The Utility of Annual Reassessment of the International Working Group on the Diabetic Foot Diabetes-Related Foot Ulcer Risk Classification in the Primary Care Setting—A Cohort Study

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS

ACS Applied Bio Materials Pub Date : 2024-06-04 DOI:10.3390/diabetology5020017

Matilde Monteiro-Soares, José Dores, Cristina Alves-Palma, Susana Galrito, D. Ferreira-Santos

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引用次数: 0

Abstract

Background: We assessed the pertinence of updating the International Working Group on the Diabetic Foot (IWGDF) risk classification yearly in people with diabetes by quantifying the changes in the risk group and its accuracy in identifying those developing an ulcer (DFU) in a primary care setting. Methods: In our retrospective cohort study, we included all people with diabetes with a foot assessment registry between January 2016 and December 2018 in the Baixo Alentejo Local Health Unit. Foot-related data were collected at baseline after one and two years. DFU and/or death until December 2019 were registered. The proportion of people changing their risk status each year was calculated. Accuracy measures of the IWGDF classification to predict DFU occurrence at one, two, and three years were calculated. Results: A total of 2097 people were followed for three years, during which 0.1% died and 12.4% developed a DFU. After two years, 3.6% of the participants had progressed to a higher-risk group. The IWGDF classification presented specificity values superior to 90% and negative predictive values superior to 99%. Conclusion: Foot risk status can be safely updated every two years instead of yearly, mainly for those at very low risk. The IWGDF classification can accurately identify those not at risk of DFU.

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国际糖尿病足工作组糖尿病足溃疡风险分类年度重新评估在基层医疗机构中的实用性--队列研究

背景：我们评估了每年更新国际糖尿病足工作组（IWGDF）糖尿病患者风险分类的相关性，方法是量化风险组的变化及其在初级保健环境中识别溃疡患者（DFU）的准确性。方法在我们的回顾性队列研究中，我们纳入了2016年1月至2018年12月期间在Baixo Alentejo地方卫生单位进行足部评估登记的所有糖尿病患者。我们收集了一年和两年后的足部相关基线数据。对截至 2019 年 12 月的 DFU 和/或死亡进行了登记。计算了每年改变风险状况的人数比例。计算了 IWGDF 分类预测一年、两年和三年后 DFU 发生率的准确度。结果：共对 2097 人进行了为期三年的跟踪调查，在此期间，0.1% 的人死亡，12.4% 的人罹患 DFU。两年后，3.6%的参与者发展成为高危人群。IWGDF分类的特异性值超过90%，阴性预测值超过99%。结论：足部风险状况可以安全地每两年更新一次，而不是每年更新一次，这主要适用于风险极低的人群。IWGDF分类法可以准确识别出那些没有DFU风险的人。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464

期刊介绍： ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.