Department of Nursing and Podiatry, University of Málaga, Arquitecto Francisco Peñalosa, s/n. Ampliación campus de Teatinos, 29071, Málaga, Spain.
Podiatry Department, Faculty of Health Sciences, Block A, Level 1, Mater Dei Hospital, University of Malta, Msida, MSD 2090, Malta.
Qual Life Res. 2021 Dec;30(12):3395-3405. doi: 10.1007/s11136-021-02892-4. Epub 2021 Jun 9.
Diabetic foot disease is one of the most serious and expensive complications of diabetes. Patient-reported outcome measures (PROMs) analyse patients' perception of their disability, functionality and health. The goal of this work was to conduct a systematic review regarding the specific PROMs related to the evaluation of diabetic foot disease and to extract and analyse the values of their measurement properties.
Electronic databases included were PubMed, CINAHL, Scopus, PEDro, Cochrane, SciELO and EMBASE. The search terms used were foot, diabet*, diabetic foot, questionnaire, patient-reported outcome, self-care, valid*, reliabil*. Studies whose did not satisfy the Critical Appraisals Skills Programme (CASP) Diagnostic Study Checklist were excluded. The measurement properties extracted were: Internal Consistency, Test-retest, Inter-rater and Intra-rater, Standard Error of Measurement, Minimum Detectable Measurement Difference, Content Validity, Construct Validity, Criterion Validity and Responsiveness.
The PROMs selected for this review were 12 questionnaires. The Diabetic foot self-care questionnaire (DFSQ-UMA) and the Questionnaire for Diabetes Related Foot Disease (Q-DFD) were the PROMs that showed the highest number of completed measurement properties.
According to the results, it is relevant to create specific questionnaires for the evaluation of diabetic foot disease. It seems appropriate to use both DFSQ-UMA and Q-DFD when assessing patients with diabetic foot disease.
糖尿病足病是糖尿病最严重和昂贵的并发症之一。患者报告的结果测量（PROMs）分析患者对其残疾、功能和健康的感知。这项工作的目的是对与评估糖尿病足病相关的特定 PROMs 进行系统回顾，并提取和分析其测量特性的值。
纳入的电子数据库包括 PubMed、CINAHL、Scopus、PEDro、Cochrane、SciELO 和 EMBASE。使用的搜索词是足部、糖尿病、糖尿病足、问卷、患者报告的结果、自我护理、有效、可靠。未满足关键评估技能计划（CASP）诊断研究清单的研究被排除在外。提取的测量特性包括：内部一致性、重测、评价者间和评价者内、测量标准误差、最小可检测测量差值、内容效度、结构效度、标准效度和反应度。
本综述选择的 PROMs 是 12 个问卷。糖尿病足自我护理问卷（DFSQ-UMA）和糖尿病相关足部疾病问卷（Q-DFD）是显示最多完成测量特性的 PROMs。
根据结果，为评估糖尿病足病创建特定的问卷是很重要的。在评估糖尿病足病患者时，似乎可以同时使用 DFSQ-UMA 和 Q-DFD。
