Cost-effectiveness of temperature monitoring to help prevent foot ulcer recurrence in people with diabetes: A multicenter randomized controlled trial

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Cost-Effectiveness of Temperature Monitoring to Prevent Foot Ulcer Recurrence in Diabetes

Diabetes-related foot ulcers are a common and costly issue. We conducted a trial to assess the cost-effectiveness of at-home skin temperature monitoring in preventing diabetes-related foot ulcer recurrence.

Key Findings

The intervention group had significantly lower foot care costs and fewer participants with ulcer recurrence(s) in 18 months, resulting in potential cost-savings. However, there was a non-significant decrease in quality-adjusted life years (QALYs) in the intervention group.

Implications

At-home skin temperature monitoring for diabetes-related foot ulcer prevention compared with usual care is at best equally cost-effective. The intervention resulted in cost-savings due to preventing foot ulcer recurrence and related costs, but this came at the expense of potential QALY loss.

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