{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,25]],"date-time":"2025-12-25T07:20:38Z","timestamp":1766647238617,"version":"3.38.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T00:00:00Z","timestamp":1632960000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Diabetes Sci Technol"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec><jats:title>Objective:<\/jats:title><jats:p> Areas of the foot with diabetic ulcers have been observed to have greater plantar pressures compared to non-ulcerated. Pressures play an essential role in the mechanism of lesion, and their reduction is effective in prevention. We conducted a systematic review to evaluate pedobarography as a predictive tool for ulcer development, since there is still no consensus on this aspect. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> We searched PUBMED (MedLine), EMBASE, Scopus, Web of Science, CINAHL and Scielo for cohort studies that measured plantar pressure at baseline and verified ulcer development on follow-up. Pooled effects of accuracy, sensitivity, specificity and relative risk were calculated using the inverse variance method. Risk of bias was assessed using the QUADAS-2 tool. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> Three studies ( n\u2009=\u20092000) had enough information on accuracy to be included into a meta-analysis, and 4 ( n\u2009=\u20092651) were analyzed using qualitative methods. Pooled sensitivity and specificity were found to be 0.63 (Confidence Interval (CI) 0.58-0.68) and 0.42 (CI 0.27-0.58), respectively. Pooled relative risk was 1.95 (CI 1.09-3.51). Risk of bias was low to uncertain. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p> Pedobarography in itself appears to have low accuracy in evaluating risk of ulceration. Several methodological heterogeneities were found, and the most optimal cut-off value is yet to be determined. <\/jats:p><\/jats:sec>","DOI":"10.1177\/19322968211043550","type":"journal-article","created":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T12:45:08Z","timestamp":1633005908000},"page":"70-78","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Accuracy of Foot Pressure Measurement on Predicting the Development of Foot Ulcer in Patients with Diabetes: A Systematic Review and Meta-Analysis"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8123-8093","authenticated-orcid":false,"given":"Jo\u00e3o Pedro Wardani","family":"de Castro","sequence":"first","affiliation":[{"name":"Universidade Estadual de Ponta Grossa (UEPG), Ponta Grossa, PR, Brazil"}]},{"given":"Felipe Camargo","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Ponta Grossa (UEPG), Ponta Grossa, PR, Brazil"}]},{"given":"Jo\u00e3o Gustavo Franco","family":"Vargas","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Ponta Grossa (UEPG), Ponta Grossa, PR, Brazil"}]},{"given":"Lucas Bressan","family":"Bosso","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Ponta Grossa (UEPG), Ponta Grossa, PR, Brazil"}]},{"given":"Nathan","family":"Nabozny","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Ponta Grossa (UEPG), Ponta Grossa, PR, Brazil"}]},{"given":"Camila Marinelli","family":"Martins","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Ponta Grossa (UEPG), Ponta Grossa, PR, Brazil"}]},{"given":"Gabriel","family":"Farhat","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Ponta Grossa (UEPG), Ponta Grossa, PR, Brazil"}]},{"given":"Ricardo Zanetti","family":"Gomes","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Ponta Grossa (UEPG), Ponta Grossa, PR, Brazil"}]}],"member":"179","published-online":{"date-parts":[[2021,9,30]]},"reference":[{"key":"bibr1-19322968211043550","volume-title":"IDF Diabetes Atlas","author":"Williams R","year":"2019","edition":"9"},{"key":"bibr2-19322968211043550","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.22.1.157"},{"key":"bibr3-19322968211043550","doi-asserted-by":"publisher","DOI":"10.1590\/S0080-62341998000400011"},{"key":"bibr4-19322968211043550","doi-asserted-by":"publisher","DOI":"10.1080\/07853890.2016.1231932"},{"key":"bibr5-19322968211043550","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1615439"},{"key":"bibr6-19322968211043550","doi-asserted-by":"publisher","DOI":"10.1001\/jama.293.2.217"},{"key":"bibr7-19322968211043550","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.158.2.157"},{"issue":"3","key":"bibr8-19322968211043550","first-page":"100","volume":"3","author":"Plank M","year":"2000","journal-title":"Diabetic Foot J"},{"key":"bibr9-19322968211043550","doi-asserted-by":"publisher","DOI":"10.1186\/s40064-016-3405-9"},{"key":"bibr10-19322968211043550","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9113591"},{"key":"bibr11-19322968211043550","unstructured":"R Core Team. 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