How does the clinical practice of Aotearoa New Zealand podiatrists align with international guidelines for the prevention of diabetes‐related foot disease? A cross‐sectional survey

Background Given the importance of preventive care for the lower limb in people with diabetes, and the absence of local guidelines in Aotearoa New Zealand (NZ), the aim of this study was to determine the alignment of assessment and management used in the prevention of diabetes‐related foot disease b...

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Bibliographic Details
Published in:Journal of foot and ankle research 2023-08, Vol.16 (1), p.1-n/a, Article 53
Main Authors: Jepson, Hannah, Lazzarini, Peter A, Garrett, Michele, Carroll, Matthew R
Format: Article
Language:English
Subjects:
Activities of daily living
Amputation
Clinical medicine
Cross-sectional studies
Data analysis
Diabetes
Diabetes mellitus
Diabetes therapy
Diabetic foot
Diabetics
Diagnostic tests
Disease prevention
Education
Feet
Foot
Foot diseases
Guidelines
Leg ulcers
Medical screening
Plantar ulcers
Podiatrists
Practice guidelines (Medicine)
Prevention
Public sector
Risk factors
Self-care, Health
Software
Surveys
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Summary:Background Given the importance of preventive care for the lower limb in people with diabetes, and the absence of local guidelines in Aotearoa New Zealand (NZ), the aim of this study was to determine the alignment of assessment and management used in the prevention of diabetes‐related foot disease by NZ podiatrists to the international prevention guideline recommendations. Methods A 37‐item web‐based survey was developed using a 5‐point Likert scale (0 = always; 5 = never) based on the International Working Group of the Diabetic Foot (IWGDF) 2019 prevention guidelines and included domains on participant demographics, sector, caseloads, guidelines, screening, management, education, and referral. The survey was distributed to NZ podiatrists through the NZ podiatry association and social media. Participants completing > 50% of items were included. The Mann‐Whitney U test was used to examine differences between sector subgroups. Results Seventy‐seven responses (16.3% of the NZ podiatry workforce) were received, of which 52 completed > 50% of items and were included. Of those 52 podiatrists, 73% were from the private sector. Public sector podiatrists reported higher weekly caseloads of patients with diabetes (p = 0.03) and foot ulcers (p 
ISSN:1757-1146
1757-1146
DOI:10.1186/s13047-023-00651-x