Prospective Comparative Evaluation of Wagner, Pedis, and Texas Classification Systems in Predicting Outcomes of Diabetic Foot Ulcers

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