How do Australian podiatrists manage patients with diabetes? The Australian diabetic foot management survey

Persistent Link:
http://hdl.handle.net/10150/610321
Title:
How do Australian podiatrists manage patients with diabetes? The Australian diabetic foot management survey
Author:
Quinton, T. R.; Lazzarini, P. A.; Boyle, F. M.; Russell, A. W.; Armstrong, D. G.
Affiliation:
Department of Prosthetics, Orthotics, & Podiatry, Princess Alexandra Hospital; School of Population Health, The University of Queensland; Allied Health Research Collaborative, Metro North Hospital & Health Service, Queensland Health; School of Clinical Sciences, Queensland University of Technology; Department of Diabetes & Endocrinology, Princess Alexandra Hospital; School of Medicine, The University of Queensland; Department of Surgery, Southern Arizona Limb Salavage Alliance (SALSA), University of Arizona College of Medicine
Issue Date:
2015
Publisher:
BioMed Central
Citation:
Quinton et al. Journal of Foot and Ankle Research (2015) 8:16 DOI 10.1186/s13047-015-0072-y
Journal:
Journal of Foot and Ankle Research
Rights:
© 2015 Quinton et al.; licensee BioMed Central. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0)
Collection Information:
This item is part of the UA Faculty Publications collection. For more information this item or other items in the UA Campus Repository, contact the University of Arizona Libraries at repository@u.library.arizona.edu.
Abstract:
BACKGROUND: Diabetic foot complications are the leading cause of lower extremity amputation and diabetes-related hospitalisation in Australia. Studies demonstrate significant reductions in amputations and hospitalisation when health professionals implement best practice management. Whilst other nations have surveyed health professionals on specific diabetic foot management, to the best of the authors' knowledge this appears not to have occurred in Australia. The primary aim of this study was to examine Australian podiatrists' diabetic foot management compared with best practice recommendations by the Australian National Health Medical Research Council. METHODS: A 36-item Australian Diabetic Foot Management survey, employing seven-point Likert scales (0 = Never; 7 = Always) to measure multiple aspects of best practice diabetic foot management was developed. The survey was briefly tested for face and content validity. The survey was electronically distributed to Australian podiatrists via professional associations. Demographics including sex, years treating patients with diabetes, employment-sector and patient numbers were also collected. Chi-squared and Mann Whitney U tests were used to test differences between sub-groups. RESULTS: Three hundred and eleven podiatrists responded; 222 (71%) were female, 158 (51%) from the public sector and 11-15 years median experience. Participants reported treating a median of 21-30 diabetes patients each week, including 1-5 with foot ulcers. Overall, participants registered median scores of at least "very often" (>6) in their use of most items covering best practice diabetic foot management. Notable exceptions were: "never" (1 (1 - 3)) using total contact casting, "sometimes" (4 (2 - 5)) performing an ankle brachial index, "sometimes" (4 (1 - 6)) using University of Texas Wound Classification System, and "sometimes" (4 (3 - 6) referring to specialist multi-disciplinary foot teams. Public sector podiatrists reported higher use or access on all those items compared to private sector podiatrists (p < 0.01). CONCLUSIONS: This study provides the first baseline information on Australian podiatrists' adherence to best practice diabetic foot guidelines. It appears podiatrists manage large caseloads of people with diabetes and are generally implementing best practice guidelines recommendations with some notable exceptions. Further studies are required to identify barriers to implementing these recommendations to ensure all Australians with diabetes have access to best practice care to prevent amputations.
EISSN:
1757-1146
PubMed ID:
25908944
PubMed Central ID:
PMC4407475
DOI:
10.1186/s13047-015-0072-y [doi]
Keywords:
Australia; Diabetes; Foot; Survey; Ulcer
Version:
Final published version
Additional Links:
http://www.jfootankleres.com/content/8/1/16

Full metadata record

DC FieldValue Language
dc.contributor.authorQuinton, T. R.en
dc.contributor.authorLazzarini, P. A.en
dc.contributor.authorBoyle, F. M.en
dc.contributor.authorRussell, A. W.en
dc.contributor.authorArmstrong, D. G.en
dc.date.accessioned2016-05-20T09:04:09Z-
dc.date.available2016-05-20T09:04:09Z-
dc.date.issued2015en
dc.identifier.citationQuinton et al. Journal of Foot and Ankle Research (2015) 8:16 DOI 10.1186/s13047-015-0072-yen
dc.identifier.pmid25908944en
dc.identifier.doi10.1186/s13047-015-0072-y [doi]en
dc.identifier.urihttp://hdl.handle.net/10150/610321-
dc.description.abstractBACKGROUND: Diabetic foot complications are the leading cause of lower extremity amputation and diabetes-related hospitalisation in Australia. Studies demonstrate significant reductions in amputations and hospitalisation when health professionals implement best practice management. Whilst other nations have surveyed health professionals on specific diabetic foot management, to the best of the authors' knowledge this appears not to have occurred in Australia. The primary aim of this study was to examine Australian podiatrists' diabetic foot management compared with best practice recommendations by the Australian National Health Medical Research Council. METHODS: A 36-item Australian Diabetic Foot Management survey, employing seven-point Likert scales (0 = Never; 7 = Always) to measure multiple aspects of best practice diabetic foot management was developed. The survey was briefly tested for face and content validity. The survey was electronically distributed to Australian podiatrists via professional associations. Demographics including sex, years treating patients with diabetes, employment-sector and patient numbers were also collected. Chi-squared and Mann Whitney U tests were used to test differences between sub-groups. RESULTS: Three hundred and eleven podiatrists responded; 222 (71%) were female, 158 (51%) from the public sector and 11-15 years median experience. Participants reported treating a median of 21-30 diabetes patients each week, including 1-5 with foot ulcers. Overall, participants registered median scores of at least "very often" (>6) in their use of most items covering best practice diabetic foot management. Notable exceptions were: "never" (1 (1 - 3)) using total contact casting, "sometimes" (4 (2 - 5)) performing an ankle brachial index, "sometimes" (4 (1 - 6)) using University of Texas Wound Classification System, and "sometimes" (4 (3 - 6) referring to specialist multi-disciplinary foot teams. Public sector podiatrists reported higher use or access on all those items compared to private sector podiatrists (p < 0.01). CONCLUSIONS: This study provides the first baseline information on Australian podiatrists' adherence to best practice diabetic foot guidelines. It appears podiatrists manage large caseloads of people with diabetes and are generally implementing best practice guidelines recommendations with some notable exceptions. Further studies are required to identify barriers to implementing these recommendations to ensure all Australians with diabetes have access to best practice care to prevent amputations.en
dc.language.isoenen
dc.publisherBioMed Centralen
dc.relation.urlhttp://www.jfootankleres.com/content/8/1/16en
dc.rights© 2015 Quinton et al.; licensee BioMed Central. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0)en
dc.subjectAustraliaen
dc.subjectDiabetesen
dc.subjectFooten
dc.subjectSurveyen
dc.subjectUlceren
dc.titleHow do Australian podiatrists manage patients with diabetes? The Australian diabetic foot management surveyen
dc.typeArticleen
dc.identifier.eissn1757-1146en
dc.contributor.departmentDepartment of Prosthetics, Orthotics, & Podiatry, Princess Alexandra Hospitalen
dc.contributor.departmentSchool of Population Health, The University of Queenslanden
dc.contributor.departmentAllied Health Research Collaborative, Metro North Hospital & Health Service, Queensland Healthen
dc.contributor.departmentSchool of Clinical Sciences, Queensland University of Technologyen
dc.contributor.departmentDepartment of Diabetes & Endocrinology, Princess Alexandra Hospitalen
dc.contributor.departmentSchool of Medicine, The University of Queenslanden
dc.contributor.departmentDepartment of Surgery, Southern Arizona Limb Salavage Alliance (SALSA), University of Arizona College of Medicineen
dc.identifier.journalJournal of Foot and Ankle Researchen
dc.identifier.pmcidPMC4407475en
dc.description.collectioninformationThis item is part of the UA Faculty Publications collection. For more information this item or other items in the UA Campus Repository, contact the University of Arizona Libraries at repository@u.library.arizona.edu.en
dc.eprint.versionFinal published versionen

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