Evidence map›Paper›PMID 29046724›Full record

ArticleJournal of foot and ankle research2017

The integration of a Podiatrist into an orthopaedic department: a cost-consequences analysis.

Tom P Walsh, Linda R Ferris, Nancy C Cullen, Christopher H Brown, Cathy J Loughry, Nikki M McCaffrey

Abstract read
In one paragraph

Article in Journal of foot and ankle research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

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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

6 authors.

Tom P WalshDepartment of Orthopaedics and Trauma, The Queen Elizabeth Hospital, Woodville South, South Australia Australia.ORCID 0000-0002-3925-2075
Linda R FerrisDepartment of Orthopaedics and Trauma, The Queen Elizabeth Hospital, Woodville South, South Australia Australia.
Nancy C CullenDepartment of Orthopaedics and Trauma, The Queen Elizabeth Hospital, Woodville South, South Australia Australia.
Christopher H BrownDepartment of Orthopaedics, Repatriation General Hospital, Daw Park, South Australia Australia.
Cathy J LoughryDepartment of Podiatry, Central Adelaide Local Health Network, Adelaide, South Australia Australia.
Nikki M McCaffreyFlinders Health Economics Group, Flinders University, Bedford Park, South Australia Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to evaluate the cost-consequences of a podiatry-led triage clinic provided in an orthopaedic department relative to usual care for non-urgent foot and ankle complaints in an Australian tertiary care hospital.

methodsAll new, non-urgent foot and ankle patients seen in an outpatient orthopaedic department were included in this study. The patients seen between 2014 and 2015 by Orthopaedic Surgeons were considered 'usual care', the patients seen between 2015 and 2016 by a Podiatrist were considered the 'Podiatry Triage Clinic'. Data on new and review patient appointments; the number of new patients / session; the number of appointments / patient; the number of patients discharged; the surgical conversion rate; staff time; and imaging use were collected. A cost-consequences analysis, undertaken from a healthcare provider perspective (hospital) estimated the incremental resource use, costs and effects of the Podiatry Triage Clinic relative to usual care over a 12-month period.

resultsThe Orthopaedic Surgeons and Podiatrist consulted with 72 and 212 new patients during the usual care and triage periods, respectively. The Podiatrist consulted with more new patients / session, mean (SD) of 3.6 (1.0) versus 0.7 (0.8),

conclusionsThe integration of a Podiatrist into an orthopaedic department significantly increases the number of patients seen, is cost-effective, improves the surgical conversion rate and improves the utilisation of Orthopaedic Surgeons.

Indexed as

AdultAgedFemaleHumansMaleMiddle AgedOrthopedicsPodiatryTriageClinical pathwaysMedical economicsOrthopaedicsPodiatry

Identifiers

PMID29046724
PMCPMC5639763

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Registered trials

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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.