Table 1.

Items proposed for the DUCAS and their scoring (max = 19.5).

	DUCAS
No. DU	None	0
	1 DU	1
	2 DU	2
	≥ 3 DU	3
New DU since last evaluation	Present	1
New DU since last evaluation	Absent	0
Gangrene	Present	3
Gangrene	Absent	0
Need for surgical procedures beyond standard of care	Present	3
Need for surgical procedures beyond standard of care	Absent	0
Infection	None	0
	Present, requiring systemic antibiotics	1
	Present, complicated by osteomyelitis	2
	Present, complicated by septicemia	3
Need for hospitalization for DU-related issues	Present	3
Need for hospitalization for DU-related issues	Absent	0
Analgesics to control DU-induced pain	No drug, no pain	0
	No drug, although pain present	1
	Nonopiod analgesics	2
	Minor opioids	3
	Major opioids	4
	Dosage increased from previous evaluation	+0.5
	Dosage decreased from previous evaluation	−0.5
Total