Evidence map›Paper›PMID 21504991›Full record

ArticleRheumatology (Oxford, England)2011

Use of conservative and surgical foot care in an inception cohort of patients with rheumatoid arthritis.

Michael R Backhouse, Anne-Maree Keenan, Elizabeth M A Hensor, Adam Young, David James, Josh Dixey, Peter Williams, Peter Prouse, Andrew Gough, Philip S Helliwell and 1 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Rheumatology (Oxford, England), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Static Foot Disturbances and the Quality of Life of Older Person with Rheumatoid Arthritis.International journal of environmental research and public health · 2022
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. The rheumatoid forefoot.Current reviews in musculoskeletal medicine · 2013
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Michael R BackhouseSection of Musculoskeletal Disease, University of Leeds, Leeds Teaching Hospitals NHS Trust, Leeds, UK. m.r.backhouse07@leeds.ac.uk
Anne-Maree Keenan
Elizabeth M A Hensor
Adam Young
David James
Josh Dixey
Peter Williams
Peter Prouse
Andrew Gough
Philip S Helliwell
Anthony C Redmond
NIHR Leeds Musculoskeletal Biomedical Research Unit · GBBasingstoke and North Hampshire Hospital · GBGrimsby Institute · GBMedway Maritime Hospital · GBNew Cross Hospital · GBSt Albans City Hospital · GB

Funding

Arthritis Research UKDepartment of Health PDA/03/07/047
6 · The paper itself

Abstract

objectivesTo describe conservative and surgical foot care in patients with RA in England and explore factors that predict the type of foot care received.

methodsUse of podiatry and type of foot surgery were outcomes recorded in an inception cohort involving nine rheumatology centres that recruited patients with RA between 1986 and 1998 across England. Associations between patient-specific factors and service use were identified using univariate logistic regression analyses. The independence of these associations was then verified through multiple binary logistic regression modelling.

resultsData were collected on 1237 patients with RA [66.9% females, mean (s.d.) age at disease onset = 54.36 (14.18) years, median DAS = 4.09 (1st quartile = 3.04, 3rd quartile = 5.26), median HAQ = 1 (0.50, 1.63)]. Interventions involving the feet in the cohort were low with only 364 (30%) out of 1218 receiving podiatry and 47 (4%) out of 1237 patients having surgery. At baseline, female gender, increasing age at onset, being RF positive and higher DAS scores were each independently associated with increased odds of seeing a podiatrist. Gender, age of onset and baseline DAS were independently associated with the odds of having foot surgery.

conclusionsDespite the known high prevalence of foot pathologies in RA, only one-third of this cohort accessed podiatry. While older females were more likely to access podiatry care and younger patients surgery, the majority of the RA population did not access any foot care.

Indexed as

AdolescentAdultAgedAged, 80 and overAge of OnsetArthritis, RheumatoidEnglandFemaleFollow-Up StudiesFoot DiseasesHumansLogistic ModelsMaleMiddle AgedPodiatryProspective Studies

Identifiers

PMID21504991
PMCPMC3157630
OpenAlexW2111557978

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.