Is It Time to Reconsider the 60 SecondsDiabetic Foot Screen Reorganizing the 60 Second Foot Exam for People with Diabetes?

Badriya Al-Lenjawi*, Hashim Mohamed and Azzam Azmy

Is It Time to Reconsider the 60 Seconds Diabetic Foot Screen Reorganizing the 60 Second Foot Exam for People with Diabetes?

Diabetic patients have 25% lifetime risk of developing foot ulceration. More than half of these
ulcers may eventually become infected, which greatly increases the likelihood of subsequent
amputations. Although a multidisciplinary approach is the standard management for treating
diabetic foot ulcers, screening of diabetic foot ulcers is an integral part of that process.

This review highlights the importance of the Inow’s 60 seconds screening tool but at the same
time highlights serious gaps in the screening tool which is supposed to be a comprehensive
screening tool for use in diabetic patients.

The authors have addressed these gaps in a constructive and scientific way
thereby solidifying the screening tool further in order to capture all the
features and complications of the diabetic foot.

We read with interest the Inlow’s 60 second foot exam for people with diabetes.
Comprehensive and easy to apply wound screening tools are a vital pre-requisite in
formulating a management plan to achieve optimal wound healing and patient well-being.

The authors of the 60 second foot exam for people with diabetes made a considerable effort
in devising a simple and practical screening tool for health care professionals worldwide.

Since 2004, the 60 seconds diabetic foot screen remained unscrutinized and
therefore remained unchanged. Although comprehensive history is a vital element of risk
assessment, clinicians cannot fully assess patients with diabetes for risk factors for foot ulceration
based on history alone; a comprehensive foot exam remains the essential element of this process.

Dermatol Open J. 2017; 2(1): 10-15. doi: 10.17140/DRMTOJ-2-121

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