Clinician Assessment Tools for Patients with Diabetic Foot Disease: A Systematic Review
The amputation rate in patients with diabetes is 15 to 40 times higher than in patients without diabetes. To avoid major complications, the identification of high-risk in patients with diabetes through early assessment highlights as a crucial action. Clinician assessment tools are scales in which cl...
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doaj-ed942c4de7254e64be4e236bae70f3e12020-11-25T03:14:01ZengMDPI AGJournal of Clinical Medicine2077-03832020-05-0191487148710.3390/jcm9051487Clinician Assessment Tools for Patients with Diabetic Foot Disease: A Systematic ReviewRaúl Fernández-Torres0María Ruiz-Muñoz1Alberto J. Pérez-Panero2Jerónimo C. García-Romero3Manuel Gónzalez-Sánchez4Department of Nursing and Podiatry, University of Málaga, Arquitecto Francisco Peñalosa, s/n. Ampliación Campus de Teatinos, 29071 Málaga, SpainDepartment of Nursing and Podiatry, University of Málaga, Arquitecto Francisco Peñalosa, s/n. Ampliación Campus de Teatinos, 29071 Málaga, SpainDepartment of Nursing and Podiatry, University of Málaga, Arquitecto Francisco Peñalosa, s/n. Ampliación Campus de Teatinos, 29071 Málaga, SpainMedical School of Physical Education and Sports, University of Málaga, C/Jiménez Fraud 10. Edificio López de Peñalver, 29010 Málaga, SpainDepartment of Physiotherapy, University of Málaga, Arquitecto Francisco Peñalosa, s/n. Ampliación campus de Teatinos, 29071 Málaga, SpainThe amputation rate in patients with diabetes is 15 to 40 times higher than in patients without diabetes. To avoid major complications, the identification of high-risk in patients with diabetes through early assessment highlights as a crucial action. Clinician assessment tools are scales in which clinical examiners are specifically trained to make a correct judgment based on patient outcomes that helps to identify at-risk patients and monitor the intervention. The aim of this study is to carry out a systematic review of valid and reliable Clinician assessment tools for measuring diabetic foot disease-related variables and analysing their psychometric properties. The databases used were PubMed, Scopus, SciELO, CINAHL, Cochrane, PEDro, and EMBASE. The search terms used were foot, ankle, diabetes, diabetic foot, assessment, tools, instruments, score, scale, validity, and reliability. The results showed 29 validated studies with 39 Clinician assessment tools and six variables. There is limited evidence on all of the psychometric characteristics of the Clinician assessment tools included in this review, although some instruments have been shown to be valid and reliable for the assessment of diabetic neuropathy (Utah Early Neuropathy Scale or UENS); ulceration risk (Queensland High Risk Foot Form or QHRFF); diabetic foot ulcer assessment, scoring, and amputation risk (Perfusion, extent, depth, infection and sensation scale or PEDIS and Site, Ischemia, Neuropathy, Bacterial Infection, and Depth score or SINBAD); and diabetic foot ulcer measurement (Leg Ulcer Measurement Tool LUMT).https://www.mdpi.com/2077-0383/9/5/1487diabetesdiabetes complicationsulceroutcome measuresevidencereview |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Raúl Fernández-Torres María Ruiz-Muñoz Alberto J. Pérez-Panero Jerónimo C. García-Romero Manuel Gónzalez-Sánchez |
spellingShingle |
Raúl Fernández-Torres María Ruiz-Muñoz Alberto J. Pérez-Panero Jerónimo C. García-Romero Manuel Gónzalez-Sánchez Clinician Assessment Tools for Patients with Diabetic Foot Disease: A Systematic Review Journal of Clinical Medicine diabetes diabetes complications ulcer outcome measures evidence review |
author_facet |
Raúl Fernández-Torres María Ruiz-Muñoz Alberto J. Pérez-Panero Jerónimo C. García-Romero Manuel Gónzalez-Sánchez |
author_sort |
Raúl Fernández-Torres |
title |
Clinician Assessment Tools for Patients with Diabetic Foot Disease: A Systematic Review |
title_short |
Clinician Assessment Tools for Patients with Diabetic Foot Disease: A Systematic Review |
title_full |
Clinician Assessment Tools for Patients with Diabetic Foot Disease: A Systematic Review |
title_fullStr |
Clinician Assessment Tools for Patients with Diabetic Foot Disease: A Systematic Review |
title_full_unstemmed |
Clinician Assessment Tools for Patients with Diabetic Foot Disease: A Systematic Review |
title_sort |
clinician assessment tools for patients with diabetic foot disease: a systematic review |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2020-05-01 |
description |
The amputation rate in patients with diabetes is 15 to 40 times higher than in patients without diabetes. To avoid major complications, the identification of high-risk in patients with diabetes through early assessment highlights as a crucial action. Clinician assessment tools are scales in which clinical examiners are specifically trained to make a correct judgment based on patient outcomes that helps to identify at-risk patients and monitor the intervention. The aim of this study is to carry out a systematic review of valid and reliable Clinician assessment tools for measuring diabetic foot disease-related variables and analysing their psychometric properties. The databases used were PubMed, Scopus, SciELO, CINAHL, Cochrane, PEDro, and EMBASE. The search terms used were foot, ankle, diabetes, diabetic foot, assessment, tools, instruments, score, scale, validity, and reliability. The results showed 29 validated studies with 39 Clinician assessment tools and six variables. There is limited evidence on all of the psychometric characteristics of the Clinician assessment tools included in this review, although some instruments have been shown to be valid and reliable for the assessment of diabetic neuropathy (Utah Early Neuropathy Scale or UENS); ulceration risk (Queensland High Risk Foot Form or QHRFF); diabetic foot ulcer assessment, scoring, and amputation risk (Perfusion, extent, depth, infection and sensation scale or PEDIS and Site, Ischemia, Neuropathy, Bacterial Infection, and Depth score or SINBAD); and diabetic foot ulcer measurement (Leg Ulcer Measurement Tool LUMT). |
topic |
diabetes diabetes complications ulcer outcome measures evidence review |
url |
https://www.mdpi.com/2077-0383/9/5/1487 |
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