Diabetic foot ulcer: a systematic review of risk factors

The development of DFUs may be associated with various factors, including: a history of previous DFUs; amputation or clinical atherosclerosis syndrome, such as peripheral arterial and cerebrovascular disease; the severity of diabetes; and various clinical signs regarding the patient's foot. The low certainty of evidence for most of these factors indicates that there is still a gap in knowledge regarding the early detection of foot ulcers in people with diabetes. A large prospective study could identify more precisely which factors are the most significant. Contemporary technology could use such data to create devices that would be able to predict DFUs so they can be prevented or treated earlier, which would reduce the possibility of lower limb amputation.

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Publication Details

Journal
Journal of Wound Care
Published
2026-03-02
DOI
https://doi.org/10.12968/jowc.2023.0017
Citations
1
Primary Topic
Diabetic Foot Ulcer Assessment and Management
Type
article
Field-Weighted Citation Impact
30.73
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article

Diabetic foot ulcer: a systematic review of risk factors

Mihai Ionac, Eftychios Protopapadakis, Vaia Lampadiari, George Geroulakos et al.
1 citations
Journal of Wound Care
Diabetic Foot Ulcer Assessment and Management
30.73
article

Diabetic foot ulcer: a systematic review of risk factors

Mihai Ionac, Eftychios Protopapadakis, Vaia Lampadiari, George Geroulakos, Michael A. Lazaris, Georgios M. Pappas, Adriane E. Napp, Nikolaos Doulamis, Anastasios Doulamis, Günther Silbernagel, Maria-Erofili S Lazari, Panagiotis Halvatsiotis, Katerina Angeli-Doulami, Andreas M Lazaris
article en
1 citations

Abstract

The development of DFUs may be associated with various factors, including: a history of previous DFUs; amputation or clinical atherosclerosis syndrome, such as peripheral arterial and cerebrovascular disease; the severity of diabetes; and various clinical signs regarding the patient's foot. The low certainty of evidence for most of these factors indicates that there is still a gap in knowledge regarding the early detection of foot ulcers in people with diabetes. A large prospective study could identify more precisely which factors are the most significant. Contemporary technology could use such data to create devices that would be able to predict DFUs so they can be prevented or treated earlier, which would reduce the possibility of lower limb amputation.

Journal of Wound CareVol. 35(3)
National Technical University of Athens (GR), University of Patras (GR), National and Kapodistrian University of Athens (GR), Medical University of Graz (AT), West University of Timişoara (RO), Charité - Universitätsmedizin Berlin (DE)
Good health and well-being
Openalex Percentile: Top 0%
Diabetic Foot Ulcer Assessment and Management
30.73
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Diabetic foot ulcer: a systematic review of risk factors — Mihai Ionac, Eftychios Protopapadakis, et al. · Journal of Wound Care (2026) | TGRS Research Map | TGRS