hitit medical journal Hitit Medical Journal 2687-4717 Hitit Üniversitesi 10.52827/hititmedj.1684061 General Surgery Genel Cerrahi Prospective Comparative Evaluation of Wagner, Pedis, and Texas Classification Systems in Predicting Outcomes of Diabetic Foot Ulcers Diyabetik Ayak Ülserlerinin Sonuçlarını Tahmin Etmede Wagner, PEDIS ve Texas Sınıflandırma Sistemlerinin Prospektif Karşılaştırmalı Değerlendirmesi https://orcid.org/0000-0002-6801-1465 Sezikli İsmail HITIT UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF SURGICAL MEDICAL SCIENCES, DEPARTMENT OF GENERAL SURGERY https://orcid.org/0000-0001-6214-4868 Topcu Ramazan HİTİT ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, GENEL CERRAHİ ANABİLİM DALI https://orcid.org/0000-0002-3834-3864 Demir Emre HITIT UNIVERSITY, SCHOOL OF MEDICINE https://orcid.org/0000-0002-6594-3777 Kendirci Murat HITIT UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF SURGICAL MEDICAL SCIENCES, DEPARTMENT OF GENERAL SURGERY 10 13 2025 7 3 358 368 05 07 2025 06 30 2025 Copyright © 2019, Hitit Medical Journal 2019 Hitit Medical Journal

Objective:This study aims to compare the effectiveness of three classification systems—Wagner, PEDIS, and Texas—in predicting treatment outcomes and amputation risk in patients with diabetic foot ulcers (DFUs). Given the high morbidity and mortality associated with DFUs, accurate prognostic tools are essential for guiding management and reducing limb loss.Material and method:A total of 121 patients diagnosed with DFUs between 2018 and 2020 at Hitit University Faculty of Medicine were prospectively enrolled. Data collected included demographics, wound characteristics, ankle-brachial index (ABI), radiological findings, neuropathy status, and laboratory results. Patients were classified according to Wagner, PEDIS, and Texas systems. The relationship between classification results and clinical outcomes, such as healing and amputation, was analyzed using statistical methods, with significance set at p

Amaç:Diyabetik ayak ülserleri (DFU), diyabetli belirtilerin ciddi bakımları ve tedavisiz amputasyona yol açılabilir.DFU'ların yönetimi, ciddiyetine göre kayıtlı tedavi yöntemleriyle doğrudan özellikleri. DFU'ların tedavisinde ve kullanılan sistemlerde, lezyonun ciddiyetini değerlendirmede, tedavinin düzenlenmesinde ve prognoz tahmininde önemli rol oynar.Bu çalışma, Wagner, PEDIS ve Texas sistemlerini tedavi sonuçları ve klinik prognoz açısından karşılaştırmaktadır.Gereç ve yöntemler:Hitit Üniversitesi Tıp Fakültesi'nde 2018-2020 yılları arasında DFU tanısı konulan ve izlenen toplam 121 hasta bu çalışmaya dahil edildi.Demografik veriler, yara özellikleri, ayak bileği-kol indeksi (ABI) ölçümleri, radyolojik bulgular, nöropati varlığı ve laboratuvar sonuçları prospektif olarak analiz edildi.Hastalar Wagner, PEDIS ve Texas sistemlerine göre sınıflandırıldı.Her hastanın sistemi iyileşmesi ve amputasyon sonuçları perspektiften analiz edildi.Anlamlılık düzeyi p

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