The Ipswich Touch Test: a simple and novel method to identify inpatients with diabetes at risk of foot ulceration.

Abstract:

OBJECTIVE:To promote foot screening of inpatients with diabetes, we simplified sensory testing to lightly touching the tips of the first, third, and fifth toes (the Ipswich Touch Test [IpTT]). RESEARCH DESIGN AND METHODS:Respective performances of the IpTT and 10-g monofilament (MF) were compared with a vibration perception threshold of ≥25 V indicating at-risk feet in 265 individuals. The IpTT and MF were also directly compared. RESULTS:With ≥2 of 6 insensate areas signifying at-risk feet, sensitivities and specificities, respectively, were IpTT (77 and 90%), MF (81 and 91%); positive predictive values were IpTT (89%), MF (91%); and negative predictive values were IpTT (77%), MF (81%). Directly compared, agreement between the IpTT and MF was almost perfect (κ=0.88, P<0.0001). Interrater agreement for the IpTT was substantial (κ=0.68). CONCLUSIONS:The IpTT performs well against a recognized standard for ulcer prediction. Simple to teach, reliable, without expense, and always at hand, it should encourage uptake of screening and detection of high-risk inpatients requiring foot protection.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

Rayman G,Vas PR,Baker N,Taylor CG Jr,Gooday C,Alder AI,Donohoe M

doi

10.2337/dc11-0156

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

1517-8

issue

7

eissn

0149-5992

issn

1935-5548

pii

dc11-0156

journal_volume

34

pub_type

杂志文章
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    doi:10.2337/diacare.7.3.291

    authors: Sinnock P,Bauer DW

    更新日期:1984-05-01 00:00:00

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.7.1.47

    authors: Haitas B,Barnes A,Shogry ME,Weindling M,Rolfe P,Turner RC

    更新日期:1984-01-01 00:00:00

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    pub_type: 杂志文章

    doi:10.2337/dc13-0683

    authors: Velho G,Bouby N,Hadjadj S,Matallah N,Mohammedi K,Fumeron F,Potier L,Bellili-Munoz N,Taveau C,Alhenc-Gelas F,Bankir L,Marre M,Roussel R

    更新日期:2013-11-01 00:00:00

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    pub_type: 杂志文章

    doi:10.2337/diacare.24.10.1706

    authors: Moran A,Phillips J,Milla C

    更新日期:2001-10-01 00:00:00

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    pub_type: 杂志文章

    doi:10.2337/diacare.9.4.351

    authors: Mecklenburg RS,Guinn TS,Sannar CA,Blumenstein BA

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    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

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    authors: van Venrooij FV,Stolk RP,Banga JD,Sijmonsma TP,van Tol A,Erkelens DW,Dallinga-Thie GM,DALI Study Group.

    更新日期:2003-04-01 00:00:00

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.16.5.714

    authors: Street RL Jr,Piziak VK,Carpentier WS,Herzog J,Hejl J,Skinner G,McLellan L

    更新日期:1993-05-01 00:00:00

  • Cardiovascular complications and mortality after diabetes diagnosis for South Asian and Chinese patients: a population-based cohort study.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc12-2105

    authors: Shah BR,Victor JC,Chiu M,Tu JV,Anand SS,Austin PC,Manuel DG,Hux JE

    更新日期:2013-09-01 00:00:00

  • Efficacy of metformin in the treatment of NIDDM. Meta-analysis.

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    journal_title:Diabetes care

    pub_type: 杂志文章,meta分析

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    authors: Johansen K

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  • Assessment of glycosylated hemoglobin measurement with sample collection papers.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.10.3.352

    authors: Broussolle C,Saudek CD

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.26.11.3129

    authors: Marfella R,Siniscalchi M,Esposito K,Sellitto A,De Fanis U,Romano C,Portoghese M,Siciliano S,Nappo F,Sasso FC,Mininni N,Cacciapuoti F,Lucivero G,Giunta R,Verza M,Giugliano D

    更新日期:2003-11-01 00:00:00

  • Clinical evaluation of a personalized artificial pancreas.

    abstract:OBJECTIVE:An artificial pancreas (AP) that automatically regulates blood glucose would greatly improve the lives of individuals with diabetes. Such a device would prevent hypo- and hyperglycemia along with associated long- and short-term complications as well as ease some of the day-to-day burden of frequent blood gluc...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章

    doi:10.2337/dc12-0948

    authors: Dassau E,Zisser H,Harvey RA,Percival MW,Grosman B,Bevier W,Atlas E,Miller S,Nimri R,Jovanovic L,Doyle FJ 3rd

    更新日期:2013-04-01 00:00:00

  • Glycosylated hemoglobin in relation to rapid fluctuations in blood glucose in children with insulin-dependent diabetes: a comparison of methods with and without prior dialysis.

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    pub_type: 杂志文章

    doi:10.2337/diacare.4.5.551

    authors: Ditzel J,Kjaergaard JJ,Kawahara R,Ostergaard GZ,Mourits-Andersen T

    更新日期:1981-09-01 00:00:00

  • The epidemiology of diabetes in pregnant Native Canadians. A risk profile.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.20.9.1422

    authors: Harris SB,Caulfield LE,Sugamori ME,Whalen EA,Henning B

    更新日期:1997-09-01 00:00:00

  • Altered postprandial insulin requirement in IDDM patients with gastroparesis.

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    doi:10.2337/diacare.17.8.901

    authors: Ishii M,Nakamura T,Kasai F,Onuma T,Baba T,Takebe K

    更新日期:1994-08-01 00:00:00

  • Plasma 25-hydroxyvitamin D and progression to diabetes in patients at risk for diabetes: an ancillary analysis in the Diabetes Prevention Program.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc11-1795

    authors: Pittas AG,Nelson J,Mitri J,Hillmann W,Garganta C,Nathan DM,Hu FB,Dawson-Hughes B,Diabetes Prevention Program Research Group.

    更新日期:2012-03-01 00:00:00

  • Using the BRAVO Risk Engine to Predict Cardiovascular Outcomes in Clinical Trials With Sodium-Glucose Transporter 2 Inhibitors.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc20-0227

    authors: Shao H,Shi L,Fonseca VA

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  • Prediction of diabetes based on baseline metabolic characteristics in individuals at high risk.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc13-0520

    authors: Defronzo RA,Tripathy D,Schwenke DC,Banerji M,Bray GA,Buchanan TA,Clement SC,Henry RR,Kitabchi AE,Mudaliar S,Ratner RE,Stentz FB,Musi N,Reaven PD,Gastaldelli A,ACT NOW Study.

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  • Distortion-product otoacoustic emissions and selective sensorineural loss in IDDM.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.21.8.1317

    authors: Di Nardo W,Ghirlanda G,Paludetti G,Cercone S,Saponara C,Del Ninno M,Di Girolamo S,Magnani P,Di Leo MA

    更新日期:1998-08-01 00:00:00

  • Fasting plasma free fatty acids and risk of type 2 diabetes: the atherosclerosis risk in communities study.

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    journal_title:Diabetes care

    pub_type: 杂志文章

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  • Sulfonylurea treatment of type 2 diabetic patients does not reduce the vasodilator response to ischemia.

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    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

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  • PEPCK gene as model of inhibitory effects of insulin on gene transcription.

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    pub_type: 杂志文章,评审

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  • Insulin gene mutations as cause of diabetes in children negative for five type 1 diabetes autoantibodies.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc08-0783

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    更新日期:2009-01-01 00:00:00

  • Consumption of sugar-sweetened beverages among adults with type 2 diabetes.

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc10-1687

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    更新日期:2011-03-01 00:00:00

  • Effect of a high-fiber diet compared with a moderate-fiber diet on calcium and other mineral balances in subjects with type 2 diabetes.

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    journal_title:Diabetes care

    pub_type: 杂志文章,随机对照试验

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    authors: Shah M,Chandalia M,Adams-Huet B,Brinkley LJ,Sakhaee K,Grundy SM,Garg A

    更新日期:2009-06-01 00:00:00

  • Diabetes and oral tumors in Hungary: epidemiological correlations.

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    pub_type: 杂志文章

    doi:10.2337/diacare.27.3.770

    authors: Ujpál M,Matos O,Bíbok G,Somogyi A,Szabó G,Suba Z

    更新日期:2004-03-01 00:00:00

  • The action profile of lispro is not blunted by mixing in the syringe with NPH insulin.

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    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2337/diacare.21.12.2098

    authors: Joseph SE,Korzon-Burakowska A,Woodworth JR,Evans M,Hopkins D,Janes JM,Amiel SA

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    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.20.11.1693

    authors: Wassef N,Sidhom G,Zakareya el-K,Mohamed el-K

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  • Advances toward the implantable artificial pancreas for treatment of diabetes.

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    pub_type: 杂志文章,评审

    doi:10.2337/diacare.21.3.444

    authors: Jaremko J,Rorstad O

    更新日期:1998-03-01 00:00:00

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    更新日期:1992-10-01 00:00:00