{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T14:24:53Z","timestamp":1791469493761,"version":"4.3.4"},"reference-count":27,"publisher":"American Diabetes Association","issue":"2","license":[{"start":{"date-parts":[[2021,1,20]],"date-time":"2021-01-20T00:00:00Z","timestamp":1611100800000},"content-version":"vor","delay-in-days":44,"URL":"https:\/\/www.diabetesjournals.org\/content\/license"}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,2,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>The aim of this study was to compare the University of Texas (UT) and Site, Ischemia, Neuropathy, Bacterial Infection, and Depth (SINBAD) foot ulcer scores in predicting ulcer outcome within a routine diabetes foot clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESEARCH DESIGN AND METHODS<\/jats:title>\n                    <jats:p>From 2006 to 2018, data were collected from all patients attending an outpatient diabetes foot clinic with an active ulcer not healed within 4 weeks. UT and SINBAD were compared in predicting ulcer outcome. A unified numerical score for UT was constructed and compared with UT grade (depth) and stage scores. Outcomes included death, a healed ulcer, or a nonhealed ulcer, which included major or minor amputation and nonhealing chronic ulcers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Outcomes were available from 1,645 ulcer outcomes in 1,068 patients (mean [SD] age 65.4 [4] years, 72% male), of which 1,108 (67%) healed. With exclusion of death as an adverse outcome, the c-statistic (area under operator curve) was 0.67 (95% CI 0.65\u20130.71) for UT grade\/depth and 0.64 (0.61\u20130.67) for UT stage. The new unified UT score had an improved c-statistic of 0.71 (0.68\u20130.74). The c-statistic was 0.72 (0.69\u20130.75) for SINBAD. There was a stepwise decrease in the proportion of ulcers healed for each increased score on ulcer grading for both grading schemes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>This large and independent observational comparison, in a real-world clinical setting, demonstrated that the UT and SINBAD diabetes foot ulcer grading schemes had similar prognostic ability for predicting foot ulcer outcomes. We have devised and validated a unified numerical scoring system for UT.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2337\/dc20-1817","type":"journal-article","created":{"date-parts":[[2020,12,7]],"date-time":"2020-12-07T18:30:26Z","timestamp":1607365826000},"page":"326-331","update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":18,"title":["Independent Observational Analysis of Ulcer Outcomes for SINBAD and University of Texas Ulcer Scoring Systems"],"prefix":"10.2337","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0570-5678","authenticated-orcid":false,"given":"Graham P.","family":"Leese","sequence":"first","affiliation":[{"name":"Strathmore Diabetes Centre, Ninewells Hospital, Dundee, U.K."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrique","family":"Soto-Pedre","sequence":"additional","affiliation":[{"name":"Strathmore Diabetes Centre, Ninewells Hospital, Dundee, U.K."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Schofield","sequence":"additional","affiliation":[{"name":"Strathmore Diabetes Centre, Ninewells Hospital, Dundee, U.K."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","published-online":{"date-parts":[[2020,12,7]]},"reference":[{"key":"2022031300244510800_B1","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1111\/dme.13973","article-title":"The cost of diabetic foot ulcers and amputations to the National Health Service in England","volume":"36","author":"Kerr","year":"2019","journal-title":"Diabet Med"},{"key":"2022031300244510800_B2","doi-asserted-by":"crossref","first-page":"21847","DOI":"10.3402\/dfa.v4i0.21847","article-title":"The system of care for the diabetic foot: objectives, outcomes, and opportunities","volume":"4","author":"Barshes","year":"2013","journal-title":"Diabet Foot Ankle"},{"key":"2022031300244510800_B3","doi-asserted-by":"crossref","first-page":"2367","DOI":"10.1056\/NEJMra1615439","article-title":"Diabetic foot ulcers and their recurrence","volume":"376","author":"Armstrong","year":"2017","journal-title":"N Engl J Med"},{"key":"2022031300244510800_B4","unstructured":"International Working Group on the Diabetic Foot. The International Working Group on the Diabetic Foot guideline on the classification of diabetic foot ulcers, 2019. Accessed 25 February 2020. 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