Abstract:
OBJECTIVE:We conducted a prospective pilot study in patients with diabetes to analyse the interobserver reliability of the ankle-brachial index, toe-brachial index and distal pulse palpation depending on the training of the professional involved. MATERIALS AND METHODS:The ankle-brachial index, toe-brachial index and distal pulses were assessed by three clinicians with different levels of experience on the same day. Measurements were supervised and recorded by a fourth clinician. RESULTS:Twenty-one patients (42 ft) were included in this study. We observed moderate agreement between clinicians in the palpation of posterior tibial arteries (K = 0.45, p < 0.001) and low agreement in dorsalis pedis arteries (K = 0.33, p < 0.001). The measurement of ankle-brachial index had moderate agreement between clinicians in patients with medial arterial calcification (K = 0.43, p < 0.001) and low agreement in patients with normal ankle-brachial index (K = 0.4, p < 0.001). The measurement of toe-brachial index had moderate agreement between clinicians in patients with a normal toe-brachial index (K = 0.4, p < 0.001) and in patients with medial arterial calcification (K = 0.60, p < 0.001). CONCLUSION:Palpation of distal pulses, ankle-brachial index and toe-brachial index determination in patients with diabetes are not highly reproducible and reliable between clinicians with different levels of experience under routine conditions.
journal_name
Diab Vasc Dis Resjournal_title
Diabetes & vascular disease researchauthors
Álvaro-Afonso FJ,García-Morales E,Molines-Barroso RJ,García-Álvarez Y,Sanz-Corbalán I,Lázaro-Martínez JLdoi
10.1177/1479164118767599subject
Has Abstractpub_date
2018-07-01 00:00:00pages
344-347issue
4eissn
1479-1641issn
1752-8984journal_volume
15pub_type
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