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01-12-2009 | Research | Uitgave 1/2009 Open Access

Journal of Foot and Ankle Research 1/2009

Clinical audit of core podiatry treatment in the NHS

Tijdschrift:
Journal of Foot and Ankle Research > Uitgave 1/2009
Auteurs:
Lisa Farndon, Andrew Barnes, Keith Littlewood, Justine Harle, Craig Beecroft, Jaclyn Burnside, Tracey Wheeler, Selwyn Morris, Stephen J Walters
Belangrijke opmerkingen

Electronic supplementary material

The online version of this article (doi:10.​1186/​1757-1146-2-7) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

LF conceived of the study and drafted the manuscript with the participation of AB, KL, JH, CB, JB, TW, SM and SW. AB collated the results and prepared them for statistical analysis. SW performed the statistical analysis. All authors read and approved the final manuscript.

Abstract

Background

Core podiatry involves treatment of the nails, corns and callus and also giving footwear and foot health advice. Though it is an integral part of current podiatric practice little evidence is available to support its efficacy in terms of research and audit data. This information is important in order to support the current NHS commissioning process where services are expected to provide data on standards including outcomes. This study aimed to increase the evidence base for this area of practice by conducting a multi-centre audit in 8 NHS podiatry departments over a 1-year period.

Methods

The outcome measure used in this audit was the Podiatry Health Questionnaire which is a self completed short measure of foot health including a pain visual analogue scale and a section for the podiatrist to rate an individual's foot health based on their podiatric problems. The patient questionnaire was completed by individuals prior to receiving podiatry care and then 2 weeks after treatment to assess the effect of core podiatry in terms of pain and foot health.

Results

1047 patients completed both questionnaires, with an age range from 26–95 years and a mean age of 72.9 years. The podiatrists clinical rating at baseline showed 75% of patients had either slight or moderate podiatric problems. The differences in questionnaire and visual analogue scores before and after treatment were determined according to three categories – better, same, worse and 75% of patients' scores either remained the same or improved after core podiatry treatment. A student t-test showed a statistical significant difference in pre and post treatment scores where P < 0.001, though the confidence interval indicated that the improvement was relatively small.

Conclusion

Core podiatry has been shown to sustain or improve foot health and pain in 75% of the patients taking part in the audit. Simple outcome measures including pain scales should be used routinely in podiatric practice to assess the affect of different aspects of treatments and improve the evidence base for podiatry.

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