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Accuracy of a foot temperature monitoring mat for predicting diabetic foot ulcers in patients with recent wounds or partial foot amputation

Diabetes Research and Clinical Practice Feb 24, 2020

Gordon IL, Rothenberg GM, Lepow BD, et al. - Researchers examined the efficiency of once-daily foot temperature monitoring for prognosticating foot ulceration in diabetic patients with recent wounds and partial foot amputation, complications previously regarded as challenging. Data from a recent study in 129 participants with a previously-healed diabetic foot ulcer were assessed for this planned analysis. Four cohorts were considered: all participants, participants with partial foot amputation, participants with a recent wound, and participants without partial foot amputation and without a recent wound. Using Delong’s method, the two potentially challenging cohorts were assessed for non-inferior accuracy relative to the control cohort. Outcomes suggest no inferior accuracy of once-daily foot temperature monitoring for predicting foot ulceration in those with recent wounds and partial foot amputations than in those without these complications. Results thereby support the expanded practice of once-daily foot temperature monitoring, which may lead to an improvement in patient outcomes and a reduction in healthcare resource utilization.
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