Evidence map›Paper›PMID 40913780›Full record

ArticleJournal of foot and ankle research2025

Patient and Health Professional Perceptions of the Assessment, Diagnosis and Management of Acute Charcot Neuro-Osteoarthropathy at a Regional Australian Health Service.

Dimitri Diacogiorgis, Byron M Perrin, Emma MacDonald, Michael I C Kingsley

Abstract read
In one paragraph

Article in Journal of foot and ankle research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Dimitri DiacogiorgisDepartment of Allied Health Assistants, Grampians Health, Ballarat, Australia.ORCID https://orcid.org/0009-0003-5477-5645
Byron M PerrinLa Trobe Rural Health School, La Trobe University, Bendigo, Australia.ORCID https://orcid.org/0000-0003-4616-3510
Emma MacDonaldLa Trobe Rural Health School, La Trobe University, Bendigo, Australia.
Michael I C KingsleyLa Trobe Rural Health School, La Trobe University, Bendigo, Australia.ORCID https://orcid.org/0000-0002-1953-4067

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute Charcot neuroarthropathy (CN) is a rare but serious complication of diabetes that requires timely diagnosis and evidence-based management to prevent long-term disability. In regional or rural settings, delivering evidence-based care is particularly challenging due to systemic and contextual barriers.

objectiveTo explore the perceptions of patients and health professionals about assessment, diagnosis and management of acute CN in a regional Victorian health service.

methodThis study used a qualitative research design, utilising thematic analysis of semi-structured interviews with patients with previous acute CN and focus groups with health professionals (orthopaedic surgeons, podiatrists and prosthetists and orthotists) involved in the assessment and management of patients with acute CN. Two assessors used inductive thematic analysis to identify key themes related to acute CN care delivery.

resultsFour overarching themes were identified: (1) barriers to evidence-based care, including delayed diagnosis, limited access to skilled clinicians and diagnostic tools and the burden of treatment; (2) enablers, such as timely access to knowledgeable clinicians and resources; (3) mitigating factors, including patient engagement, empathetic communication and multidisciplinary support and (4) strategies for improvement, such as public and professional education, upskilling of health professionals and integration of psychological and person-centred support.

conclusionImproving outcomes for people with acute CN in regional or rural settings requires a multifaceted approach. Enhancing awareness, building workforce capacity and embedding patient-centred care practices are essential to ensure timely diagnosis, equitable access to treatment and improved quality of life.

Indexed as

Arthropathy, NeurogenicAttitude of Health PersonnelHealth PersonnelAcute DiseaseAdultAgedAustraliaDelayed DiagnosisFemaleFocus GroupsHealth Services AccessibilityHumansMaleMiddle AgedQualitative ResearchVictoriacharcotdiabetesfootneuroarthropathyperipheral neuropathy

Identifiers

PMID40913780
PMCPMC12413842

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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.