Abstract：
:This trial assessed whether a simple clinical tool can be used to stratify patients with diabetes, according to risk of developing foot ulceration. This was a prospective, observational follow-up study of 3526 patients with diabetes (91% type 2 diabetes) attending for routine diabetes care. Mean age was 64.7 (range 15-101) years and duration of diabetes was 8.8 (+/-1.5 SD) years. Patients were categorised into 'low' (64%), 'moderate' (23%) or 'high' (13%) risk of developing foot ulcers by trained staff using five clinical criteria during routine patient care. During follow-up (1.7 years), 166 (4.7%) patients developed an ulcer. Foot ulceration was 83 times more common in high risk and six times more in moderate risk, compared with low-risk patients. The negative predictive value of a 'low-risk score' was 99.6% (99.5-99.7%; 95% confidence interval). This clinical tool accurately predicted foot ulceration in routine practice and could be used direct scarce podiatry resources towards those at greatest need.
journal_name
Int J Clin Practjournal_title
International journal of clinical practiceauthors
Leese GP,Reid F,Green V,McAlpine R,Cunningham S,Emslie-Smith AM,Morris AD,McMurray B,Connacher ACdoi
10.1111/j.1368-5031.2006.00899.xsubject
Has Abstractpub_date
2006-05-01 00:00:00pages
541-5issue
5eissn
1368-5031issn
1742-1241pii
IJCP899journal_volume
60pub_type
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