Diabetes complications

Initial Clinical Experience with a Simple, Home System for Early Detection and Monitoring of Diabetic Foot Ulcers: The Foot Selfie

J Diabetes Sci TechnolPublished Pilot study

Authors' conclusion

With minimal training, patients transmitted diagnostic-quality images from home on most days, allowing clinicians to review serial images. This system permits inexpensive home foot screening and monitoring of DFUs. Further studies are needed to determine whether it can reduce morbidity of DFUs and/or the associated cost of care. Artificial intelligence integration could improve scalability.

Study context

Population
Patients from a limb-salvage clinic10 male
Participants
15 patients
Outcome
Use and image quality of the Foot Selfie system
Follow-up
Six months
Methodological detailssingle-group, smartphone-based home imaging, Patients asked to image feet daily for six months; transmitted results reviewed weekly
  • Single-group
  • Smartphone-based home imaging
  • Patients asked to image feet daily for six months; transmitted results reviewed weekly

Main finding

As reported in the abstract

six months

Days with uploaded images (of eligible study days)

median 76%

Instruction time before use

≈5 minutes

Further findings

Lesions monitored

Active wounds monitored
12
Pre-ulcerative lesions monitored
39
Wounds at study outset
5
Pre-ulcerative lesions at study outset
13
Wounds healed
7
Pre-ulcerative lesions reversed
20

Participant evaluation (questionnaire at five time points)

Rated useful, empowering and preferable to previous foot screening methods

Original publication

Initial Clinical Experience with a Simple, Home System for Early Detection and Monitoring of Diabetic Foot Ulcers: The Foot Selfie. J Diabetes Sci Technol. Published 31 October 2021. doi:10.1177/19322968211053348

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