Diagnostics, Theragnostics, and the Personal Health Server: Fundamental Milestones in Technology With Revolutionary Changes in Diabetic Foot and Wound Care to Come

David G. Armstrong, Nicholas A. Giovinco

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Over the past generation, significant advances in care have led to reductions in amputation worldwide. However, it may be argued that the most potent advances in healing have been in organization of care. Technologies are now emerging that may allow further enhancements of organization and integration of care while also bringing in much needed bedside, chairside, and in-home diagnostics to identify key points in healing and potential early warning signs for recurrence. This article reviews what are believed to be 6 key areas of change over the next generation. These include portability, durability, automation, intelligence, ubiquity, and afford-ability, all yielding specific advances in wound diagnostics. The authors believe that devices will be organized into personal health servers in cloud-synchronized devices already existing in the home (eg, a scale), the clinic, and on (or in) the patient.

Original languageEnglish (US)
Pages (from-to)54-60
Number of pages7
JournalFoot & Ankle Specialist
Volume4
Issue number1
DOIs
StatePublished - Feb 2011

Keywords

  • amputation and limb salvage
  • comorbid conditions
  • diabetes
  • diagnostic and therapeutic techniques
  • new technology assessment
  • noncompliant patient
  • nonhealing ulcer
  • patient behavior
  • practice management
  • wound care

ASJC Scopus subject areas

  • Surgery
  • Podiatry
  • Orthopedics and Sports Medicine

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