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  1. Fulltext. Choosing a practical screening instrument to identify patients at risk for diabetic foot ulceration.

    Article - En anglais

    Fulltext.

    Objective 

    To evaluate the sensitivity and specificity of 3 sensory perception testing instruments to screen for risk of diabetic foot ulceration.

    Methods 

    This case-control study prospectively measured the degree of peripheral sensory neuropathy in diabetic patients with and without foot ulcers.

    We enrolled 115 age-matched diabetic patients (40% male) with a case-control ratio of approximately 1 : 3 (30 cases and 85 controls) from a tertiary care diabetic foot specialty clinic.

    Cases were defined as individuals who had an existing foot ulceration or a history of a recently (<4 weeks) healed foot ulceration.

    Controls were defined as subjects with no foot ulceration history.

    Using receiver operating characteristic analysis, we evaluated the sensitivity and specificity of 2 commonly used neuropathy assessment tools (vibration perception threshold testing and the Semmes-Weinstein 10-g monofilament wire system) and a 4-question verbal neuropathy score to evaluate for presence of foot ulceration.

    Result 

    A vibration perception threshold test using 25 V and lack of perception at 4 or more sites using the Semmes-Weinstein 10-g monofilament wire system had a significantly higher specificity than the neuropathy score used.

    The neuropathy score was most sensitive when 1 or more answers were affirmative. (...)

    Mots-clés Pascal : Diabète, Complication, Ulcération, Pied, Membre inférieur, Risque, Dépistage, Neuropathie périphérique, Technique, Evaluation performance, Homme, Endocrinopathie, Trouble trophique, Peau pathologie, Système nerveux pathologie, Nerf périphérique pathologie

    Mots-clés Pascal anglais : Diabetes mellitus, Complication, Ulceration, Foot, Lower limb, Risk, Medical screening, Peripheral neuropathy, Technique, Performance evaluation, Human, Endocrinopathy, Trophic lesion, Skin disease, Nervous system diseases, Peripheral nerve disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0135508

    Code Inist : 002B21E01B. Création : 21/07/1998.