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Journal of Foot and Ankle Research

, 2:34

First Online: 25 November 2009Received: 21 September 2009Accepted: 25 November 2009


BackgroundCommunity based prevalence for diabetes related foot disease DRFD has been poorly quantified in Australian populations. The aim of this study was to develop and validate a survey tool to facilitate collection of community based prevalence data for individuals with DRFD via telephone interview.

MethodsAgreed components of DRFD were identified through an electronic literature search. Expert feedback and feedback from a population based construction sample were sought on the initial draft. Survey reliability was tested using a cohort recruited through a general practice, a hospital outpatient clinic and an outpatient podiatry clinic. Level of agreement between survey findings and either medical record or clinical assessment was evaluated.

ResultsThe Questionnaire for Diabetes Related Foot Disease Q-DFD comprised 12 questions aimed at determining presence of peripheral sensory neuropathy PN and peripheral vascular disease PVD, based on self report of symptoms and-or clinical history, and self report of foot ulceration, amputation and foot deformity. Survey results for 38 from 46 participants demonstrated agreement with either clinical assessment or medical record kappa 0.65, sensitivity 89.0%, and specificity 77.8%. Correlation for individual survey components was moderate to excellent. Inter and intrarater reliability and test re-test reliability was moderate to high for all survey domains.

ConclusionThe development of the Q-DFD provides an opportunity for ongoing collection of prevalence estimates for DRFD across Australia.

Electronic supplementary materialThe online version of this article doi:10.1186-1757-1146-2-34 contains supplementary material, which is available to authorized users.

Caroline A Brand, Peter G Colman and Donald A Campbell contributed equally to this work.

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Autor: Shan M Bergin - Caroline A Brand - Peter G Colman - Donald A Campbell

Fuente: https://link.springer.com/

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