Evidence map›Paper›PMID 42517470›Full record

ReviewNursing & health sciences2026

Treatment Delay in Patients With Diabetes-Related Foot Ulcers: A Walker and Avant Concept Analysis.

Jinyan Zhou, Yihong Xu, Shanni Ding, Hongying Pan

Abstract readReview
In one paragraph

Review in Nursing & health sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jinyan ZhouNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID https://orcid.org/0000-0002-4853-3282
Yihong XuNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID https://orcid.org/0000-0001-6177-8316
Shanni DingNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID https://orcid.org/0000-0002-0097-2200
Hongying PanNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID https://orcid.org/0000-0001-5597-1793

Funding

Nursing Clinical Research Project of Sir Run Run Shaw Hospital, Zhejiang University School of Medicine 2024HLKY05Zhejiang Province Education Department General Research Project Y202146259Zhejiang Province Medical and Health Science and Technology Program 2023KY812Zhejiang Province Medical and Health Science and Technology Program 2024KY1142Zhejiang Province Science and Technology Program 2023C03191Zhejiang University "Double First-Class" Construction Nursing Advantage and Characteristic Discipline Scientific Research Cultivation Fund Project HL2024010
6 · The paper itself

Abstract

Treatment delay is a critical yet inconsistently defined concept in diabetes-related foot ulcer (DFU) care, hindering comparability across studies and clinical interpretation. This study aimed to clarify the concept of treatment delay in patients with DFU using Walker and Avant's concept analysis method. Eleven databases (PubMed, Web of Science, Embase, CINAHL, PsycINFO, Cochrane Library, ProQuest, CNKI, WanFang, VIP, SinoMed) were searched from inception to June 5, 2026. Peer-reviewed studies addressing DFU-related treatment delay were included. Twenty-four studies were analyzed. Two defining attributes were identified: (1) a temporally bounded interval from first awareness of a foot ulcer to initiation of guideline-concordant DFU care, and (2) normative excessiveness beyond a clinically acceptable timeframe. Patient delay and professional/system delay were identified as conceptual subtypes. Antecedents and consequences spanned patient, social, and healthcare system levels. This concept analysis clarifies the conceptual boundaries of treatment delay in patients with DFU and provides a foundation for standardized measurement and future intervention research.

Indexed as

Concept FormationDiabetic FootTreatment DelayHumansconcept analysisdiabetes‐related foot ulcerempirical referentspatient delayprofessional delayreferral delaytreatment delayWalker and Avant

Identifiers

PMID42517470
PMCPMC13410436

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.