Document Detail


Screening patients at risk for diabetic foot ulceration. A comparison between measurement of vibration perception threshold and 10-g monofilament test.
MedLine Citation:
PMID:  22892021     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The aim is to compare the frequency of increased vibration perception threshold (VPT) with abnormal 10-g Semmes-Weinstein monofilament (SWF) testing in a non selected diabetic population and to assess the agreement between these two screening methods. VPT was measured using a neurothesiometer at the pulp of the hallux and 10-g SWF was applied on three plantar sites on each foot according to the guidelines of the International Working Group on the Diabetic Foot, in 400 consecutive diabetic patients. VPT was considered as abnormal if ≥25 V and SWF if the patient was unable to sense ≥2 applications at a single site. Both tests were normal in 240 patients (60%) and both abnormal in 78. In 21 patients, only SWF was abnormal while VPT was the sole abnormality in 61. As a whole, 160 patients (40%) were considered at risk for foot ulceration by VPT and/or SWF. Agreement between the two screening methods was only moderate with a kappa coefficient of 0·52 (95% confidence interval: 0·43-0·60). Using VPT as a predictor for foot ulceration, the number of patients at risk is much higher than the one identified by SWF. This discrepancy might have potential effects on costs and prevention policies.
Authors:
Jean-Louis Richard; Lise Reilhes; Stéphanie Buvry; Monique Goletto; Jean-Luc Faillie
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-14
Journal Detail:
Title:  International wound journal     Volume:  -     ISSN:  1742-481X     ISO Abbreviation:  Int Wound J     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101230907     Medline TA:  Int Wound J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors. International Wound Journal © 2012 Blackwell Publishing Ltd and Medicalhelplines.com Inc.
Affiliation:
J-L Richard, MD, Centre Mėdical, Service des Maladies de la Nutrition & Diabėtologie, Le Grau du Roi, France L Reilhes, RN, Centre Mėdical, Service des Maladies de la Nutrition & Diabėtologie, Le Grau du Roi, France S Buvry, MD, Centre Mėdical, Service des Maladies de la Nutrition & Diabėtologie, Le Grau du Roi, France M Goletto, RN, Centre Mėdical, Service des Maladies de la Nutrition & Diabėtologie, Le Grau du Roi, France J-L Faillie, MD, Service de l'Information Médicale, Hôpital Universitaire Carémeau, Nîmes, France.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Longitudinal assessment of hemodynamic endpoints in predicting arteriovenous fistula maturation.
Next Document:  Anti-Inflammatory and Anti-Ulcer Activities of Carvacrol, a Monoterpene Present in the Essential Oil...