Medical litigation and the foot

Thomas, T. Glyn

doi:10.1016/0958-2592(91)90003-t

Cited by 14 publications

(2 citation statements)

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“…Triage clinics also ensure non-operative management has been trialled for a period of time, prior to consultation with a surgeon, a factor that was previously found necessary from both Orthopaedic Surgeons and allied health professionals prior to surgical intervention [12]. The surgical management of the foot, in particular, has a high medical litigation rate [13] and therefore exhausting non-operative management prior to surgical intervention is perhaps even more important. This economic analysis should be considered in light of some limitations.…”

Section: Discussionmentioning

confidence: 99%

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

Walsh

Ferris

Cullen

et al. 2017

Journal of Foot and Ankle Research

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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), p < 0.001 and utilised less appointments / patient than the Orthopaedic Surgeons, mean (SD) of 1.3 (0.6) versus 1.9 (1.1), p < 0.001. The percentage of patients discharged without surgery was similar in the Podiatry Triage Clinic and usual care, 80.3% and 87.5% p = 0.135, respectively, but the surgical conversion rate was higher in the Podiatry Triage Clinic, 76.1% versus 12.5% p < 0.001. The total integrated appointment cost for the 12-month usual care period was $32,744, which represented a cost of $454.78 / patient. The total appointment and imaging cost during the triage period was $19,999, representing $94.34 / patient. Further analysis, suggests that the projected annual saving of integrating a Podiatry Triage Clinic versus an orthopaedic clinic alone is $50,441.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.

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Section: Discussionmentioning

confidence: 99%

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

Walsh

Ferris

Cullen

et al. 2017

Journal of Foot and Ankle Research

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“…Bu hastaların sert tabanlı, mümkünse yü-rüyüş sırasında ayak ön kısmının dorsifleksiyonuna hiç sorunun %24'ünün ayak ameliyatı, bunun da %60'ının metatars osteotomisi ile ilişkili olduğu dikkate alırsak bu tatminsizliğin yol açabileceği sorunları daha kolay anlayabiliriz. [36] Sonuç olarak, Rowley'in bir editörden yazısında vurguladığı gibi, biz hangi yeni osteotomi tekniğini gelişti-rirsek geliştirelim, hastaların en fazla %90'ını memnun etmeyi başarabileceğiz. [37] …”

Section: Konservatif Tedaviunclassified

Ayak başparmağının hastalıkları: Halluks valgus ve halluks rigidus

Kılıçoğlu¹

2013

TOTBID

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olmadığı, ya da belki de mediyal kuneiforma dönüşmüş olabileceği gerçeği ile karşılaşırız. Başparmak ayağın topuktan sonra en çok yüklenen bölgesidir, hızlı ilerleme, zıplama sırasında yüksek yüklere maruz kalır, vücut ağırlığının %90'ı başparmaktan geçer. Bu nedenle baş-parmak hastalıkları hastalar için rahatsız edici, önemli A yak başparmağı diğer parmaklardan daha farklı, özel bir bölgedir. Diğer parmaklarda üç falanks bulunurken başparmağın iki falanksı olduğu kabul edilir. Birinci metatarsın fizinin diğer metatarsların aksine, distalde değil proksimalde yer aldığı-nı dikkate alırsak, aslında birinci parmağın metatarsının Ayak başparmağının hastalıkları: Halluks valgus ve halluks rigidus

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Surgery of the lesser rays

Grace

1993

The Foot

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Medical litigation and the foot

Cited by 14 publications

References 0 publications

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

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

Ayak başparmağının hastalıkları: Halluks valgus ve halluks rigidus

Surgery of the lesser rays

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