The DOI matches its Crossref record; 31 of the 31 references it cites were found in a registry or an index.
Effectiveness of the Diabetic Foot Risk Classification System of the International Working Group on the Diabetic Foot
Abstract
OBJECTIVE—To evaluate the effectiveness of a diabetic foot risk classification system by the International Working Group on the Diabetic Foot to predict clinical outcomes. RESEARCH DESIGN AND METHODS—A total of 225 diabetic patients were initially evaluated as part of a prospective case-control study at the University of Texas Health Science Center at San Antonio. Complete records were available for 213 patients for follow-up evaluation after 29 months. Upon enrollment, subjects were stratified into four risk groups based on the presence of risk factors according to the consensus of the International Working Group on the Diabetic Foot. Group 0 consisted of subjects without neuropathy, group 1 consisted of patients with neuropathy but without deformity or peripheral vascular disease (PVD), group 2 consisted of subjects with neuropathy and deformity or PVD, and group 3 consisted of patients with a history of foot ulceration or a lower-extremity amputation. RESULTS—Upon enrollment, patients in higher-risk groups had longer duration of diabetes, worse glycemic control, vascular and neuropathic variables, and more systemic complications of diabetes. During 3 years of follow-up, ulceration occurred in 5.1, 14.3, 18.8, and 55.8% of the patients in groups 0, 1, 2, and 3, respectively (linear-by-linear association, P < 0.001). All amputations were found in Groups 2 and 3 (3.1 and 20.9%, P < 0.001). CONCLUSIONS—The foot risk classification of the International Working Group on the Diabetic Foot predicts ulceration and amputation and can function as a tool to prevent lower-extremity complications of diabetes.
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Cites
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A prospective study of risk factors for diabetic foot ulcer. The Seattle Diabetic Foot Study.
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Practical Criteria for Screening Patients at High Risk for Diabetic Foot Ulceration
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Self-citationChoosing a Practical Screening Instrument to Identify Patients at Risk for Diabetic Foot Ulceration
Armstrong, D. G., Lavery, L. A., Vela, S. A., Quebedeaux, T. L., & Fleischli, J. G. (1998) · Archives of Internal Medicine · doi:10.1001/archinte.158.3.289 · Cited by 451
Self-citationRisk Factors for Amputation in Patients with Diabetes Mellitus: A Case-Control Study
Reiber, G. E., Pecoraro, R. E., & Koepsell, T. D. (1992) · Annals of Internal Medicine · doi:10.7326/0003-4819-117-2-97 · Cited by 443
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Self-citationRith-Najarian, S. J., Stolusky, T., & Gohdes, D. M. (1992) · Diabetes Care · doi:10.2337/diacare.15.10.1386 · Cited by 296
Cited by
Diabetes and Atherosclerosis: Epidemiology, Pathophysiology, and Management
Beckman, J. A., Creager, M. A., & Libby, P. (2002) · JAMA · doi:10.1001/jama.287.19.2570 · Cited by 2,724
Diabetic Foot Disorders: A Clinical Practice Guideline (2006 Revision)
Frykberg, R. G., Zgonis, T., Armstrong, D. G., Driver, V. R., Giurini, J. M., Kravitz, S. R., Landsman, A. S., Lavery, L. A., Moore, J. C., Schuberth, J. M., et al. (2006) · The Journal of Foot and Ankle Surgery · doi:10.1016/s1067-2516(07)60001-5 · Cited by 831
Self-citationRisk Factors for Foot Infections in Individuals With Diabetes
Lavery, L. A., Armstrong, D. G., Wunderlich, R. P., Mohler, M. J., Wendel, C. S., & Lipsky, B. A. (2006) · Diabetes Care · doi:10.2337/dc05-2425 · Cited by 787
Self-citationSkin Temperature Monitoring Reduces the Risk for Diabetic Foot Ulceration in High-risk Patients
Armstrong, D. G., Holtz-Neiderer, K., Wendel, C., Mohler, M. J., Kimbriel, H. R., & Lavery, L. A. (2007) · The American Journal of Medicine · doi:10.1016/j.amjmed.2007.06.028 · Cited by 437
Self-citationLavery, L. A., Armstrong, D. G., & Boulton, A. J. M. (2002) · Journal of the American Podiatric Medical Association · doi:10.7547/87507315-92-9-479 · Cited by 196
Self-citation
Metadata
- Authors
- Peters, E. J. G., & Lavery, L. A.
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2001-08-01
- Volume
- 24
- Issue
- 8
- Pages
- 1442-1447
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2159123060
- Cited by
- 288
- References
- 31
- FWCI
- 5.18
- Type
- journal article
- Language
- en
- Open access
- closed
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