Table 4 Opinions of managing diabetes-related foot infection and osteomyelitis
Total | Vascular surgeons | Orthopaedic surgeons | p-value 2 | |
|---|---|---|---|---|
Usefulness for diagnosing diabetic foot osteomyelitis 1 | ||||
Probe-to-bone test | 35/49 4 (3–5) | 19/29 4 (3–5) | 16/20 3 (2–4) | p = 0.082 |
Bone biopsy | 35/49 3 (2–5) | 18/29 3 (2–4) | 17/20 4 (2–5) | p = 0.303 |
Plain x-ray | 40/49 3 (2–4) | 22/29 3 (2–4) | 18/20 3.5 (2–4) | p = 0.757 |
Magnetic resonance imaging | 39/49 4 (3–5) | 21/29 4 (3.5–5) | 18/20 4 (3–5) | p = 0.922 |
Bone scan | 24/49 3 (2–4) | 12/29 3 (2–4) | 12/20 3 (2–3.75) | p = 0.478 |
PET-CT scan | 19/49 3 (3–4) | 10/29 3 (2.75–4) | 9/20 4 (3–4) | p = 0.720 |
Confidence in: 1 | ||||
Wound dressing choice | 40/49 4 (3.25–5) | 21/29 5 (4–5) | 19/20 4 (3–4) | P = 0.065 |
Antibiotic choice | 39/49 4 (4–5) | 21/29 4 (4–5) | 18/20 4 (3–4) | P = 0.053 |
Antibiotic duration | 40/49 4 (3–4) | 22/29 3.5 (3–4) | 18/20 4 (3–4) | P = 0.638 |
Indications for removal of infected bone | 41/49 4 (4–5) | 22/29 4.5 (4–5) | 19/20 4 (4–5) | P = 0.954 |
Indications for surgical debridement | 42/49 5 (4–5) | 22/29 5 (4–5) | 20/20 4 (4–5) | P = 0.083 |
Extent of surgical debridement | 42/49 4 (4–5) | 22/29 5 (4–5) | 20/20 4 (4–5) | P = 0.190 |
Variation in: 1 | ||||
Wound dressing choice | 41/49 4 (3–5) | 21/29 4 (3.5–5) | 20/20 4 (3–4) | p = 0.122 |
Antibiotic choice | 40/49 3 (2–4) | 21/29 3 (2–3.5) | 19/20 3 (2–4) | p = 0.830 |
Antibiotic duration | 40/49 3 (2–3.75) | 21/29 3 (3–4) | 19/20 3 (2–4) | P = 0.320 |
Indications for removal of infected bone | 38/49 3 (3–4) | 19/29 3 (2–3) | 19/20 3 (2–4) | P = 0.525 |
Indications for surgical debridement | 38/49 3 (2–4) | 20/29 3 (2–4) | 18/20 3 (2–4) | P = 0.806 |
Extent of surgical debridement | 41/49 3 (2–4) | 21/29 3 (2–4) | 20/20 3 (2–4) | P = 0.764 |
Need for further randomised clinical trials exploring: 1 | ||||
Wound dressing choice | 31/49 4 (3–4) | 16/29 4 (3–5) | 15/20 3 (3–4) | p = 0.216 |
Antibiotic choice | 33/49 3 (2–4) | 18/29 3 (2–4) | 15/20 3 (2–4) | p = 0.789 |
Antibiotic duration | 35/49 4 (3–4) | 18/29 4 (3–4) | 17/20 4 (2.5–4) | p = 0.732 |
Indications for removal of infected bone | 34/49 4 (3–5) | 17/29 4 (3–5) | 17/20 4 (2.5–5) | p = 0.610 |
Indications for surgical debridement | 32/49 4 (2–5) | 14/29 4 (2–4.25) | 18/20 4 (2.75–5) | p = 0.639 |
Extent of surgical debridement | 34/49 4 (2.75–4.25) | 16/29 4 (3–4.75) | 18/20 4 (2–4.25) | p = 0.506 |