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This study developed a clinical prediction rule that accurately assessed the risk of foot ulceration and suggested that less frequent monitoring for those at low risk might be acceptable.

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Fay Crawford 1,2,*, Francesca M Chappell 3, James Lewsey 3, Richard Riley 4, Neil Hawkins 5, Donald Nicolson 1, Robert Heggie 5, Marie Smith 6, Margaret Horne 7, Aparna Amanna 1, Angela Martin 8, Saket Gupta 8, Karen Gray 1, David Weller 7, Julie Brittenden 9, Graham Leese 10

1 NHS Fife, R&D Department, Queen Margaret Hospital, Dunfermline, UK
2 The Sir James Mackenzie Institute for Early Diagnosis, The School of Medicine, University of St Andrews, St Andrews, UK
3 Neuroimaging Sciences, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK
4 Research Institute for Primary Care and Health Sciences, Keele University, Keele, UK
5 Health Economics and Health Technology Assessment (HEHTA), Institute of Health & Wellbeing, University of Glasgow, Glasgow, UK
6 Library & Knowledge Service, Victoria Hospital, NHS Fife, Kirkcaldy, UK
7 Usher Institute, University of Edinburgh, Edinburgh, UK
8 Diabetes Centre, Victoria Hospital, NHS Fife, Kirkcaldy, UK
9 Institute of Cardiovascular & Medical Sciences, University of Glasgow, Glasgow, UK
10 Diabetes and Endocrinology, Ninewells Hospital, NHS Tayside, Dundee, UK
* Corresponding author Email: fay.crawford@nhs.net

Declared competing interests of authors: Fay Crawford is a member of the National Institute for Health Research (NIHR) Health Technology Assessment (HTA) General Committee. Julie Brittenden is a member of the NIHR HTA General Committee. Donald Nicolson reports personal fees from the Association for Borderlands Studies World Conference (Vienna, Austria, July 2018) outside the submitted work.

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