Podimetrics Works.

“Lower Resource Utilization for Patients with Healed Diabetic Foot Ulcers…”

Research and observation reveal lower rates of healthcare resource utilization for high-risk participants during enrollment in a diabetic foot prevention program incorporating once-daily foot temperature monitoring.

– Isaac et al., BMJ Open Diabetes Research and Care (2020)

“Remote Temperature Monitoring of the Diabetic Foot: From Research to Practice”

There is a significant opportunity to shift diabetic foot care from treatment to prevention. Remote Temperature Monitoring is an evidence-based — yet underused — telemedicine solution that can catalyze this needed paradigm shift.

– Rothenberg et al., Federal Practitioner (2020)

“Feasibility and Efficacy of a Smart Mat Technology to Predict Development of Diabetic Plantar Ulcers”

Given the encouraging study results and the significant burden of DFU, use of Smart Mat technology may result in significant reductions in morbidity, mortality, and resource utilization.

– Diabetes Care (2017)

“Unilateral Remote Temperature Monitoring to Predict Future Ulceration for the Diabetic Foot in Remission”

Daily temperature monitoring of a single foot has the potential to significantly improve outcomes and reduce resource utilization among patients with a history of proximal LEA or wound treatment.

– BMJ Open Diabetes Research and Care (2019)

“Accuracy of a Foot Temperature Monitoring Mat for Predicting Diabetic Foot Ulcers in Patients with Recent Wounds or Partial Amputations”

Daily foot temperature monitoring is no less accurate for predicting foot ulceration in those with recent wounds and partial foot amputations than in those without these complications. Expanded practice of daily monitoring may result in improved patient outcomes and reduced resource utilization.

– Journal of Diabetes Research and Clinical Practice (2020)

“Higher Rates of All-Cause Mortality and Resource Utilization During Episodes-of-Care for Diabetic Foot Ulceration”

After validating a model to identify diabetic foot ulcer episodes in Medicare data, it was revealed that all-cause mortality was 1.5 times more likely during diabetic foot ulcer (DFU) episodes.

– Petersen et al., Diabetes Research and Clinical Practice (2022)

“Lower Extremity Reamputation in People with Diabetes”

The incidence of lower extremity reamputation is high among patients with diabetes who have undergone initial amputations secondary to diabetes — and rates of reamputation have not changed over at least two decades.

– Liu et al., BMJ Open Diabetes Research and Care (2021)

“Ulcer Metastasis? Anatomical Locations of Recurrence for Patients in Diabetic Foot Remission”

Given the significant morbidity, mortality, and resource utilization associated with foot ulcer recidivism, quality and evidenced-based preventive care is essential.

– Journal of Foot and Ankle Research (2020)

“Preventing Diabetic Foot Ulcer Recurrence in High-Risk Patients”

The use of infrared temperature home monitoring as an “early warning sign” appears to be a simple and useful adjunct in the prevention of diabetic foot ulcerations.

– Lavery et al., Diabetes Care (2007)

“Skin Temperature Monitoring Reduces the Risk for Diabetic Foot Ulceration in High-Risk Patients”

High temperature gradients between feet may predict the onset of neuropathic ulceration — and self-monitoring may reduce the risk of ulceration.

– Armstrong et al., American Journal of Medicine (2007)

“Home Monitoring of Foot Skin Temperatures to Prevent Ulceration”

At-home, daily self-monitoring of foot temperatures may help prevent foot complications in individuals at high risk for lower-extremity ulceration and amputation.

– Lavery et al., Diabetes Care (2004)

“Remote Temperature Monitoring in Diabetic Foot Ulcer Detection”

Three high-risk patients with h/o DFU, poorly-controlled diabetes, and peripheral neuropathy were followed with a remote temperature monitoring mat. In all three cases, use of the mat resulted in early identification inflammation and prompted clinical evaluation and intervention.

– Amanda Killeen, DPM, PGY-2; Jodi Walters, DPM, Diplomate ABFAS

Prevention of Foot Ulcers

Reducing the risk of diabetic foot ulceration also reduces the risk of infection, hospitalization, and lower-extremity amputation in patients.

– International Working Group of the Diabetic Foot (2023)

Diabetic Foot Disorders (2006)

Although not all foot complications can be prevented, dramatic reductions in frequency have been achieved by taking a multidisciplinary approach to patient management. If these concepts are incorporated into patient management protocols, a major reduction in diabetic limb amputations is an attainable goal.

– American College of Foot and Ankle Surgeons (2006)

“Use of a Remote Temperature Monitoring Mat for the Early Identification of Foot Ulcers”

Research suggests the use of Remote Temperature Monitoring (RTM) by a smart thermometric foot mat may support the prevention and early identification of DFU for improved patient outcomes and reduction in resource utilization.

– Banks et al., Wounds (2020)

“Remote Temperature Monitoring in Diabetic Foot Ulcer Detection”

Patients with previous ulcerations were alerted via the Podimetrics system to be at high risk for re-ulceration due to temperature differentials greater than 1.75°C. Early evaluation decreased the need for costly advanced modalities, morbidity, and mortality.

– Killeen and Walters, VA Health Care (2017)

“Seasonality in Foot Inflammation Detected by a Telemedicine Once-Daily Temperature Monitoring Mat”

Changes in climate can alter a patient’s lifestyle, which in turn can cause activity-driven injury to the diabetic foot. Seasonality may need to be accounted for when assessing the risk of foot health.

— Petersen et al. Podimetrics (2019)

“Costs Attributable to Diabetic Foot Ulcers”

An alternative, “bottom-up” economic model for the diabetic foot can augment existing cost-of-illness studies — and enable decision-makers to explore the cost implications of emerging technologies and practices.

– Bloom et al., Podimetrics (2019)

“Remote Temperature Monitoring of in Patients With Visual Impairment Due to Diabetes Mellitus”

Once-daily remote temperature monitoring technology can augment self-screening. RTM can prompt necessary outreach and treatment — and potentially prevent costly and debilitating diabetic foot complications.

– Killeen et al., Journal of Diabetes Science & Technology (2019)

“A Novel Approach for Remote Temperature Monitoring Using a Single Foot”

Remote single-foot temperature monitoring was found to correctly identify 91% of plantar DFU with a 44-day lead time.

– Lavery et al., Podimetrics (2019)

“Use of Remote Temperature Monitoring for DFU Early Detection to Identify Pre-Ulcerative Lesions”

The use of thermometry to identify pre-ulcerative lesions has the potential to improve care and reduce DFU-related morbidity, mortality, and costs.

– Banks et al., Phoenix VA Health Care Systems (2018)

“Angiosomal Interpretation of Dermal Thermometry in Patients at High Risk for Diabetic Foot Ulcers”

The angiosome model may provide a helpful framework for interpreting daily remote temperature data, potentially enabling tailored interventions and reduction of incidence.

– Isaac et al., Mid-Atlantic Permanente Medical Group (2018)

“Paradigm Shift for Diabetic Foot Ulcers “

Up to 75% of foot ulcers may be preventable. Prevention of foot ulcerations will ultimately reduce morbidity and mortality in this vulnerable patient population.

– Rothenberg, Michigan Medicine (2018)

“Remote Temperature Monitoring to Prompt Timely Preventative Debridement”

The practice of thermometry may enable timely and tailored offloading interventions such as debridement — which has the potential to improve preventative care and reduce DFU-related morbidity, mortality, and costs.

– Killeen et al., Southern Arizona VA Health Care System (2018)

“Accuracy of Daily Foot Temperature Monitoring for Patients with Recently Healed Diabetic Foot Ulcers or History of Amputation”

Data suggests thermometry is appropriate for monitoring both recently-healed DFU or partial LEA patients. Use of thermometry may significantly reduce morbidity, mortality, and resource utilization in high-risk patients.

– Gordon et al., U.S. Department of Veterans Affairs (2018)

“Investigating Right-Censoring of Diabetic Foot Ulcer Recidivism”

Observed cases suggest that recidivism rates may be significantly underreported. In each case, the remote temperature monitoring mat detected inflammation associated with DFU prior to presentation.

– Rothenberg et al., Podimetrics (2018)

“Remote Thermometry for Early Detection of Chronic Recurrent Wounds”

Given the high incidence of DFU recurrence, at-home thermometric monitoring for patients who have recently healed from chronic wounds has the potential to mitigate morbidity, mortality, and resource utilization.

– Killeen et al., VA Health Care  (2017)

“Acute Charcot Neuroarthropathy: A Novel Use for a Daily Remote Temperature Monitoring Mat”

Thermometry was used to evaluate the progression of Charcot in patients on a daily basis, and monitor for other complications such as DFU. Alerts to emerging asymmetry allowed for targeted, brief, remote intervention.

– Killeen et al., VA Health Care (2017)

“A Remote Thermometric System for the Early Detection of Diabetic Foot Ulcerations”

Use of a remote thermometric system may significantly reduce DFU-related morbidity, mortality, and resource utilization.

– Banks et al., Desert Foot Conference (2016)

“Implementation of a Remote Temperature Monitoring for the Prevention of Diabetic Foot Ulcers”

The utilization of thermograms may provide useful clinical context to guide early preventative care and interventions for patients presenting with hotspots.

– Banks et al., VA Health Care (2017)