A 6 dimension and 42 item system provides early risk assessment for high-risk diabetic feetExperts Develop New Risk Assessment System for Diabetic Feet

This guideline describes the development of an early risk assessment system for high-risk diabetic feet based on literature review and two rounds of Delphi expert consultation. The final system comprises 6 dimensions and 42 items designed to identify risk factors, evaluate neurological and vascular status, assess foot skin and nail health, and determine self-care ability and healthcare resource accessibility.

The consensus process showed high agreement among experts, with response rates of 73.3% in Round 1 and 100.0% in Round 2. Authority coefficients were recorded at 0.802 for Round 1 and 0.933 for Round 2. Kendall's coefficients of concordance (W) were 0.302 for Round 1 and 0.103 for Round 2, with p-values less than 0.05 reported for these metrics.

The tool is intended to guide nursing training, standardize prevention practices, refine educational programs, and evaluate institutional capabilities for managing high-risk diabetic feet. Because this is a consensus-based expert consultation rather than a clinical trial, the results reflect expert agreement on assessment criteria rather than observed clinical outcomes.