Prevalence, impact and care of foot problems in people with rheumatoid arthritis:Results from a United Kingdom based cross-sectional survey
| Autor: | Jon Pollock, John R. Kirwan, Sarah Hewlett, Oonagh Wilson, James Woodburn |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Cross-sectional study medicine.medical_treatment Population Arthritis Health Services Accessibility Arthritis Rheumatoid Foot Diseases 03 medical and health sciences 0302 clinical medicine medicine Prevalence Humans Orthopedics and Sports Medicine 030212 general & internal medicine Podiatry education Aged 030203 arthritis & rheumatology education.field_of_study Rehabilitation Foot business.industry Feet Research RA population survey Middle Aged medicine.disease United Kingdom Cross-Sectional Studies Rheumatoid arthritis Rheumatoid arthritis (RA) Orthopedic surgery Physical therapy Female Foot care lcsh:RC925-935 business Foot (unit) |
| Zdroj: | Wilson, O, Hewlett, S, Woodburn, J, Pollock, J & Kirwan, J 2017, ' Prevalence, impact and care of foot problems in people with rheumatoid arthritis : Results from a United Kingdom based cross-sectional survey ', Journal of Foot and Ankle Research, vol. 10, 46 . https://doi.org/10.1186/s13047-017-0229-y Journal of Foot and Ankle Research, Vol 10, Iss 1, Pp 1-11 (2017) Journal of Foot and Ankle Research |
| DOI: | 10.1186/s13047-017-0229-y |
| Popis: | Background Foot symptoms in rheumatoid arthritis (RA) derive from a combination of inflammation, altered foot mechanics, deformity and secondary skin lesions. Guidelines recommend regular review of patients’ feet, but the extent to which the general population of RA patients report foot symptoms and access foot care has not been established. The aims of this study were to determine the prevalence, impact and care of foot problems in all patients with RA in one geographical area and identify factors associated with accessing foot care. Methods Cross-sectional survey of a random sample of patients with RA, who resided within a single community-based National Health Service (NHS) podiatry service. The questionnaire collected demographic data (age, gender, local deprivation score), clinical data (disease duration, arthritis medications, disability (Health Assessment Questionnaire (HAQ)), current foot problems, foot care accessed (podiatry, orthotics and/or orthopaedics) and care received, measures of impact (Foot Impact Scale) and ability to work. Results Of 1003 total eligible patients in the target population, 739 were posted survey packs. Of these 413 (56%) replied. Responders and non-responders had similar age (63.5 yr. vs.61.5 yr), gender (74.1%F vs. 75.2%F), and highest deprivation category (13.3% vs.15.9%). Of the responders 92.1% reported current foot problems: articular 73.8%, cutaneous lesions 65.4%, structural 57.6%, extra-articular 42.6%. Responders’ median (IQR) disease duration 10 (5–20) years, HAQ 1.5 (0.75–2.0), FISIF 10 (6–14) and FISAP 16 (7–23) and 37.8% reported impacts on work. While 69.5% had accessed foot care there were differences in the route of access (by gender and whether independent or NHS provision) and were older (64.9 yr. vs 60.4 yr. p = 0.001), had longer disease duration (12 yr. vs 7 yr. p |
| Databáze: | OpenAIRE |
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