Combining diabetic foot and retinopathy screening: A step in the right direction? – a feasibility study
Lewis, Jane E. A.
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Objectives: Peripheral artery disease is a major cardiovascular disease affecting more than 200 million people globally and up to 4 times more frequent in the diabetic population. It can lead to lower extremity amputations or revascularisation and is associated with an increased risk of myocardial infarction, stroke and early mortality. This novel cross-sectional study aimed to explore the feasibility and acceptability of incorporating diabetic foot screening at routine diabetic retinopathy screening appointments. Methods: Participants underwent foot screening during the interval between pupil dilatation and retinal photography as part of the eye screening procedure. Lower limb arterial assessment included ankle brachial index, pulse volume waveform and protective light touch sensation. Results: Of 364 participants invited, 88% (n = 321) met the inclusion criteria. About 26.4% (n = 86) had asymptomatic peripheral artery disease and 3% (n = 10) had peripheral sensory neuropathy. Binary logistical regression analysis identified age (p < 0.005), existing coronary heart disease (p < 0.005) and gender (p = 0.03) as predictors of peripheral artery disease. Conclusion: Incorporating foot examination during eye screening appointments is feasible and was well received by participants and staff alike. Undiagnosed early peripheral artery disease was evident in a third of the study population emphasising the benefit of introducing foot surveillance into eye screening appointments for the early identification of lower limb arterial disease and peripheral sensory neuropathy
Sage Open Medicine;
Lewis, J.E., Morris, K., Powell, T., Thomas, R.L. and Owens, D.R. (2020) 'Combining diabetic foot and retinopathy screening: A step in the right direction?–a feasibility study', SAGE Open Medicine, 8, p.2050312120946244.
Dynodwr Gwrthrych Digidol (DOI)https://doi.org/10.1177/2050312120946244
Article published in Sage Open Medicine available open access at https://doi.org/10.1177/2050312120946244
Cardiff Metropolitan University (Grant ID: Cardiff Metropolian (Internal))
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Davies, Jane H.; Richards, Jonathan; Conway, Kevin; Kenkre, Joyce; Lewis, Jane E. A.; Williams, E. Mark (Royal College of General Practitioners, 2017-02)Background: Early identification of peripheral arterial disease (PAD) and subsequent instigation of risk modification strategies could minimise disease progression and reduce overall risk of cardiovascular (CV) mortality. ...
Validation of the Diabetic Foot Screening Tool in detecting lower-limb-threatening risk factors in end-stage renal disease patients Jones, Nia J; Mathieson, Ian; Morris, Keith; Riley, Stephen (OmniaMed Communications Ltd, 2018-06-18)This feasibility study investigated the intraobserver reliability and reproducibility of the validated Diabetic Foot Screening Tool to detect evidence of peripheral neuropathy and peripheral arterial disease in a homogenous ...
Non-invasive assessment of peripheral arterial disease: Automated ankle brachial index measurement and pulse volume analysis compared to duplex scan Lewis, Jane E. A.; Williams, Paul; Davies, Jane H. (Sage, 2016-07-12)Objectives: This cross-sectional study aimed to individually and cumulatively compare sensitivity and specificity of the (1) ankle brachial index and (2) pulse volume waveform analysis recorded by the same automated device, ...