| Foot care among diabetic patients in south Auckland. | |
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MedLine Citation:
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PMID: 7715874 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: To describe footcare among diabetic patients in south Auckland. METHOD: Direct interview of 331 European, 86 Maori and 123 Pacific Islands patients attending local diabetes services and a stratified subsample of general practitioners. Interviews included closed and open questions of diabetes knowledge, demographic and medical history and were followed by a thorough inspection of the feet. RESULTS: Major lesions (amputation, foot ulcer) and predisposing lesions (callus or fungal infection/maceration) were present in 48.5% of patients. Major lesions were particularly common among Pacific Islands patients (9.4%) vs European (3.9%), Maori (5.5%), (p < 0.05). Fungal infection/maceration was less common among Pacific Islands patients (23.0%) vs 42.3%, 42.2% respectively, (p < 0.001). Fungal infection/maceration was more common and callus formation less common among men when compared with women. Forty percent (n = 214) of patients, including eight with either an ulcer or a blister, had not had their feet examined over the preceding 12 months. Good foot care was present in 52.7% Europeans, 31.0% Maori and 26.8% Pacific Islands patients (p < 0.001). Diabetes knowledge was poorest in those with poor foot care among Europeans and Maori. CONCLUSION: While the provision of footcare advice, adherence to such advice and monitoring of footcare remain uneven, the hospital and community costs of the diabetic foot will continue to be high. |
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Authors:
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D Simmons; D Scott; T Kenealy; R Scragg |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The New Zealand medical journal Volume: 108 ISSN: 0028-8446 ISO Abbreviation: N. Z. Med. J. Publication Date: 1995 Mar |
Date Detail:
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Created Date: 1995-05-16 Completed Date: 1995-05-16 Revised Date: 2010-03-24 |
Medline Journal Info:
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Nlm Unique ID: 0401067 Medline TA: N Z Med J Country: NEW ZEALAND |
Other Details:
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Languages: eng Pagination: 106-8 Citation Subset: IM |
Affiliation:
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Middlemore Hospital, Auckland. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Diabetic Foot / ethnology, prevention & control*, therapy* Female Humans Male Middle Aged New Zealand Patient Education as Topic Self Care* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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