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American Podiatric Medical Association, Journal of the American Podiatric Medical Association, 2(111), 2021

DOI: 10.7547/18-160

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Discordance of the Evaluation of the Plantar Footprint in Kidney Transplant

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

BackgroundThe measures used for the diagnosis of biomechanical pathologic disorders are variable. The aim of this study was to determine the concordance between the Clarke angle and the Chippaux-Smirak and Staheli indices in evaluation of the footprints of kidney transplant patients.MethodsAn observational prevalence study was performed in kidney transplant patients in the University Hospital Complex A Coruña from 1981 through 2014. After obtaining patient informed consent and ethics committee approval, sociodemographic (age and sex) and anthropometric (body mass index) variables and comorbidity (Charlson Comorbidity Index score) were assessed for each patient, and a podiatric medical examination was performed of the footprint through a pedigree (Chippaux-Smirak index, Staheli index, and Clarke angle). A descriptive analysis of all of the variables was performed; for agreement, the kappa index and the Bland-Altman method were used.ResultsWe found a predominance of male sex (65.6%) and a high level of overweight (43.3%) in the sample. The highest concordance between the indices studied is presented by the Chippaux-Smirak index, with a kappa index of 0.86 for the left foot and 0.76 for the right foot.ConclusionsHigh agreement was attained among observers in measurements of the footprints of kidney transplant patients.