BACKGROUND: Most @entity6 amputations are caused by @entity1066 on the skin of the foot i.e. @entity4760 . Early identification of @entity1 at high risk for @entity4760 is crucial. The 'Simplified 60-Second @entity6 Screening Tool' has been designed to rapidly detect high risk @entity6 , allowing for timely identification and referral of @entity1 needing treatment. This study aimed to determine the clinical performance and inter-rater reliability of 'Simplified 60 Second @entity6 Screening Tool' in order to evaluate its applicability for routine screening. METHODS AND FINDINGS: The tool was independently tested by n=12 assessors with n=18 Guyanese @entity1 with @entity6 . Inter-rater reliability was assessed by calculating Cronbach's alpha for each of the assessment items. A minimum value of 0.60 was considered acceptable. Reliability scores of the screening tool assessment items were: 'monofilament test' 0.98; 'active ulcer' 0.97; 'previous amputation' 0.97; 'previous ulcer' 0.97; 'fixed ankle' 0.91; 'deformity' 0.87; 'callus' 0.87; 'absent pulses' 0.87; 'fixed toe' 0.80; 'blisters' 0.77; 'ingrown nail' 0.72; and 'fissures' 0.55. The item 'stiffness in the toe or ankle' was removed as it was observed in only 1.3% of @entity1 . The item 'fissures' was also removed due to low inter-rater reliability. Clinical performance was assessed via a pilot study utilizing the screening tool on n=1,266 @entity1 in an acute care setting in Georgetown, Guyana. In total, 48% of @entity1 either had existing @entity4760 or were found to be at high risk for developing @entity1066 . CONCLUSIONS: Clinicians in low and middle income countries such as Guyana can use the Simplified 60-Second Diabetic Screening Tool to facilitate early detection and appropriate treatment of @entity4760 . Implementation of this screening tool has the potential to decrease @entity6 related disability and mortality.

Tool for Rapid _ Easy Identification of High Risk @entity6 : Validation _ Clinical Pilot of the Simplified 60 Second XXXX Screening Tool.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1066 :: ('MESH:D014456', 'Disease') :: ['ulcers'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes', 'diabetic feet', 'Diabetic Foot', 'diabetic foot'] @entity4760 :: ('MESH:D017719', 'Disease') :: ['diabetic foot ulcers']
@entity6 :: (MESH:D003920,Disease) :: ['Diabetic Foot']
