Examining characteristics of those who receive pedorthic services: A clinical audit
Diabetes-related foot complications, including neuropathic plantar forefoot ulcers, are a significant contributor to morbidity and increased healthcare costs. This retrospective clinical audit examines the characteristics of people accessing pedorthics services who are at risk of neuropathic plantar...
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| description | Diabetes-related foot complications, including neuropathic plantar forefoot ulcers, are a significant contributor to morbidity and increased healthcare costs. This retrospective clinical audit examines the characteristics of people accessing pedorthics services who are at risk of neuropathic plantar forefoot ulcer (re)occurrence and the pathways and funding models used to access these services. A clinical record audit was conducted on all patients accessing a pedorthics service who had diabetes and neuropathy with a history of plantar forefoot ulceration. The data included demographics, diabetes and neuropathy duration, main forefoot pathology and other comorbidity, footwear and insole interventions, and health fund access status. A total of 70 patient records were accessed, and relevant data was extracted. The mean age of participants was 64.69 (standard deviation (SD) 11.78) years; 61% were male and 39% female. Duration of diabetes ranged from one to 35 years, with a mean of 14.09 years (SD 6.58). The mean duration of neuropathy was 8.56 (SD 4.16) years. The most common forefoot conditions were bony prominences at 71% (n = 50), rigid flat foot and limited joint mobility (53%, n = 37), and hallux abductovalgus at 47% (n = 33). All participants had hyperkeratosis; 34% (n = 24) had forefoot amputation, and around 34% (n = 24) had a history of digital amputation. Various publicly funded packages and private health insurance were accessed. This study investigates the sociodemographic and medical profiles of individuals with diabetes-related foot complexities prone to neuropathic plantar forefoot ulcers. It is the first to examine patients receiving pedorthic services, informing practitioner surveys and preventive care strategies. Understanding patient characteristics aids in optimising multidisciplinary care and reducing ulcer incidence. Further studies are warranted to explore the field to establish an effective multidisciplinary care approach between medical professionals, podiatrists and pedorthists to optimise patient outcomes. |
| doi_str_mv | 10.1371/journal.pone.0304443 |
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This retrospective clinical audit examines the characteristics of people accessing pedorthics services who are at risk of neuropathic plantar forefoot ulcer (re)occurrence and the pathways and funding models used to access these services. A clinical record audit was conducted on all patients accessing a pedorthics service who had diabetes and neuropathy with a history of plantar forefoot ulceration. The data included demographics, diabetes and neuropathy duration, main forefoot pathology and other comorbidity, footwear and insole interventions, and health fund access status. A total of 70 patient records were accessed, and relevant data was extracted. The mean age of participants was 64.69 (standard deviation (SD) 11.78) years; 61% were male and 39% female. Duration of diabetes ranged from one to 35 years, with a mean of 14.09 years (SD 6.58). The mean duration of neuropathy was 8.56 (SD 4.16) years. The most common forefoot conditions were bony prominences at 71% (n = 50), rigid flat foot and limited joint mobility (53%, n = 37), and hallux abductovalgus at 47% (n = 33). All participants had hyperkeratosis; 34% (n = 24) had forefoot amputation, and around 34% (n = 24) had a history of digital amputation. Various publicly funded packages and private health insurance were accessed. This study investigates the sociodemographic and medical profiles of individuals with diabetes-related foot complexities prone to neuropathic plantar forefoot ulcers. It is the first to examine patients receiving pedorthic services, informing practitioner surveys and preventive care strategies. Understanding patient characteristics aids in optimising multidisciplinary care and reducing ulcer incidence. Further studies are warranted to explore the field to establish an effective multidisciplinary care approach between medical professionals, podiatrists and pedorthists to optimise patient outcomes.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0304443</identifier><identifier>PMID: 38950041</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Aged ; Amputation ; Audits ; Biology and Life Sciences ; Chi-square test ; Clinical Audit ; Clinical medicine ; Comorbidity ; Data collection ; Demographics ; Diabetes ; Diabetes mellitus ; Diabetic foot ; Diabetic Foot - epidemiology ; Diabetic Foot - therapy ; Diabetic neuropathy ; Ethics ; Evidence-based medicine ; Feet ; Female ; Footwear ; Gender ; Health insurance industry ; Humans ; Insoles ; Male ; Medical care, Cost of ; Medical personnel ; Medical records ; Medicine and Health Sciences ; Medicine, Preventive ; Middle Aged ; Morbidity ; Morphology ; Neuropathy ; Optimization ; Pathology ; Patients ; Plantar ulcers ; Population ; Pressure distribution ; Preventive health services ; Retrospective Studies ; Sociodemographics ; Software ; Type 2 diabetes ; Ulcers</subject><ispartof>PloS one, 2024-07, Vol.19 (7), p.e0304443</ispartof><rights>Copyright: © 2024 Ahmed et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2024 Public Library of Science</rights><rights>2024 Ahmed et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 Ahmed et al 2024 Ahmed et al</rights><rights>2024 Ahmed et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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Sayed</au><au>Barwick, Alex</au><au>Sharma, Anita</au><au>Hasan, Md Zobaer</au><au>Kabir, Muhammad Ashad</au><au>Nancarrow, Susan</au><au>Gu, Yaodong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Examining characteristics of those who receive pedorthic services: A clinical audit</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2024-07-01</date><risdate>2024</risdate><volume>19</volume><issue>7</issue><spage>e0304443</spage><pages>e0304443-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Diabetes-related foot complications, including neuropathic plantar forefoot ulcers, are a significant contributor to morbidity and increased healthcare costs. This retrospective clinical audit examines the characteristics of people accessing pedorthics services who are at risk of neuropathic plantar forefoot ulcer (re)occurrence and the pathways and funding models used to access these services. A clinical record audit was conducted on all patients accessing a pedorthics service who had diabetes and neuropathy with a history of plantar forefoot ulceration. The data included demographics, diabetes and neuropathy duration, main forefoot pathology and other comorbidity, footwear and insole interventions, and health fund access status. A total of 70 patient records were accessed, and relevant data was extracted. The mean age of participants was 64.69 (standard deviation (SD) 11.78) years; 61% were male and 39% female. Duration of diabetes ranged from one to 35 years, with a mean of 14.09 years (SD 6.58). The mean duration of neuropathy was 8.56 (SD 4.16) years. The most common forefoot conditions were bony prominences at 71% (n = 50), rigid flat foot and limited joint mobility (53%, n = 37), and hallux abductovalgus at 47% (n = 33). All participants had hyperkeratosis; 34% (n = 24) had forefoot amputation, and around 34% (n = 24) had a history of digital amputation. Various publicly funded packages and private health insurance were accessed. This study investigates the sociodemographic and medical profiles of individuals with diabetes-related foot complexities prone to neuropathic plantar forefoot ulcers. It is the first to examine patients receiving pedorthic services, informing practitioner surveys and preventive care strategies. Understanding patient characteristics aids in optimising multidisciplinary care and reducing ulcer incidence. Further studies are warranted to explore the field to establish an effective multidisciplinary care approach between medical professionals, podiatrists and pedorthists to optimise patient outcomes.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>38950041</pmid><doi>10.1371/journal.pone.0304443</doi><tpages>e0304443</tpages><orcidid>https://orcid.org/0000-0002-9049-6825</orcidid><orcidid>https://orcid.org/0000-0002-6798-6535</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1932-6203 |
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| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_3074466190 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Aged Amputation Audits Biology and Life Sciences Chi-square test Clinical Audit Clinical medicine Comorbidity Data collection Demographics Diabetes Diabetes mellitus Diabetic foot Diabetic Foot - epidemiology Diabetic Foot - therapy Diabetic neuropathy Ethics Evidence-based medicine Feet Female Footwear Gender Health insurance industry Humans Insoles Male Medical care, Cost of Medical personnel Medical records Medicine and Health Sciences Medicine, Preventive Middle Aged Morbidity Morphology Neuropathy Optimization Pathology Patients Plantar ulcers Population Pressure distribution Preventive health services Retrospective Studies Sociodemographics Software Type 2 diabetes Ulcers |
| title | Examining characteristics of those who receive pedorthic services: A clinical audit |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-08T01%3A52%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Examining%20characteristics%20of%20those%20who%20receive%20pedorthic%20services:%20A%20clinical%20audit&rft.jtitle=PloS%20one&rft.au=Ahmed,%20Sayed&rft.date=2024-07-01&rft.volume=19&rft.issue=7&rft.spage=e0304443&rft.pages=e0304443-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0304443&rft_dat=%3Cgale_plos_%3EA799699067%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3074466190&rft_id=info:pmid/38950041&rft_galeid=A799699067&rfr_iscdi=true |