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Cited by 340

The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.

The impact of foot ulceration and amputation on mortality in diabetic patients. I: From ulceration to death, a systematic review

Open access
Jupiter, Daniel C, Thorud, Jakob C, Buckley, Clifford J, Shibuya, Naohiro·2016·International Wound Journal

Abstract

A great deal of emphasis, clinical and financial, is placed on limb salvage efforts in diabetic patients suffering from lower extremity ulceration. This is because of the impression that amputation in such patients may be a proximal cause of death. While amputation is certainly a negative clinical outcome, it is not entirely clear that it causes death. In this systematic review, we examine the available literature to attempt to understand the role that the ulceration itself may play in mortality. In brief, we searched for human studies in OVID,CINAHL and the COCHRANE CENTRAL DATABASE from 1980 to 2013, looking for articles related to ulcer or wound of the foot, in patients with diabetes or peripheral vascular disease, and death. We looked for articles with 5 years of follow‐up, or Kaplan–Meier estimates of 5‐year mortality, and excluded reviews and letters. Articles were assessed for quality and potential bias using the Newcastle–Ottawa scale. We find that while the patient populations studied varied widely in terms of demographics and comorbidities, limiting generalisability, 5‐year mortality rates after ulceration were around 40%. Risk factors for death commonly identified were increased age, male gender, peripheral vascular disease and renal disease.

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Metadata

Authors
Jupiter, D. C., Thorud, J. C., Buckley, C. J., & Shibuya, N.
Venue
International Wound Journal
Publisher
Wiley
Published
2015-01-20
Volume
13
Issue
5
Pages
892-903
ISSN
  • 1742-4801 (ISSN-L)
  • 1742-481X
OpenAlex
W2105871752
Cited by
340
References
38
FWCI
2.26
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: The impact of foot ulceration and amputation on mortality in diabetic patients. I: From ulceration to death, a systematic review. https://app.cochat.ai/papers/10.1111/iwj.12404
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Jupiter, D. C., Thorud, J. C., Buckley, C. J., & Shibuya, N. (2016). The impact of foot ulceration and amputation on mortality in diabetic patients. I: From ulceration to death, a systematic review. International Wound Journal. https://doi.org/10.1111/iwj.12404

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.