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