OBJECTIVE: To describe the foot characteristics of diabetic patients attending a podiatry practice for their first consultation. The objective was to determine how effectively diabetic foot ulcers are being prevented in primary care. METHOD: All diabetic patients who presented at a podiatry practice between 2006 and 2008 for their first consultation were analysed. Anonymous data were obtained from the standard patient anamnesis sheet completed by the podiatrist. These included results of patient interviews and examinations. RESULTS: A total of 230 diabetic patients (93.9% had type 2 diabetes mellitus and 6.1% had type 1) were analysed. The mean age was 67.7 years (+/- 10.8). Just under half (47.4%) were female. The mean duration of diabetes was 12.6 years (+/- 10.5) years. 70.4% of the patients had diabetic neuropathy (confidence intervals: 64.5-76.3), of whom 73.2% already had resting foot pain or strain foot pain while walking. 58.3% of the patients had toenail mycosis, and of these 38.1% had the infection in all 10 toenails. Most of the patients had at least one foot deformities (89.6% splayfoot and 37.0% flatfoot). 40.2% had no sensation to microfilament testing on either their right or left foot toes. The overall mean vibration sensation test threshold was 3.7 (+/- 2.3). CONCLUSION: While there is a structure and strategy for the primary and secondary prevention of the diabetic foot ulcers, its delivery is often ineffective. This audit shows that, in Germany, the detection and prevention of diabetic foot problems in podiatric practices happens far too late.
OBJECTIVE: To describe the foot characteristics of diabeticpatients attending a podiatry practice for their first consultation. The objective was to determine how effectively diabetic foot ulcers are being prevented in primary care. METHOD: All diabeticpatients who presented at a podiatry practice between 2006 and 2008 for their first consultation were analysed. Anonymous data were obtained from the standard patient anamnesis sheet completed by the podiatrist. These included results of patient interviews and examinations. RESULTS: A total of 230 diabeticpatients (93.9% had type 2 diabetes mellitus and 6.1% had type 1) were analysed. The mean age was 67.7 years (+/- 10.8). Just under half (47.4%) were female. The mean duration of diabetes was 12.6 years (+/- 10.5) years. 70.4% of the patients had diabetic neuropathy (confidence intervals: 64.5-76.3), of whom 73.2% already had resting foot pain or strain foot pain while walking. 58.3% of the patients had toenail mycosis, and of these 38.1% had the infection in all 10 toenails. Most of the patients had at least one foot deformities (89.6% splayfoot and 37.0% flatfoot). 40.2% had no sensation to microfilament testing on either their right or left foot toes. The overall mean vibration sensation test threshold was 3.7 (+/- 2.3). CONCLUSION: While there is a structure and strategy for the primary and secondary prevention of the diabetic foot ulcers, its delivery is often ineffective. This audit shows that, in Germany, the detection and prevention of diabetic foot problems in podiatric practices happens far too late.
Authors: Maria Candida R Parisi; Arnaldo Moura Neto; Fabio H Menezes; Marilia Brito Gomes; Rodrigo Martins Teixeira; José Egídio Paulo de Oliveira; Joana Rodrigues Dantas Pereira; Reine Marie Chaves Fonseca; Lorena Barreto Arruda Guedes; Adriana Costa E Forti; Ana Mayra Andrade de Oliveira; Marta Barreto de Medeiros Nóbrega; Víctor Nóbrega Quintas Colares; Helena Schmid; Otto Henrique Nienov; Marcia Nery; Túlio Diniz Fernandes; Hermelinda C Pedrosa; Cristina da S Schreiber de Oliveira; Marcelo Ronsoni; Karla Freire Rezende; Maria Teresa Verrone Quilici; Alexandre Eduardo Franzin Vieira; Geisa Maria Campos de Macedo; Eliana Gabas Stuchi-Perez; Kandir Genésio Innocenti Dinhane; Ana Emilia Pace; Maria Cristina Foss de Freitas; Maria Regina Calsolari; Mario José Abdalla Saad Journal: Diabetol Metab Syndr Date: 2016-03-17 Impact factor: 3.320
Authors: Bernd Stratmann; Tania-Cristina Costea; Catharina Nolte; Jonas Hiller; Jörn Schmidt; Jörg Reindel; Kai Masur; Wolfgang Motz; Jürgen Timm; Wolfgang Kerner; Diethelm Tschoepe Journal: JAMA Netw Open Date: 2020-07-01