title: Evaluation of diabetic foot screening in Primary Care.
abstract: OBJECTIVE
  To ascertain whether patients with type 2 diabetes are screened for diabetic foot, and to analyze the factors related to patients and centers associated to performance of such screening.
  
  
  METHODS
  A multicenter, epidemiological, cross-sectional study was conducted. The clinical records of 443 patients with type 2 diabetes monitored at Primary Care for at least 12 months were reviewed. Demographic and healthcare variables and characteristics of the primary care center were recorded.
  
  
  RESULTS
  In the previous year, 51.2% of patients had been trained on foot self-care, 56.4% had undergone foot inspection, 39.5% had been examined with a monofilament, and palpation of peripheral pulses and measurement of the ankle-brachial index were performed in 45.8 and 10.1% of patients, respectively. Diabetic foot screening (inspection, monofilament testing, and palpation of peripheral pulses) was performed in 37% of study patients. Ulcer risk stratification was done in 12.4% of patients. A significant association was found between diabetic foot screening and presence of foot deformities (P<.001), history of neuropathy (P=.005), and history of peripheral artery disease (P<.05). Screening was also associated to some characteristics of the center, such as reception of information about goal achievement (P<.001) and economic incentives for goal attainment (P<.001).
  
  
  CONCLUSIONS
  Compliance with diabetic foot screening and ulcer risk stratification in patients with type 2 diabetes in Primary Care was poor.
authors.affiliation: Centro de Salud de La Eria, Oviedo, Asturias, España. Electronic address: margaovi@gmail.com.
authors.forename: Margarita
authors.initials: M
authors.lastname: Alonso-Fernández
authors.affiliation: Centro de Salud Burgos Rural, Burgos, España.
authors.forename: José Javier
authors.initials: JJ
authors.lastname: Mediavilla-Bravo
authors.affiliation: Área Básica de Salud Martorell Urbano, Martorell, Barcelona, España.
authors.forename: Flora
authors.initials: F
authors.lastname: López-Simarro
authors.affiliation: Centro de Salud La Puebla de Montalbán, La Puebla de Montalbán, Toledo, España.
authors.forename: José Manuel
authors.initials: JM
authors.lastname: Comas-Samper
authors.affiliation: Centro de Atención Primaria San Roque, Badajoz, España.
authors.forename: Francisco
authors.initials: F
authors.lastname: Carramiñana-Barrera
authors.affiliation: Centro de Salud Ciudad Jardín, Málaga, España.
authors.forename: José
authors.initials: J
authors.lastname: Mancera-Romero
authors.affiliation: Unidad Docente de Atención Familiar y Comunitaria de Guadalajara, Guadalajara, España.
authors.forename: Ana
authors.initials: A
authors.lastname: de Santiago Nocito
mesh_terms: D000368:Aged; D055109:Ankle Brachial Index; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D003925:Diabetic Angiopathies / Q000453:epidemiology; D017719:Diabetic Foot / Q000175:diagnosis*; D003929:Diabetic Neuropathies / Q000453:epidemiology; D003930:Diabetic Retinopathy / Q000453:epidemiology; D005260:Female; D005531:Foot Deformities, Acquired / Q000453:epidemiology; D006040:Goals; D006268:Health Facilities / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010173:Palpation; D010353:Patient Education as Topic; D010808:Physical Examination / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000191:economics / Q000379:methods* / Q000706:statistics & numerical data; D012021:Reflex, Abnormal; D018570:Risk Assessment; D012307:Risk Factors; D012648:Self Care; D016353:Self-Examination; D012907:Smoking / Q000453:epidemiology; D013030:Spain; D055698:Touch Perception; D014732:Vibration
keywords: Atención Primaria; Diabetes; Diabetic foot; Pie diabético; Primary Care