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Cited by 434

The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index.

Preventing Diabetic Foot Ulcer Recurrence in High-Risk Patients

Open access
Lavery, Lawrence A., Higgins, Kevin R., Lanctot, Dan R., Constantinides, George P., Zamorano, Ruben G., Athanasiou, Kyriacos A., Armstrong, David G., Agrawal, C. Mauli·2007·Diabetes Care

Abstract

OBJECTIVE—The purpose of this study was to evaluate the effectiveness of a temperature monitoring instrument to reduce the incidence of foot ulcers in individuals with diabetes who have a high risk for lower extremity complications. RESEARCH DESIGN AND METHODS—In this physician-blinded, randomized, 15-month, multicenter trial, 173 subjects with a previous history of diabetic foot ulceration were assigned to standard therapy, structured foot examination, or enhanced therapy groups. Each group received therapeutic footwear, diabetic foot education, and regular foot care. Subjects in the structured foot examination group performed a structured foot inspection daily and recorded their findings in a logbook. If standard therapy or structured foot examinations identified any foot abnormalities, subjects were instructed to contact the study nurse immediately. Subjects in the enhanced therapy group used an infrared skin thermometer to measure temperatures on six foot sites each day. Temperature differences >4°F (>2.2°C) between left and right corresponding sites triggered patients to contact the study nurse and reduce activity until temperatures normalized. RESULTS—The enhanced therapy group had fewer foot ulcers than the standard therapy and structured foot examination groups (enhanced therapy 8.5 vs. standard therapy 29.3%, P = 0.0046 and enhanced therapy vs. structured foot examination 30.4%, P = 0.0029). Patients in the standard therapy and structured foot examination groups were 4.37 and 4.71 times more likely to develop ulcers than patients in the enhanced therapy group. CONCLUSIONS—Infrared temperature home monitoring, in serving as an “early warning sign,” appears to be a simple and useful adjunct in the prevention of diabetic foot ulcerations.

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Crossref · 10.2337/dc06-1600

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Metadata

Authors
Lavery, L. A., Higgins, K. R., Lanctot, D. R., Constantinides, G. P., Zamorano, R. G., Athanasiou, K. A., Armstrong, D. G., & Agrawal, C. M.
Venue
Diabetes Care
Published
2007-01-01
Volume
30
Issue
1
Pages
14-20
ISSN
  • 0149-5992 (ISSN-L)
  • 1935-5548
OpenAlex
W2112877932
Cited by
434
References
33
FWCI
6.86
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Preventing Diabetic Foot Ulcer Recurrence in High-Risk Patients. https://app.cochat.ai/papers/10.2337/dc06-1600
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Lavery, L. A., Higgins, K. R., Lanctot, D. R., Constantinides, G. P., Zamorano, R. G., Athanasiou, K. A., Armstrong, D. G., & Agrawal, C. M. (2007). Preventing Diabetic Foot Ulcer Recurrence in High-Risk Patients. Diabetes Care. https://doi.org/10.2337/dc06-1600

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