How do Australian podiatrists manage patients with diabetes? The Australian diabetic foot management survey
AffiliationDepartment 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
MetadataShow full item record
CitationQuinton et al. Journal of Foot and Ankle Research (2015) 8:16 DOI 10.1186/s13047-015-0072-y
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 InformationThis 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 firstname.lastname@example.org.
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.
PubMed Central IDPMC4407475
VersionFinal published version
Except where otherwise noted, this item's license is described as © 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).
- Factors influencing Australian podiatrists' behavioural intentions to adopt a smart insole into clinical practice: a mixed methods study.
- Authors: Macdonald EM, Perrin BM, Kingsley MIC
- Issue date: 2020 Jun 1
- Non-surgical treatment of hallux valgus: a current practice survey of Australian podiatrists.
- Authors: Hurn SE, Vicenzino BT, Smith MD
- Issue date: 2016
- Guidelines for the management of people with foot health problems related to rheumatoid arthritis: a survey of their use in podiatry practice.
- Authors: Williams AE, Graham AS, Davies S, Bowen CJ
- Issue date: 2013 Jun 18
- The research capacity and culture of Australian podiatrists.
- Authors: Williams CM, Lazzarini PA
- Issue date: 2015
- Provision of foot health services for people with rheumatoid arthritis in New South Wales: a web-based survey of local podiatrists.
- Authors: Hendry GJ, Gibson KA, Pile K, Taylor L, du Toit V, Burns J, Rome K
- Issue date: 2013 Aug 26