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182 ■ PIE DIABÉTICO35. Frykberg RG, Lavery LA, Pham H, Harvey C, Harkless L,Veves A. Role of neuropathy and high foot pressures in diabeticfoot ulceration. Diabetes Care 1998; 21:1714-1719.36. Boulton AJ. Pressure and the diabetic foot: clinical scienceand offloading techniques. Am J Surg 2004; 187:17S-24S.37. Lavery LA, Armstrong DG, Wunderlich RP, Tredwell J,Boulton AJ.Predictive value of foot pressure assessment aspart of a populationbased diabetes disease managementprogram. Diabetes Care 2003; 26:1069- 1073.38. Rathur HM, Boulton AJ. Pathogenesis of foot ulcers and theneed for offloading. Horm Metab Res 37(Suppl 1):61-68,2005. Armstrong DG, Nguyen HC, Lavery LA, van SchieCH, Boulton AJM, Harkless LB. Offloading the diabetic footwound: a randomized clinical trial. Diabetes Care 2001;24:1019-1022.39. Armstrong DG, Lavery LA, Wu S, Boulton AJ. Evaluation ofremovable and irremovable cast walkers in the healing ofdiabetic foot wounds: a randomized controlled trial.Diabetes Care 2005; 28:551-554.40. American Diabetes Association. Consensus DevelopmentConference on Diabetic Foot Wound Care. Diabetes Care1999; 22:1354.41. Caputo GM, Cavanagh PR, Ulbrecht JS, Gibbons GW,Karchmer AW. Assessment and management of foot diseasein patients with diabetes.N Engl J Med 1994; 331:854-860.42. International Working Group on the Diabetic Foot.International Consensus on the Diabetic Foot, edited by JApelqvist, K Bakker, WH Van Houtum, MH Nabuurs-Franssen, and NC Schaper. Vol. 2005. International WorkingGroup on the Diabetic Foot, Maatricht, 1999.43. Singh N, Armstrong DG, Lipsky BA. Preventing foot ulcersin patients with diabetes. [Review]. JAMA 2005; 293:217-228.44. Moss SE, Klein R, Klein BE. The 14-year incidence of lowerextremity amputations in a diabetic population. The Wi s co n s i n Epidemiologic Study of Diabetic Retinopathy.Diabetes Care 1999; 22:951-959.45. Frykberg RG. An evidence-based approach to diabetic footinfections. Am J Surg 2003; 186:44S-54S.46. Reiber GE. The epidemiology of diabetic foot problems.Diabet Med 13(Suppl 1):S6-S11, 1996.47. Gibbons GW, Eliopoulos GM. Infection of the diabetic foot.In:Management of Diabetic Foot Problems, p 121, edited byGP Kozak, DR Campbell, RG Frykberg, and GMHabershaw, WB Saunders, Philadelphia, 1995.48. American Diabetes Association. Consensus DevelopmentConference on Diabetic Foot Wound Care. Diabetes Care1999; 22:1354.49. Calhoun JH, Cantrell J, Cobos J, Lacy J, Valdez RR, HokansonJ, Mader JT. Treatment of diabetic foot infections: Wagnerclassification, therapy, and outcome. Foot and Ankle 1988;9:101-106.50. van Baal JG. Surgical treatment of the infected diabetic foot.Clin Infect Dis 2004; 39(Suppl 2):S123-S128.ANEXO ICuestionarios para el cribaje y estratificación del riesgo neuropáticoNSS: PARESTESIASHormigueo,quemazón, pinchazos Si (2) No (0)Las molestias aumentan Por la noche (2) día y noche (1), durante el día (0)Se localizan En los pies (2) pies y piernas (1), no en pies (0)Calman Con movimientos (2) de pie (1) otros (0)Despiertan por la noche (1) No (0)Total puntos (max 9) =Piel seca, fría, sin velloUñas anchas y gruesasDeformidadesCallosÚlcerasTotal puntos (max 10) =MNIS: ASPECTO DEL PIEPie derechoPie izquierdoNo (0) Si (1) No (0) Si (1)