Please use this identifier to cite or link to this item: https://hdl.handle.net/1/1951
Title: Nature and extent of outpatient podiatry service utilisation in people with diabetes undergoing minor foot amputations: a retrospective clinical audit
Authors: Linton, Clare ;Searle, Angela ;Hawke, Fiona ;Tehan, Peta Ellen ;Chuter, Vivienne 
Affliation: Central Coast Local Health District
Gosford Hospital
The University of Newcastle
Issue Date: Jan-2021
Source: 14(1):6
Journal title: Journal of Foot and Ankle Research
Department: Podiatry
Abstract: BACKGROUND: People with diabetes are at high risk of foot complications that can lead to lower extremity amputations. National standards suggest that early assessment and management by a podiatry led multidisciplinary high-risk foot clinic (HRFC) helps to reduce complications. This review is a retrospective audit of the Central Coast Local Health District (CCLHD) podiatry department service utilisation in people with diabetes who had undergone a minor foot amputation. METHODS: All people with diabetes who had minor foot amputations in the calendar year 2017 in the CCLHD in New South Wales were identified. Podiatry occasions of service from all podiatry service clinics (e.g. general, orthoses, wound, HRFC) and hospital stays for 12 months prior to, and 12 months, post the minor foot amputation were extracted. RESULTS: Data on 74 people with diabetes who underwent 85 minor foot amputations were collected. In the 12-month period leading up to their minor foot amputation less than half, 42% (n=31), of the patients had attended any of the available podiatry service clinics within the CCLHD system. Post-amputation and discharge from hospital there was an overall rise of 26% in numbers attending all CCLHD podiatry- led clinics bringing the total to 68% (51). However, attendance at the HRFC rose by only 2% from 16% (n=12) to 18% n= (13). CONCLUSION: This study shows that there was underutilisation of Podiatry Services in the CCLHD in 2017 with some participants not meeting national treatment guidelines for foot health services. Revision of current referral pathways both prior to, during and following hospitalisation and expanding the multidisciplinary HRFC to accommodate the population by providing more accessible locations has since been undertaken to increase service access. Further provision of education to those highlighted to be at high risk has also been implemented.
URI: https://elibrary.cclhd.health.nsw.gov.au/cclhdjspui/handle/1/1951
DOI: 10.1186/s13047-020-00445-5
Pubmed: https://pubmed.ncbi.nlm.nih.gov/33435997/
ISSN: 1757-1146
Publicaton type: Journal Article
Keywords: Diabetes
Appears in Collections:Health Service Research

Show full item record

Page view(s)

22
checked on Jan 30, 2023

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.