Diabetes complications

Evaluation of the Effectiveness of Remote Foot Temperature Monitoring for Prevention of Amputation in a Large Integrated Health Care System

Diabetes CarePublished Retrospective cohort study

Main finding · LEAResult — go to the resultAdjusted hazard ratio 0.92 95% CI 0.62–1.37

Authors' conclusion

This study does not provide support that RTM reduces the risk of LEA or all-cause hospitalization in individuals with a history of diabetic foot ulcer. Randomized controlled trials can overcome important limitations.

Study context

Population
Patients with a history of DFU in the Veterans Affairs health care systemmatched cohort
Participants
924 vs 2,757
Exposure
Remote foot temperature monitoring vs no enrolment
  • RTMn = 924
  • Nonenrolledn = 2,757reference
Outcome
Lower-extremity amputation (LEA)
Methodological detailsmatched up to 3:1, conditional Cox regression
  • Matched up to 3:1
  • Conditional Cox regression

Main finding

LEA

Adjusted hazard ratio

0.92

95% CI 0.62–1.37

RTMvs Nonenrolled
aHR 0.92 (95% CI 0.62–1.37)

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

OutcomeaHR (95% CI)
All-cause hospitalization0.97 (0.82–1.14)
DeathReduced risk0.63 (0.49–0.82)

Original publication

Evaluation of the Effectiveness of Remote Foot Temperature Monitoring for Prevention of Amputation in a Large Integrated Health Care System. Diabetes Care. Published 15 June 2023. doi:10.2337/dc22-1492

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