Smith RG
Ostomy/wound management. Date of publication 2003 Jan 1;volume 49(1):54-62.
1. Ostomy Wound Manage. 2003 Jan;49(1):54-62.
Validation of Wagner's classification: a literature review.
Smith RG(1).
Author information:
(1)Shoe String Podiatry, Edgewater, FL, 32141, USA. footdoc@atlantic.net
To ensure high quality care, practitioners should base their practice on sound
clinical evidence. Relying on quantitative measurements when evaluating this
evidence demands measurement accuracy, reliability, and validity. Current
diabetic foot ulcer classification systems include: Meggitt's, Wagner's,
Knighton's, Pecoraro's, University of Texas San Antonio Diabetic Wound
Classification, and Size (Area and Depth), Sepsis, Arteriopathy, and
Denervation. Of these, the Wagner's classification system is the most widely
used to describe the natural history of the dysvascular foot, even though
evidence of its validity and reliability are lacking. A review of clinimetric
properties and existing validation literature of the other diabetic
classification systems suggest that the University of Texas San Antonio Diabetic
Wound Classification and S(AD) SAD have the potential to fill the current void,
once additional studies have been conducted.
PMID: 12532034 [Indexed for MEDLINE]
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