The DOI matches its Crossref record.
The Prediction of Diabetic Neuropathic Foot Ulceration Using Vibration Perception Thresholds: A prospective study
Abstract
OBJECTIVE: To assess the ability of vibration perception threshold (VPT) to predict the development of diabetic foot ulceration. RESEARCH DESIGN AND METHODS: A prospective follow-up study of consecutive patients with vibration perception measured by biothesiometry from April 1988 to March 1989. Patients were stratified in various risk groups. RESULTS: Patients with a VPT <15 V had a cumulative incidence of foot ulceration of 2.9% compared with 19.8% in patients with a VPT >25 V, odds ratio (OR) 7.99 (3.65–17.5, 95% confidence intervals), P < 0.01. The incidence of ulceration increased with duration of diabetes, but even with this effect removed, the excess of ulceration persisted, OR 6.82 (2.75–16.92), P < 0.01. CONCLUSIONS: VPT is an effective predictor of the risk of foot ulceration in diabetes and therefore could be used to target foot-care education to those patients most likely to benefit and, thereby, possibly improve its effectiveness.
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Cited by
DeFronzo, R. A., Ferrannini, E., Groop, L., Henry, R. R., Herman, W. H., Holst, J. J., Hu, F. B., Kahn, C. R., Raz, I., Shulman, G. I., et al. (2015) · Nature Reviews Disease Primers · doi:10.1038/nrdp.2015.19 · Cited by 2,611
Armstrong, D. G., & Lavery, L. A. (2005) · The Lancet · doi:10.1016/s0140-6736(05)67695-7 · Cited by 963
Boulton (2008) · doi:10.2337/dc08-9021 · Cited by 928
Boulton, A. J. M., Malik, R. A., Arezzo, J. C., & Sosenko, J. M. (2004) · Diabetes Care · doi:10.2337/diacare.27.6.1458 · Cited by 913
Self-citationPractical Criteria for Screening Patients at High Risk for Diabetic Foot Ulceration
Lavery, L. A., Armstrong, D. G., Vela, S. A., Quebedeaux, T. L., & Fleischli, J. G. (1998) · Archives of Internal Medicine · doi:10.1001/archinte.158.2.157 · Cited by 482
Metadata
- Authors
- Young, M. J., Breddy, J. L., Veves, A., & Boulton, A. J. M.
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 1994-06-01
- Volume
- 17
- Issue
- 6
- Pages
- 557-560
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2004755889
- Cited by
- 633
- References
- 0
- FWCI
- 7.25
- Type
- journal article
- Language
- en
- Open access
- closed
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- Young, M. J., Breddy, J. L., Veves, A., & Boulton, A. J. M. (1994). The Prediction of Diabetic Neuropathic Foot Ulceration Using Vibration Perception Thresholds: A prospective study. Diabetes Care. https://doi.org/10.2337/diacare.17.6.557
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