How reliable are our screening tools for peripheral arterial disease (PAD)? A recently published meta-analysis suggests that while our current diagnostic testing measures are promising, one should be wary of relying upon any one tool in isolation in patients with diabetes.
In their 2020 study in the Journal of Vascular Surgery, Normahani and coworkers reviewed and analyzed studies to evaluate the accuracy of bedside testing for PAD in patients with diabetes.1 In examining the diagnostic accuracy of the ankle-brachial pressure index (ABPI), the toe brachial pressure index (TBPI) and the tibial waveform assessment, these authors reviewed 11 studies (including a total of 1,543 limbs) … read more