Abbreviations: (2D) two-dimensional, (3D) three-dimensional, (app) application, (EMR) electronic medical recordKeywords: diabetic foot, imaging, technology, wound healing, wounds
AbstractA significant arising complication in the care of patients with diabetes is increased susceptibility to chronic wounds, including diabetic foot ulcers and pressure sores. This is driven by, e.g., neuropathy and peripheral arterial disease. It is well recognized that best practice in wound care requires wound assessment, including measurement, on presentation and regularly throughout the treatment program. Proper assessment is necessary to ensure that the most appropriate and cost-effective therapy is used at all times, with quantitative measurement necessary to track the efficacy of the chosen approach. A documented assessment can also assist patient-clinician dialog and discussion within the multidisciplinary team. Remote evaluation and assessment of the wound is also of increasing importance and practicality through the use of a telemedicine approach. There has been considerable progress in the space of imaging for wounds, including systems that include threedimensional measurement and telemedicine features. This literature review examines the available options and reviews the clinical evidence for measurement accuracy, scope for remote assessment, and published user feedback on the systems.
J Diabetes Sci Technol 2013;7(5):1190-1194
SYMPOSIUMFoot ulcers are one of the most common complications of diabetes, affecting up to 25% of patients during their lifetime 1 and frequently resulting in hospitalization.
2-4Diabetic foot ulcers are also associated with significant morbidity and mortality, 5 with 80% of all diabetes-related lower extremity amputation being preceded by a foot ulcer. 6 Together with prevention strategies, proper management must be a mainstay in the approach to curbing the burden associated with foot ulcers.Accurate recognition and monitoring of ulcer characteristics facilitates benchmarking therapeutic response. Further, if research into new agents/interventions for wound healing should continue to inform practice, it is essential that ulcer characteristics are well defined in order to (i) enable comparison between studies, (ii) determine which patients/ulcers derive the most benefits from a particular therapeutic approach, and (iii) allow accurate monitoring of wound healing in order to guide clinical decision making.