Comprehensive foot examination and risk assessment.

Ten years have elapsed since the last American Diabetes Association (ADA) technical review on preventive foot care was published (1), which was followed by an ADA position statement on preventive foot care in diabetes (2). Numerous published studies have proposed a range of tests that might usefully identify patients at risk for foot ulceration, creating confusion among practitioners about which screening tests should be adopted in clinical practice. Therefore, a task force was assembled by the ADA to review and provide a concise summary of the recent literature in this area and then recommend what factors should be included in the comprehensive foot examination for adult patients with diabetes. The committee was cochaired by the immediate past and current chairs of the ADA Foot Care Interest Group (A.J.M.B. and D.G.A.), with other panel members representing primary care, orthopedic and vascular surgery, physical therapy, podiatric medicine and surgery, and the American Association of Clinical Endocrinologists.

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