University","host_organization_lineage":["https://openalex.org/P4310315277"],"host_organization_lineage_names":["Hasanuddin University"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indonesian Contemporary Nursing Journal (ICON Journal)","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://journal.unhas.ac.id/index.php/icon/article/download/49635/14901","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5085034521","display_name":"Erlin Ifadah","orcid":"https://orcid.org/0000-0001-9901-7467","observed_orcids":["https://orcid.org/0000-0001-9901-7467"]},"institutions":[{"id":"https://openalex.org/I10091056","display_name":"Kanazawa University","ror":"https://ror.org/02hwp6a56","country_code":"JP","type":"education","lineage":["https://openalex.org/I10091056"]},{"id":"https://openalex.org/I4210117986","display_name":"Universitas Respati Indonesia","ror":"https://ror.org/02pd46y72","country_code":"ID","type":"education","lineage":["https://openalex.org/I4210117986"]}],"countries":["ID","JP"],"is_corresponding":false,"raw_author_name":"Erlin Ifadah","raw_affiliation_strings":["Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University, Japan","Nursing Department, Faculty of Health, Respati Indonesia University, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University, Japan","institution_ids":["https://openalex.org/I10091056"]},{"raw_affiliation_string":"Nursing Department, Faculty of Health, Respati Indonesia University, Indonesia","institution_ids":["https://openalex.org/I4210117986"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5129017133","display_name":"Sukarni Sukarni","orcid":"https://orcid.org/0000-0002-0188-9644","observed_orcids":["https://orcid.org/0000-0002-0188-9644"]},"institutions":[{"id":"https://openalex.org/I12176630","display_name":"Tanjungpura University","ror":"https://ror.org/04exz5k48","country_code":"ID","type":"education","lineage":["https://openalex.org/I12176630"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Sukarni Sukarni","raw_affiliation_strings":["Nursing Department, Faculty of Medicine, Tanjungpura University, Indonesia"],"raw_orcid":"https://orcid.org/0000-0002-0188-9644","affiliations":[{"raw_affiliation_string":"Nursing Department, Faculty of Medicine, Tanjungpura University, Indonesia","institution_ids":["https://openalex.org/I12176630"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033609950","display_name":"Muhammad Aminuddin","orcid":"https://orcid.org/0000-0002-9010-545X","observed_orcids":["https://orcid.org/0000-0002-9010-545X"]},"institutions":[{"id":"https://openalex.org/I47689905","display_name":"Mulawarman University","ror":"https://ror.org/02kwq2y85","country_code":"ID","type":"education","lineage":["https://openalex.org/I47689905"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Muhammad Aminuddin","raw_affiliation_strings":["Nursing Department, Faculty of Medicine, Mulawarman University, Indonesia"],"raw_orcid":"https://orcid.org/0000-0002-9010-545X","affiliations":[{"raw_affiliation_string":"Nursing Department, Faculty of Medicine, Mulawarman University, Indonesia","institution_ids":["https://openalex.org/I47689905"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031476989","display_name":"Kanae Mukai","orcid":"https://orcid.org/0000-0001-8876-4918","observed_orcids":["https://orcid.org/0000-0001-8876-4918"]},"institutions":[{"id":"https://openalex.org/I10091056","display_name":"Kanazawa University","ror":"https://ror.org/02hwp6a56","country_code":"JP","type":"education","lineage":["https://openalex.org/I10091056"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Kanae Mukai","raw_affiliation_strings":["Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Japan"],"raw_orcid":"https://orcid.org/0000-0001-8876-4918","affiliations":[{"raw_affiliation_string":"Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Japan","institution_ids":["https://openalex.org/I10091056"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5032579737","display_name":"Makoto Oe","orcid":"https://orcid.org/0000-0002-4433-1608","observed_orcids":["https://orcid.org/0000-0002-4433-1608"]},"institutions":[{"id":"https://openalex.org/I10091056","display_name":"Kanazawa University","ror":"https://ror.org/02hwp6a56","country_code":"JP","type":"education","lineage":["https://openalex.org/I10091056"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Makoto Oe","raw_affiliation_strings":["Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Japan"],"raw_orcid":"https://orcid.org/0000-0002-4433-1608","affiliations":[{"raw_affiliation_string":"Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Japan","institution_ids":["https://openalex.org/I10091056"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":500000,"currency":"IDR","value_usd":32},"apc_paid":{"value":500000,"currency":"IDR","value_usd":32},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"11","issue":"1","first_page":"112","last_page":"125"},"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":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"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":0.9390000104904175},{"id":"https://openalex.org/keywords/tunneling","display_name":"tunneling","score":0.8220000267028809},{"id":"https://openalex.org/keywords/undermining","display_name":"undermining","score":0.9909999966621399},{"id":"https://openalex.org/keywords/acellular-dermal-matrix","display_name":"acellular dermal matrix","score":0.9319999814033508},{"id":"https://openalex.org/keywords/debridement","display_name":"debridement","score":0.9300000071525574},{"id":"https://openalex.org/keywords/compression","display_name":"compression","score":0.746999979019165},{"id":"https://openalex.org/keywords/immobilization","display_name":"immobilization","score":0.9959999918937683},{"id":"https://openalex.org/keywords/wound-care","display_name":"wound care","score":0.8050000071525574}],"concepts":[{"id":"https://openalex.org/C2777858829","wikidata":"https://www.wikidata.org/wiki/Q52856","display_name":"Diabetic foot","level":3,"score":0.8999999761581421},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8574000000953674},{"id":"https://openalex.org/C115076146","wikidata":"https://www.wikidata.org/wiki/Q1651051","display_name":"Foot (prosody)","level":2,"score":0.5260000228881836},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.4867999851703644},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.460099995136261},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.41670000553131104},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.414000004529953},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.3896999955177307},{"id":"https://openalex.org/C2777438270","wikidata":"https://www.wikidata.org/wiki/Q5248564","display_name":"Debridement (dental)","level":2,"score":0.38580000400543213},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.3334999978542328},{"id":"https://openalex.org/C148482608","wikidata":"https://www.wikidata.org/wiki/Q17007018","display_name":"Clinical study design","level":3,"score":0.32919999957084656},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.27970001101493835},{"id":"https://openalex.org/C2988054608","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management strategy","level":2,"score":0.25870001316070557},{"id":"https://openalex.org/C2776217022","wikidata":"https://www.wikidata.org/wiki/Q1100933","display_name":"Diabetes management","level":4,"score":0.257099986076355},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.25369998812675476},{"id":"https://openalex.org/C2776204877","wikidata":"https://www.wikidata.org/wiki/Q477415","display_name":"Amputation","level":2,"score":0.25119999051094055},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.2502000033855438}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.20956/qxyycq06","doi":"https://doi.org/10.20956/qxyycq06","is_oa":true,"landing_page_url":"https://doi.org/10.20956/qxyycq06","pdf_url":"https://journal.unhas.ac.id/index.php/icon/article/download/49635/14901","source":{"id":"https://openalex.org/S4210240386","display_name":"Indonesian Contemporary Nursing Journal (ICON Journal)","issn_l":"2528-2557","issn":["2528-2557","2686-116X"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":"https://openalex.org/P4310315277","host_organization_name":"Hasanuddin University","host_organization_lineage":["https://openalex.org/P4310315277"],"host_organization_lineage_names":["Hasanuddin University"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indonesian Contemporary Nursing Journal (ICON Journal)","raw_type":"journal-article"},{"id":"pmh:oai:ojs.unhas:article/49635","doi":null,"is_oa":true,"landing_page_url":"https://journal.unhas.ac.id/index.php/index/article/view/49635","pdf_url":null,"source":{"id":"https://openalex.org/S4210240386","display_name":"Indonesian Contemporary Nursing Journal (ICON Journal)","issn_l":"2528-2557","issn":["2528-2557","2686-116X"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":"https://openalex.org/P4310315277","host_organization_name":"Hasanuddin University","host_organization_lineage":["https://openalex.org/P4310315277"],"host_organization_lineage_names":["Hasanuddin University"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"10.20956/icon.v11i1","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.20956/qxyycq06","doi":"https://doi.org/10.20956/qxyycq06","is_oa":true,"landing_page_url":"https://doi.org/10.20956/qxyycq06","pdf_url":"https://journal.unhas.ac.id/index.php/icon/article/download/49635/14901","source":{"id":"https://openalex.org/S4210240386","display_name":"Indonesian Contemporary Nursing Journal (ICON Journal)","issn_l":"2528-2557","issn":["2528-2557","2686-116X"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":"https://openalex.org/P4310315277","host_organization_name":"Hasanuddin University","host_organization_lineage":["https://openalex.org/P4310315277"],"host_organization_lineage_names":["Hasanuddin University"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Indonesian Contemporary Nursing Journal (ICON Journal)","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9789000153541565,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"}],"awards":[{"id":"https://openalex.org/G3207163342","display_name":"Establishment of diabetic foot ulcer management using the diabetic foot ulcer healing process monitoring scale","funder_award_id":"23K27883","funder_id":"https://openalex.org/F4320334764","funder_display_name":"Japan Society for the Promotion of Science"}],"funders":[{"id":"https://openalex.org/F4320334764","display_name":"Japan Society for the Promotion of Science","ror":"https://ror.org/00hhkn466"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7203697045.pdf","grobid_xml":"https://content.openalex.org/works/W7203697045.grobid-xml"},"referenced_works_count":19,"referenced_works":["https://openalex.org/W1594671309","https://openalex.org/W1905928909","https://openalex.org/W1916231369","https://openalex.org/W1954538152","https://openalex.org/W1986603670","https://openalex.org/W2058870015","https://openalex.org/W2118078631","https://openalex.org/W2128242409","https://openalex.org/W2613662296","https://openalex.org/W2626354203","https://openalex.org/W2891378911","https://openalex.org/W3187671945","https://openalex.org/W4211066908","https://openalex.org/W4309099582","https://openalex.org/W4376137951","https://openalex.org/W4378529685","https://openalex.org/W4385469348","https://openalex.org/W4389077168","https://openalex.org/W4402581929"],"related_works":["https://openalex.org/W7130519809","https://openalex.org/W4400886150","https://openalex.org/W6904052327","https://openalex.org/W4386945282","https://openalex.org/W2896705374","https://openalex.org/W7216703890","https://openalex.org/W4406039480","https://openalex.org/W7204826830","https://openalex.org/W4241328394","https://openalex.org/W7207935557"],"abstract_inverted_index":{"Aim:":[0],"This":[1],"review":[2,29,185],"summarizes":[3],"the":[4,8,23,34,67,71,76,95,191,215],"available":[5],"evidence":[6],"on":[7,94,227],"management":[9,96,166],"of":[10,53,98,112,149,196,211],"diabetic":[11,57,89,99,137,159,169],"foot":[12,58,90,100,138,160,170],"ulcers":[13,101,139,161,171],"using":[14,50],"tunneling":[15,103,173],"or":[16,104,193],"undermining":[17,175,230],"and":[18,43,61,74,92,124,154,174,180,208,229],"identifies":[19],"potential":[20],"gaps":[21],"in":[22,47,214],"current":[24,216],"research.":[25],"Methods:":[26],"A":[27],"scoping":[28,184],"was":[30],"conducted":[31],"according":[32,69],"to":[33,56,70,189,222],"PRISMA-ScR":[35],"guidelines.":[36],"Four":[37],"databases":[38],"(Medline,":[39],"Scopus,":[40],"Google":[41],"Scholar,":[42],"PubMed)":[44],"were":[45,81,115,120,156],"searched":[46],"May":[48],"2025":[49],"a":[51,204,209],"combination":[52],"terms":[54],"related":[55],"ulcer,":[59],"tunneling,":[60],"undermining.":[62,105,163],"Two":[63],"independent":[64],"researchers":[65],"screened":[66],"articles":[68],"inclusion":[72,79],"criteria":[73,80],"extracted":[75],"data.":[77],"The":[78,107,117,165],"original":[82],"articles/case":[83],"reports,":[84],"studies":[85,93,119,127],"involving":[86],"patients":[87],"with":[88,102,140,162,172],"ulcers,":[91],"strategies":[97,167],"Results:":[106],"search":[108],"yielded":[109],"115":[110],"articles,":[111],"which":[113],"five":[114],"included.":[116],"included":[118],"published":[121],"between":[122],"2009":[123],"2024.":[125],"Three":[126],"reported":[128,146],"that":[129,147],"acellular":[130],"dermal":[131],"matrix":[132],"(ADM)":[133],"is":[134,220],"effective":[135,157],"for":[136,158,168],"tunneling.":[141],"In":[142],"contrast,":[143],"another":[144],"study":[145],"debridement":[148],"all":[150],"surface":[151],"areas,":[152],"compression,":[153,179],"immobilization":[155],"Conclusion:":[164],"include":[176],"ADM,":[177],"debridement,":[178],"immobilization.":[181],"While":[182],"this":[183],"does":[186],"not":[187],"aim":[188],"establish":[190],"statistical":[192],"clinical":[194],"effectiveness":[195],"one":[197],"intervention":[198],"over":[199],"another,":[200],"it":[201],"clearly":[202],"uncovers":[203],"substantial":[205],"knowledge":[206],"gap":[207],"lack":[210],"standardized":[212],"protocols":[213],"literature.":[217],"Further":[218],"research":[219],"needed":[221],"develop":[223],"specific":[224],"recommendations":[225],"based":[226],"tunnel":[228],"sizes.":[231]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-08-19T00:00:00"}