Evaluation of the Effectiveness of Remote Foot Temperature Monitoring for Prevention of Amputation in a Large Integrated Health Care System
Main finding · LEAResult — go to the resultAdjusted hazard ratio 0.92 95% CI 0.62–1.37Authors' 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
| Outcome | aHR (95% CI) | |
|---|---|---|
| All-cause hospitalization | 0.97 (0.82–1.14) | |
| DeathReduced risk | 0.63 (0.49–0.82) | |
| 0.512Adjusted hazard ratio (log scale) |
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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