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N/A Completed N=604

Diagnostic Tools to Establish the Presence and Severity of Peripheral Arterial Disease in People With Diabetes

Diabetic foot · Peripheral arterial disease · Diabetic Foot Ulcers · Peripheral Vascular Diseases
Source: ClinicalTrials.gov NCT05009602 ↗
Enrolled (actual)
604
Serious AEs
0.0%
Results posted
Sep 2025
Primary outcomePrimary: Diagnostic Accuracy — 36; 42; 55; 41 percentage

Summary

In the UK there are over 7,000 leg amputations each year because of diabetes. The most important cause of this is poor circulation. The detection of poor circulation in patients with diabetes is difficult. A number of tests exist to detect poor circulation (known as peripheral arterial disease (PAD)). However, there is confusion as to which is the gold standard. The DM PAD study aims to determine the diagnostic performance of index tests (audible handheld Doppler, visual handheld Doppler, ankle brachial pressure index (ABPI), exercise ABPI and toe brachial pressure index (TBPI)) for the diagnosis of PAD in patients with diabetes as determined by a reference test (CTA or MRA).

Outcome Measures

OutcomeResultp-value
PRIMARY
Diagnostic Accuracy
36; 42; 55; 41; 41; 89
PRIMARY
Diagnostic Accuracy - Ratios
0.7; 0.7; 0.6; 0.7; 0.7; 0.2
SECONDARY
Health Economic Outcome - Cost Effectiveness
11165437; 11204467; 11241003; 11218496; 11229209; 11156745
SECONDARY
Health Economic Outcome - Cost Effectiveness (QALY)
2418; 2426; 2442; 2425; 2425; 2370
SECONDARY
Patient Acceptability
7; 7; 7; 11; 8; 2
SECONDARY
Technical Success
603; 603; 590; 599; 540; 102

Eligibility Criteria

Inclusion Criteria

  • Aged ≥18 years
  • Known history of diabetes

Exclusion Criteria

  • PAD status known on imaging
  • Known history of PAD intervention
  • CTA and MRA contraindications- renal impairment, pregnancy, contrast medium hypersensitivity/allergy, non-compatible implants (MRA only).
  • Unable to provide appropriate informed consent.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05009602). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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