Bennett P J
School of Public Health, Queensland University of Technology, Kelvin Grove Campus, Brisbane 4059, Australia.
Foot (Edinb). 2012 Mar;22(1):40-5. doi: 10.1016/j.foot.2011.11.002. Epub 2012 Jan 20.
Understanding frequency of foot problems can assist health care planners with resource deployment to new and emerging services such as paediatric podiatry and focus future research on the most salient foot conditions.
A review of 2187 patient consultations during a three month period was conducted. Patient medical and podiatric history was coded using industry standards. All patients were recruited for convenience from a metropolitan university podiatry clinic.
392 new patients were identified with mean age 40.6 years old (range 1-95), with 65% being female. Arthritic diseases, asthma, hypertension and allergies were the most common medical conditions reported. The frequency of new consultations in younger people (n=102; 27%) exceeded those of the elderly (n=75; 20%). Conversely, the elderly were nearly three times more prevalent in this cohort (n=910; 43%) compared to younger people (n=332; 16%).
This study illustrates the diverse nature of pathology seen by podiatrists. Knowledge that skin lesions are highly prevalent is of relevance to health departments, given the aging nature of most populations. Moreover there appears to be a growing trend in the number of young people who present for care, however government funded access to these services are limited.
了解足部问题的发生率有助于医疗保健规划者合理分配资源,用于诸如儿童足病学等新兴服务领域,并将未来的研究聚焦于最突出的足部疾病。
对三个月期间的2187例患者会诊进行了回顾。患者的医疗和足病病史按照行业标准进行编码。所有患者均从一所大都市大学的足病诊所方便抽样招募。
共识别出392名新患者,平均年龄40.6岁(范围1 - 95岁),其中65%为女性。关节炎疾病、哮喘、高血压和过敏是报告的最常见医疗状况。年轻人中的新会诊频率(n = 102;27%)超过老年人(n = 75;20%)。相反,在该队列中,老年人的患病率(n = 910;43%)几乎是年轻人(n = 332;16%)的三倍。
本研究说明了足病医生所见到的病理情况的多样性。鉴于大多数人群的老龄化特征,皮肤病变高发这一情况与卫生部门相关。此外,前来就诊的年轻人数量似乎呈增长趋势,然而政府资助的此类服务获取渠道有限。