Abstract
BackgroundRheumatic conditions can have a significant impact on the feet and requires effective management. Podiatric involvement in the management of rheumatic conditions has previously been found to be inadequate in a hospital-setting and no study has examined current trends across New Zealand. The aim was to evaluate the perceived barriers of New Zealand podiatrists in the management of rheumatic conditions.MethodsA cross-sectional observational design using a web-based survey. The self-administered survey, comprising of thirteen questions, was made available to podiatrists currently practicing in New Zealand.ResultsFifty-six podiatrists responded and the results demonstrated poor integration of podiatrists into multidisciplinary teams caring for patients with arthritic conditions in New Zealand. Dedicated clinical sessions were seldom offered (16%) and few podiatrists reported being part of an established multidisciplinary team (16%). A poor uptake of clinical guidelines was reported (27%) with limited use of patient reported outcome measures (39%). The majority of podiatrists expressed an interest in professional development for the podiatric management of arthritic conditions (95%). All surveyed podiatrists (100%) agreed that there should be nationally developed clinical guidelines for foot care relating to arthritis.ConclusionsThe results suggest that there are barriers in the involvement of podiatrists in the management of people with rheumatic conditions in New Zealand. Future studies may provide an in-depth exploration into these findings to identify and provide solutions to overcome potential barriers.Electronic supplementary materialThe online version of this article (doi:10.1186/s13047-015-0071-z) contains supplementary material, which is available to authorized users.
Highlights
Rheumatic conditions can have a significant impact on the feet and requires effective management
Fifty-six podiatrists participated in the study
Participants were practicing in 11 New Zealand regions, with the majority of respondents (n = 52, 93%) practicing in the North Island cities of Auckland and Wellington
Summary
Rheumatic conditions can have a significant impact on the feet and requires effective management. Rheumatic conditions is a broad term used to describe a range of disorders of the joints and connective tissues including rheumatoid arthritis (RA), gout, systemic sclerosis, psoriatic arthropathy and systemic lupus erythematosus These diseases are a leading cause of disability in adults [1,2] and a significant burden on the public healthcare system, both in New Zealand [3] and overseas [4]. The provision of foot care and education by the podiatrist is necessary as the feet often present as the initial site of involvement in RA. This can lead to foot pain, impairment and functional disability [6]. Education and the use of appropriate patient reported outcome measures allows for the monitoring of foot health status and changes, and the effectiveness of foot health interventions [7]
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