Categories of risk for foot complications

Risk category	Definition	Treatment recommendations	Suggested follow-up
0	No LOPS, no PAD, no deformity	Patient education including advice on appropriate footwear.	Annually (by generalist and/or specialist)
1	LOPS ± deformity	Consider prescriptive or accommodative footwear. Consider prophylactic surgery if deformity is not able to be safely accommodated in shoes. Continue patient education.	Every three to six months (by generalist or specialist)
2	PAD ± LOPS	Consider prescriptive or accommodative footwear. Consider vascular consultation for combined follow-up.	Every two to three months (by specialist)
3	History of ulcer or amputation	Same as category 1. Consider vascular consultation for combined follow-up if PAD present.	Every one to two months (by specialist)

LOPS: loss of protective sensation; PAD: peripheral artery disease.

From: Boulton AJM, Armstrong DG, Albert SF, et al. Comprehensive foot examination and risk assessment. Diabetes Care 2008; 31:1679. American Diabetes Association, Diabetes Care. American Diabetes Association, 2008. Copyright and all rights reserved. Material from this publication has been used with the permission of American Diabetes Association.

Graphic 87587 Version 6.0

خرید پکیج

Categories of risk for foot complications