The D-Foot, for prosthetists and orthotists, a new eHealth tool useful in useful in risk classification and foot assessment in diabetes
Artikel i vetenskaplig tidskrift, 2017
Methods: The D-Foot includes 22 clinical assessments and four self-reported questions. The content validity was assured by expert group consensus and the reliability was assessed through an empirical test-retest study. Inter- and intra-rater reliability was calculated using patients referred to four departments of prosthetics and orthotics (DPO).
Results: The agreement for the risk classification generated using the D-Foot was 0.82 (pooled kappa 0.31, varying from 0.16 to 1.00 at single DPOs). The inter-rater agreement was > 0.80 regarding the assessments of amputation, Charcot deformity, foot ulcer, gait deviation, hallux valgus/hallux varus and risk grade. The inter- and intra-rater agreements for the discrete measurements were > 0.59 and > 0.72 respectively. For continuous measurements, the inter- and intra-rater correlation varied (0.33-0.98 and 0.25-0.99 respectively).
Conclusion: The D-Foot gave a reliable risk foot classification. However, there was a variation in the inter- and intra-rater reliability of the assessments included and refinements are needed for variables with low agreement. Based on the results, the D-Foot will be revised before it is implemented in clinical practice.
Författare
Ulla Hellstrand Tang
Sahlgrenska universitetssjukhuset
Göteborgs universitet
Roy Tranberg
Sahlgrenska universitetssjukhuset
Göteborgs universitet
Roland Zügner
Göteborgs universitet
Sahlgrenska universitetssjukhuset
Jon Karlsson
Göteborgs universitet
Sahlgrenska universitetssjukhuset
Vera Lisovskaja
Göteborgs universitet
Chalmers, Matematiska vetenskaper, Matematisk statistik
Jacueline Siegenthaler
Sahlgrenska universitetssjukhuset
Kerstin Hagberg
Göteborgs universitet
Sahlgrenska universitetssjukhuset
Foot & Ackle Online Journal
1941-6806 (ISSN)
Vol. 10 2 4Ämneskategorier (SSIF 2025)
Ortopedi
Endokrinologi och diabetes
DOI
10.3827/faoj.2017.1002.0004