Telehealth and telemedicine applications for the diabetic foot: A systematic review

Hazenberg, Constantijn E.V.B.; Stegge, Wouter B. aan de; Baal, Sjef G. van; Moll, Frans L.; Bus, Sicco A.

doi:10.1002/dmrr.3247

Cited by 58 publications

(76 citation statements)

References 89 publications

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“…This allows simultaneous measurements of temperature, plantar pressure, and toes range of motion, which makes it suitable for objectively assessing lower extremity regions at risk. The authors of this work found a moderate agreement in foot temperature changes between SmartSox and an infrared thermal camera [153].…”

Section: Biomedical Optical Fiber Temperature Sensorsmentioning

confidence: 61%

Optical Fiber Temperature Sensors and Their Biomedical Applications

Roriz

Silva

Frazão

et al. 2020

Sensors

149

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The use of sensors in the real world is on the rise, providing information on medical diagnostics for healthcare and improving quality of life. Optical fiber sensors, as a result of their unique properties (small dimensions, capability of multiplexing, chemical inertness, and immunity to electromagnetic fields) have found wide applications, ranging from structural health monitoring to biomedical and point-of-care instrumentation. Furthermore, these sensors usually have good linearity, rapid response for real-time monitoring, and high sensitivity to external perturbations. Optical fiber sensors, thus, present several features that make them extremely attractive for a wide variety of applications, especially biomedical applications. This paper reviews achievements in the area of temperature optical fiber sensors, different configurations of the sensors reported over the last five years, and application of this technology in biomedical applications.

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Section: Biomedical Optical Fiber Temperature Sensorsmentioning

confidence: 61%

Optical Fiber Temperature Sensors and Their Biomedical Applications

Roriz

Silva

Frazão

et al. 2020

Sensors

149

View full text Add to dashboard Cite

show abstract

“…Additionally, there was no significant cost reduction for the group receiving telemedicine care [ 33 ]. In subsequent studies, specific factors that were critical to effective diabetic foot telecare were identified: technology and training, user-friendliness, people in charge who facilitate the intervention, the need for support from leaders, as well as appropriate communication at the structural level [ 34 , 35 ].…”

Section: Available Telediabetology Solutionsmentioning

confidence: 99%

Application of Telemedicine in Diabetes Care: The Time is Now

2021

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The utilization of telemedicine solutions to reduce outpatient clinic visits and visits to physicians' offices, thus saving financial and personal resources as well as time, has gained substantial importance in recent years. The COVID19 pandemic has made it necessary to abruptly adjust outpatient care methods in various medical settings that needlessly require consultations in person to monitor and change the disease management of patients in specific risk groups. People with diabetes represent a vulnerable population who need to be protected from avoidable outpatient clinic visits, particularly in times of influenza or other pandemic outbreaks. However, the treatment and care of patients with diabetes and its comorbidities require careful and regular monitoring and therapy adjustments by medical staff. Advanced age or cognitive impairment and insufficient access to the health care system due to low socioeconomic status can complicate the use of possible alternatives to in-person consultations in outpatient clinics or physicians' offices. Telemedicine solutions may offer suitable alternatives to standard face-to-face consultations in outpatient settings and provide sufficient access to appropriate diabetes care. Nevertheless, telemedicine methods for monitoring diabetes issues are yet to find widespread use due to numerous barriers, such as a lack of acceptance and doubt about its time-and cost-effectiveness, availability, and potential technical and regulatory issues. This article offers an overview of existing applications that provide telemedicine diabetes care. Furthermore, it discusses potential ways to restructure and revolutionize diabetes outpatient care.

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“…Also, lengthening of our study could not be justified, since we had to overthrow our hypothesis of a positive association between plantar foot thermal asymmetry and clinical assessment of DFI severity after analyzing the initially obtained data. In retrospect, more patients could have been included if we would have used more straightforward and practical mobile phone applications for thermographic assessment in a multicenter setting (29,30,31), but these were not available at the time. Even though a statistical significant result was unlikely to be obtained due to the low number of included patients, the initial findings are highly indicative of our hypothesis being incorrect.…”

Section: Discussionmentioning

confidence: 99%

Infrared thermography for monitoring severity and treatment of diabetic foot infections

et al. 2020

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Monitoring of diabetic foot infections is largely based on clinical assessment, which is limited by moderate reliability. We conducted a prospective study to explore monitoring of thermal asymmetry (difference between mean plantar temperature of the affected and unaffected foot) for the assessment of severity of diabetic foot infections. In patients with moderate or severe diabetic foot infections (International Working Group on the Diabetic Foot infection-grades 3 or 4) we measured thermal asymmetry with an advanced infrared thermography setup during the first four to five days of in-hospital treatment, in addition to clinical assessments and tests of serum inflammatory markers (white blood cell counts and C-reactive protein levels). We assessed the change in thermal asymmetry from baseline to final assessment, and investigated its association with infection-grades and serum inflammatory markers. In seven included patients, thermal asymmetry decreased from median 1.8°C [range: -0.6-8.4] at baseline to 1.5°C [range: -0.1-5.1] at final assessment (p=0.515). In three patients who improved to infection-grade 2, thermal asymmetry at baseline (median 1.6°C [range: -0.6–1.6]) and final assessment (1.5°C [range: 0.4-5.1]) remained similar (p=0.302). In four patients who did not improve to infection-grade 2, thermal asymmetry decreased from median 4.3°C [range: 1.8–8.4] to 1.9°C [range: -0.1-4.4] (p=0.221). No correlations were found between thermal asymmetry and infection-grades, (r=-0.347; p=0.445), CRP-levels (r=0.321; p=0.482) or WBC (r=-0.250; p=0.589) during the first four to five days of hospitalization. Based on these explorative findings we suggest that infrared thermography is of no value for monitoring diabetic foot infections during in-hospital treatment.

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Telehealth and telemedicine applications for the diabetic foot: A systematic review

Cited by 58 publications

References 89 publications

Optical Fiber Temperature Sensors and Their Biomedical Applications

Optical Fiber Temperature Sensors and Their Biomedical Applications

Application of Telemedicine in Diabetes Care: The Time is Now

Infrared thermography for monitoring severity and treatment of diabetic foot infections

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