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Table 3 Risk stratification system NIDHI & IWGDF

From: What are the current diabetic foot assessment methods in private podiatry practices in Flanders, Belgium: an exploratory mixed method study

Risk Group

Risk classification Belgian NIDHI [40]

IWGDF guidelines [9]

0

-

no LOPS or PAD

1

LOPS

LOPS or PAD

2

A)Moderate foot deformities such as prominence of metatarsal heads, hyperkeratosis and/or flexible hammer- or claw toes and/or moderate hallux abducto valgus (< 30°)

B)Severe foot deformities

LOPS + PAD

LOPS + foot deformity

PAD + foot deformity

3

PAD

History of DFU

Amputation

Charcot

LOPS or PAD and one or more of the following:

•History of foot ulcer

•LEA (minor or major)

•End-stage renal disease

  1. LOPS Loss of protective sensation, PAD Peripheral arterial disease, DFU Diabetic foot ulcer, LEA Lower extremity amputation