ArticleScientific reports2017
The validity and reliability of remote diabetic foot ulcer assessment using mobile phone images.
Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 81 citations in OpenAlex.
- Remotely Delivered Monitoring and Management of Diabetes-Related Foot Disease: An Overview of Systematic Reviews.Journal of diabetes science and technology · 2023Pooled it
- Wound assessment, imaging and monitoring systems in diabetic foot ulcers: A systematic review.International wound journal · 2020Pooled it
- Telehealth and telemedicine applications for the diabetic foot: A systematic review.Diabetes/metabolism research and reviews · 2020Pooled it
- Digital Health and Community-Based Care for Diabetic Foot Prevention and Management in Resource-Limited Settings: A Narrative Review.Journal of multidisciplinary healthcare · 2026Review
- Clinical applications of machine learning for infection assessment in diabetic foot ulcers.Frontiers in physiology · 2026Review
- Smart diabetic foot ulcer scoring system.Scientific reports · 2024Article
- Patients' Buying Behavior for Non-Reimbursed Off-Loading Devices Used in Diabetic Foot Ulcer Treatment-An Observational Study during COVID-19 Pandemic from a Romanian Physical Therapy Unit.Journal of clinical medicine · 2023Article
- Self-Monitoring Diabetes-Related Foot Ulcers with the MyFootCare App: A Mixed Methods Study.Sensors (Basel, Switzerland) · 2023Article
- Repeatability, Completion Time, and Predictive Ability of Four Diabetes-Related Foot Ulcer Classification Systems.Journal of diabetes science and technology · 2023Article
- The role of artificial intelligence technology in the care of diabetic foot ulcers: the past, the present, and the future.World journal of diabetes · 2022Review
- Article
- Review
- Telehealth has comparable outcomes to in-person diabetic foot care during the COVID-19 pandemic.World journal of methodology · 2022Article
- Tissue Oxygenation Measurements to Aid Scalpel Debridement Removal in Patients With Diabetes.Journal of diabetes science and technology · 2022Article
- A review of non-invasive sensors and artificial intelligence models for diabetic foot monitoring.Frontiers in physiology · 2022Review
- Diabetic Foot Ulcer Ischemia and Infection Classification Using EfficientNet Deep Learning Models.IEEE open journal of engineering in medicine and biology · 2022Article
- A 57-Year-Old Man with Type 1 Diabetes Mellitus and a Chronic Foot Ulcer Successfully Managed with a Remote Patient-Facing Wound Care Smartphone Application.The American journal of case reports · 2021Article
- Reliability of a Three-Dimensional Wound Camera and Correlation With Routine Ruler Measurement in Diabetes-Related Foot Ulceration.Journal of diabetes science and technology · 2021Article
- Wound Size Imaging: Ready for Smart Assessment and Monitoring.Advances in wound care · 2021Article
- Construction and verification of an intelligent measurement model for diabetic foot ulcer.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2021Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite their potential for telemedicine in diabetic foot ulcer treatment, diagnostic accuracy of assessment of diabetic foot ulcers using mobile phone images is unknown. Our aim was to determine the validity and reliability of remote diabetic foot ulcer assessment using mobile phone images. Fifty diabetic foot ulcers were assessed live and photographed. Five independent observers remotely assessed the mobile phone images twice for presence of nine clinical characteristics and three treatment decisions. Positive likelihood (LLR+) and negative likelihood (LLR-) ratios were calculated for validity. Multirater Randolph's and bi-rater Bennet kappa values were calculated for reliability. LLR+ ranged from 1.3-4.2; LLR- ranged from 0.13-0.88; the treatment decision 'peri-wound debridement' was the only item with 'strong diagnostic evidence'. Inter-observer reliability kappa ranged from 0.09-0.71; test-retest reliability from 0.45-0.86; the treatment decision 'peri-wound debridement' was the only item with 'adequate agreement'. In conclusion, mobile phone images had low validity and reliability for remote assessment of diabetic foot ulcers and should not be used as a stand-alone diagnostic instrument. Clinicians who use mobile phone images in clinical practice should obtain as much additional information as possible when making treatment decisions based on these images, and be cautious of the low diagnostic accuracy.
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Registered trials
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