{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T10:37:46Z","timestamp":1773484666853,"version":"3.50.1"},"reference-count":24,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2024,6,4]],"date-time":"2024-06-04T00:00:00Z","timestamp":1717459200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diabetology"],"abstract":"<jats:p>Background: We assessed the pertinence of updating the International Working Group on the Diabetic Foot (IWGDF) risk classification yearly in people with diabetes by quantifying the changes in the risk group and its accuracy in identifying those developing an ulcer (DFU) in a primary care setting. Methods: In our retrospective cohort study, we included all people with diabetes with a foot assessment registry between January 2016 and December 2018 in the Baixo Alentejo Local Health Unit. Foot-related data were collected at baseline after one and two years. DFU and\/or death until December 2019 were registered. The proportion of people changing their risk status each year was calculated. Accuracy measures of the IWGDF classification to predict DFU occurrence at one, two, and three years were calculated. Results: A total of 2097 people were followed for three years, during which 0.1% died and 12.4% developed a DFU. After two years, 3.6% of the participants had progressed to a higher-risk group. The IWGDF classification presented specificity values superior to 90% and negative predictive values superior to 99%. Conclusion: Foot risk status can be safely updated every two years instead of yearly, mainly for those at very low risk. The IWGDF classification can accurately identify those not at risk of DFU.<\/jats:p>","DOI":"10.3390\/diabetology5020017","type":"journal-article","created":{"date-parts":[[2024,6,5]],"date-time":"2024-06-05T08:43:54Z","timestamp":1717577034000},"page":"223-233","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Utility of Annual Reassessment of the International Working Group on the Diabetic Foot Diabetes-Related Foot Ulcer Risk Classification in the Primary Care Setting\u2014A Cohort Study"],"prefix":"10.3390","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4586-2910","authenticated-orcid":false,"given":"Matilde","family":"Monteiro-Soares","sequence":"first","affiliation":[{"name":"Portuguese Red Cross Health School Lisbon, 1300-125 Lisbon, Portugal"},{"name":"Cross I&D, 1300-125 Lisbon, Portugal"},{"name":"MEDCIDS\u2014Departamento de Medicina da Comunidade Informa\u00e7\u00e3o e Decis\u00e3o em Sa\u00fade, Faculty of Medicine, University of Porto, 4350-170 Porto, Portugal"},{"name":"CINTESIS\u2014Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, 4350-170 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8776-6655","authenticated-orcid":false,"given":"Jos\u00e9","family":"Dores","sequence":"additional","affiliation":[{"name":"Beja Personalized Health Care Unit\u2014Department of Primary Health Care, Local Health Unit of Baixo Alentejo, EPE, 7800-491 Beja, Portugal"},{"name":"Functional Diabetes Coordinating Unit of Baixo Alentejo, Local Health Unit of Baixo Alentejo, EPE, 7800-491 Beja, Portugal"}]},{"given":"Cristina","family":"Alves-Palma","sequence":"additional","affiliation":[{"name":"Functional Diabetes Coordinating Unit of Baixo Alentejo, Local Health Unit of Baixo Alentejo, EPE, 7800-491 Beja, Portugal"},{"name":"Public Health Unit\u2014Local Health Unit of Baixo Alentejo, EPE, 7800-491 Beja, Portugal"}]},{"given":"Susana","family":"Galrito","sequence":"additional","affiliation":[{"name":"Functional Diabetes Coordinating Unit of Baixo Alentejo, Local Health Unit of Baixo Alentejo, EPE, 7800-491 Beja, Portugal"},{"name":"Management Support Unit\u2014Department of Primary Health Care, Local Health Unit of Baixo Alentejo, EPE, 7800-491 Beja, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0390-9944","authenticated-orcid":false,"given":"Daniela","family":"Ferreira-Santos","sequence":"additional","affiliation":[{"name":"Cross I&D, 1300-125 Lisbon, Portugal"},{"name":"MEDCIDS\u2014Departamento de Medicina da Comunidade Informa\u00e7\u00e3o e Decis\u00e3o em Sa\u00fade, Faculty of Medicine, University of Porto, 4350-170 Porto, Portugal"},{"name":"CINTESIS\u2014Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, 4350-170 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,4]]},"reference":[{"key":"ref_1","unstructured":"Magliano, D.J., and Boyko, E.J. 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