Diabetes complications

Accuracy of Foot Pressure Measurement on Predicting the Development of Foot Ulcer in Patients with Diabetes: A Systematic Review and Meta-Analysis

J Diabetes Sci TechnolPublished Systematic review and meta-analysis of cohort studies

Authors' conclusion

Pedobarography in itself appears to have low accuracy in evaluating risk of ulceration. Several methodological heterogeneities were found, and the most optimal cut-off value is yet to be determined.

Study context

Population
Patients with diabetes in cohort studies that measured plantar pressure at baseline and verified ulcer development on follow-up3 studies in meta-analysis
Participants
2,000 patients
Outcome
Accuracy (sensitivity, specificity, RR) of pedobarography for predicting foot ulcer development
Methodological detailsinverse variance method, QUADAS-2 risk of bias assessment
  • Inverse variance method
  • QUADAS-2 risk of bias assessment

Pooled result

As reported in the abstract

Pooled diagnostic accuracy of plantar pressure measurement (pedobarography) for ulcer development

Pooled sensitivity

0.63

CI 0.58–0.68

Pooled specificity

0.42

CI 0.27–0.58

Pooled RR

1.95

CI 1.09–3.51

Further pooled results

Qualitative synthesis

Studies analysed using qualitative methods
4 (n = 2651)

Risk of bias

Risk of bias was low to uncertain

Original publication

Accuracy of Foot Pressure Measurement on Predicting the Development of Foot Ulcer in Patients with Diabetes: A Systematic Review and Meta-Analysis. J Diabetes Sci Technol. Published 30 September 2021. doi:10.1177/19322968211043550

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