Foot problems in patients with systemic lupus erythematosus; under-reported and under-treated?

Simon Otter, S. Kumar, P. Gow, N. Dalbeth, K. Davies, S. Panthakalam, K. Rome

Research output: Chapter in Book/Conference proceeding with ISSN or ISBNConference contribution with ISSN or ISBNResearchpeer-review

Abstract

Background
Foot pathology is common in inflammatory arthritis and
the role of the podiatrist in the multidisciplinary care
team is well established. However, in systemic lupus
erythematosus; (SLE) the need for foot health services
and service provision for foot disease is unknown. We
set out to determine the perceived need and uptake of
foot care services.
Methods
A 40-item self-administered postal questionnaire was
posted to patients with SLE attending adult rheumatology
clinics at Auckland and Counties Manukau District Health
Boards, Auckland, New Zealand. The questionnaire
enquired about the occurrence of foot symptoms and their
frequency of assessment, the availability of podiatric
services and the usefulness of interventions.
Results
In total, 107 patients responded with 79% reporting foot
pain caused by their SLE. Half (51%) of the patients had
discussed foot pain with their general practitioner or rheumatologist,
and a third (33%) had difficulty with basic foot
care. Respondents reported there was no significant difference
in the frequency with which their hands and feet
were examined. However, only 33% had been seen by a
podiatrist. Insoles had only been prescribed to a quarter of
respondents (25%) but only half of those receiving insoles
were continuing to wear them and merely two respondents
indicated their foot symptoms had been resolved by
their insoles. None of the subjects reported that they had
been provided with specialist footwear.
Conclusion
These data suggest that foot problems are common and
under-reported in patients with SLE. Health care professionals
need to consider a comprehensive foot care plan
as part of the holistic management of people with SLE.
Original languageEnglish
Title of host publicationAustralasian Podiatry Conference 2015
PublisherBioMed Central
Number of pages1
DOIs
Publication statusPublished - 22 Sep 2015
EventAustralasian Podiatry Conference 2015 - , Australia
Duration: 6 May 20158 May 2015

Publication series

NameJournal of Foot and Ankle Research
PublisherBioMed Central
NumberS2
Volume8
ISSN (Electronic)1757-1146

Conference

ConferenceAustralasian Podiatry Conference 2015
CountryAustralia
Period6/05/158/05/15

Fingerprint

Systemic Lupus Erythematosus
Foot
Foot Diseases
Symptom Assessment
New Zealand
General Practitioners
Health Services
Arthritis
Hand
Pathology
Delivery of Health Care
Pain
Surveys and Questionnaires

Cite this

Otter, S., Kumar, S., Gow, P., Dalbeth, N., Davies, K., Panthakalam, S., & Rome, K. (2015). Foot problems in patients with systemic lupus erythematosus; under-reported and under-treated? In Australasian Podiatry Conference 2015 [031] (Journal of Foot and Ankle Research; Vol. 8, No. S2). BioMed Central. https://doi.org/10.1186/1757-1146-8-S2-O31
Otter, Simon ; Kumar, S. ; Gow, P. ; Dalbeth, N. ; Davies, K. ; Panthakalam, S. ; Rome, K. / Foot problems in patients with systemic lupus erythematosus; under-reported and under-treated?. Australasian Podiatry Conference 2015. BioMed Central, 2015. (Journal of Foot and Ankle Research; S2).
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title = "Foot problems in patients with systemic lupus erythematosus; under-reported and under-treated?",
abstract = "BackgroundFoot pathology is common in inflammatory arthritis andthe role of the podiatrist in the multidisciplinary careteam is well established. However, in systemic lupuserythematosus; (SLE) the need for foot health servicesand service provision for foot disease is unknown. Weset out to determine the perceived need and uptake offoot care services.MethodsA 40-item self-administered postal questionnaire wasposted to patients with SLE attending adult rheumatologyclinics at Auckland and Counties Manukau District HealthBoards, Auckland, New Zealand. The questionnaireenquired about the occurrence of foot symptoms and theirfrequency of assessment, the availability of podiatricservices and the usefulness of interventions.ResultsIn total, 107 patients responded with 79{\%} reporting footpain caused by their SLE. Half (51{\%}) of the patients haddiscussed foot pain with their general practitioner or rheumatologist,and a third (33{\%}) had difficulty with basic footcare. Respondents reported there was no significant differencein the frequency with which their hands and feetwere examined. However, only 33{\%} had been seen by apodiatrist. Insoles had only been prescribed to a quarter ofrespondents (25{\%}) but only half of those receiving insoleswere continuing to wear them and merely two respondentsindicated their foot symptoms had been resolved bytheir insoles. None of the subjects reported that they hadbeen provided with specialist footwear.ConclusionThese data suggest that foot problems are common andunder-reported in patients with SLE. Health care professionalsneed to consider a comprehensive foot care planas part of the holistic management of people with SLE.",
author = "Simon Otter and S. Kumar and P. Gow and N. Dalbeth and K. Davies and S. Panthakalam and K. Rome",
year = "2015",
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language = "English",
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Otter, S, Kumar, S, Gow, P, Dalbeth, N, Davies, K, Panthakalam, S & Rome, K 2015, Foot problems in patients with systemic lupus erythematosus; under-reported and under-treated? in Australasian Podiatry Conference 2015., 031, Journal of Foot and Ankle Research, no. S2, vol. 8, BioMed Central, Australasian Podiatry Conference 2015, Australia, 6/05/15. https://doi.org/10.1186/1757-1146-8-S2-O31

Foot problems in patients with systemic lupus erythematosus; under-reported and under-treated? / Otter, Simon; Kumar, S.; Gow, P.; Dalbeth, N.; Davies, K.; Panthakalam, S.; Rome, K.

Australasian Podiatry Conference 2015. BioMed Central, 2015. 031 (Journal of Foot and Ankle Research; Vol. 8, No. S2).

Research output: Chapter in Book/Conference proceeding with ISSN or ISBNConference contribution with ISSN or ISBNResearchpeer-review

TY - GEN

T1 - Foot problems in patients with systemic lupus erythematosus; under-reported and under-treated?

AU - Otter, Simon

AU - Kumar, S.

AU - Gow, P.

AU - Dalbeth, N.

AU - Davies, K.

AU - Panthakalam, S.

AU - Rome, K.

PY - 2015/9/22

Y1 - 2015/9/22

N2 - BackgroundFoot pathology is common in inflammatory arthritis andthe role of the podiatrist in the multidisciplinary careteam is well established. However, in systemic lupuserythematosus; (SLE) the need for foot health servicesand service provision for foot disease is unknown. Weset out to determine the perceived need and uptake offoot care services.MethodsA 40-item self-administered postal questionnaire wasposted to patients with SLE attending adult rheumatologyclinics at Auckland and Counties Manukau District HealthBoards, Auckland, New Zealand. The questionnaireenquired about the occurrence of foot symptoms and theirfrequency of assessment, the availability of podiatricservices and the usefulness of interventions.ResultsIn total, 107 patients responded with 79% reporting footpain caused by their SLE. Half (51%) of the patients haddiscussed foot pain with their general practitioner or rheumatologist,and a third (33%) had difficulty with basic footcare. Respondents reported there was no significant differencein the frequency with which their hands and feetwere examined. However, only 33% had been seen by apodiatrist. Insoles had only been prescribed to a quarter ofrespondents (25%) but only half of those receiving insoleswere continuing to wear them and merely two respondentsindicated their foot symptoms had been resolved bytheir insoles. None of the subjects reported that they hadbeen provided with specialist footwear.ConclusionThese data suggest that foot problems are common andunder-reported in patients with SLE. Health care professionalsneed to consider a comprehensive foot care planas part of the holistic management of people with SLE.

AB - BackgroundFoot pathology is common in inflammatory arthritis andthe role of the podiatrist in the multidisciplinary careteam is well established. However, in systemic lupuserythematosus; (SLE) the need for foot health servicesand service provision for foot disease is unknown. Weset out to determine the perceived need and uptake offoot care services.MethodsA 40-item self-administered postal questionnaire wasposted to patients with SLE attending adult rheumatologyclinics at Auckland and Counties Manukau District HealthBoards, Auckland, New Zealand. The questionnaireenquired about the occurrence of foot symptoms and theirfrequency of assessment, the availability of podiatricservices and the usefulness of interventions.ResultsIn total, 107 patients responded with 79% reporting footpain caused by their SLE. Half (51%) of the patients haddiscussed foot pain with their general practitioner or rheumatologist,and a third (33%) had difficulty with basic footcare. Respondents reported there was no significant differencein the frequency with which their hands and feetwere examined. However, only 33% had been seen by apodiatrist. Insoles had only been prescribed to a quarter ofrespondents (25%) but only half of those receiving insoleswere continuing to wear them and merely two respondentsindicated their foot symptoms had been resolved bytheir insoles. None of the subjects reported that they hadbeen provided with specialist footwear.ConclusionThese data suggest that foot problems are common andunder-reported in patients with SLE. Health care professionalsneed to consider a comprehensive foot care planas part of the holistic management of people with SLE.

U2 - 10.1186/1757-1146-8-S2-O31

DO - 10.1186/1757-1146-8-S2-O31

M3 - Conference contribution with ISSN or ISBN

T3 - Journal of Foot and Ankle Research

BT - Australasian Podiatry Conference 2015

PB - BioMed Central

ER -

Otter S, Kumar S, Gow P, Dalbeth N, Davies K, Panthakalam S et al. Foot problems in patients with systemic lupus erythematosus; under-reported and under-treated? In Australasian Podiatry Conference 2015. BioMed Central. 2015. 031. (Journal of Foot and Ankle Research; S2). https://doi.org/10.1186/1757-1146-8-S2-O31