Repeatability, Completion Time, and Predictive Ability of Four Diabetes-Related Foot Ulcer Classification Systems.
diabetes-related foot ulcers
diabetic foot
prediction of amputation
reproducibility
telemedicine
Journal
Journal of diabetes science and technology
ISSN: 1932-2968
Titre abrégé: J Diabetes Sci Technol
Pays: United States
ID NLM: 101306166
Informations de publication
Date de publication:
01 2023
01 2023
Historique:
pubmed:
17
1
2021
medline:
4
1
2023
entrez:
16
1
2021
Statut:
ppublish
Résumé
The inter and intra-observer reproducibility of measuring the Wound Ischemia foot Infection (WIfI) score is unknown. The aims of this study were to compare the reproducibility, completion times and ability to predict 30-day amputation of the WIfI, University of Texas Wound Classification System (UTWCS), Site, Ischemia, Neuropathy, Bacterial Infection and Depth (SINBAD) and Wagner classifications systems using photographs of diabetes-related foot ulcers. Three trained observers independently scored the diabetes-related foot ulcers of 45 participants on two separate occasions using photographs. The inter- and intra-observer reproducibility were calculated using Krippendorff's α. The completion times were compared with Kruskal-Wallis and Dunn's post-hoc tests. The ability of the scores to predict 30-day amputation rates were assessed using receiver operator characteristic curves and area under the curves. There was excellent intra-observer agreement (α >0.900) and substantial agreement between observers (α=0.788) in WIfI scoring. There was moderate, substantial, or excellent agreement within the three observers (α>0.599 in all instances except one) and fair or moderate agreement between observers (α of UTWCS=0.306, α of SINBAD=0.516, α of Wagner=0.374) for the other three classification systems. The WIfI score took significantly longer ( The WIfI score can be completed with substantial agreement between trained observers but was not predictive of 30-day amputation.
Identifiants
pubmed: 33451251
doi: 10.1177/1932296820986548
pmc: PMC9846411
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
35-41Références
J Foot Ankle Surg. 1996 Nov-Dec;35(6):528-31
pubmed: 8986890
Biochem Med (Zagreb). 2012;22(3):276-82
pubmed: 23092060
J Vasc Surg. 2014 Jan;59(1):220-34.e1-2
pubmed: 24126108
Diabetes Metab Res Rev. 2020 Mar;36 Suppl 1:e3269
pubmed: 32176451
Psychol Rep. 1966 Aug;19(1):3-11
pubmed: 5942109
Diabet Med. 2018 May 23;:
pubmed: 29791033
Foot Ankle Surg. 2018 Feb;24(1):60-64
pubmed: 29413776
J Vasc Surg. 2018 Jun;67(6):1762-1768
pubmed: 29224944
Phys Med Biol. 2018 Mar 29;63(7):07TR01
pubmed: 29512515
Int J Low Extrem Wounds. 2016 Sep;15(3):213-9
pubmed: 27358037
Diabetes Care. 2008 Aug;31(8):1679-85
pubmed: 18663232
Int Wound J. 2016 Dec;13(6):1137-1141
pubmed: 25720543
J Vasc Surg. 2017 Jun;65(6):1698-1705.e1
pubmed: 28274750
Diabetes Care. 2008 May;31(5):964-7
pubmed: 18299441
Sensors (Basel). 2020 Aug 13;20(16):
pubmed: 32823514
Int Wound J. 2017 Aug;14(4):716-728
pubmed: 27696693
Semin Vasc Surg. 2014 Mar;27(1):16-22
pubmed: 25812755
Int Wound J. 2017 Jun;14(3):537-545
pubmed: 27723246
Foot Ankle. 1981 Sep;2(2):64-122
pubmed: 7319435
J Clin Med. 2020 Feb 24;9(2):
pubmed: 32102313
J Vasc Surg. 2017 Apr;65(4):1130-1141.e9
pubmed: 28017586
Atherosclerosis. 2013 Aug;229(2):549-55
pubmed: 23742964
J Vasc Surg. 2018 Mar;67(3):876-886
pubmed: 29017807
J Vasc Surg. 2017 Mar;65(3):695-704
pubmed: 28073665
Diabetes Metab Res Rev. 2020 Mar;36 Suppl 1:e3278
pubmed: 32176442
Diabetes Metab Res Rev. 2014 Oct;30(7):610-22
pubmed: 24523130
Diabetes Care. 2001 Jan;24(1):84-8
pubmed: 11194247
J Vasc Surg. 2016 Sep;64(3):616-22
pubmed: 27380993
Diabetes Metab Res Rev. 2004 May-Jun;20 Suppl 1:S90-5
pubmed: 15150820
J Vasc Surg. 2018 May;67(5):1455-1462
pubmed: 29248237
J Clin Med. 2020 May 15;9(5):
pubmed: 32429068
Diabetes Metab Res Rev. 2020 Mar;36 Suppl 1:e3273
pubmed: 32176445
BMJ Open. 2015 Nov 23;5(11):e008544
pubmed: 26597864
J Vasc Surg. 2018 Oct;68(4):1096-1103
pubmed: 29622357
Sci Rep. 2017 Aug 25;7(1):9480
pubmed: 28842686
J Vasc Surg. 2018 Nov;68(5):1473-1481
pubmed: 29803684
J Vasc Surg. 2017 Aug;66(2):488-498.e2
pubmed: 28410924
Diabetes Metab Res Rev. 2020 Mar;36 Suppl 1:e3272
pubmed: 32176449