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Australian children's foot, ankle and leg problems in primary care: a secondary analysis of the Bettering the Evaluation and Care of Health (BEACH) data.
Williams, Cylie M; Menz, Hylton B; Lazzarini, Peter A; Gordon, Julie; Harrison, Christopher.
Afiliación
  • Williams CM; School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, Victoria, Australia cylie.williams@monash.edu.
  • Menz HB; Discipline of Podiatry, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia.
  • Lazzarini PA; School of Public Health and Social Work, Queensland University of Technology, Brisbane, Queensland, Australia.
  • Gordon J; Allied Health Research Collaborative, The Prince Charles Hospital, Brisbane, Queensland, Australia.
  • Harrison C; WHO-CC for Strengthening Rehabilitation Capacity in Health Systems, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
BMJ Open ; 12(7): e062063, 2022 07 27.
Article en En | MEDLINE | ID: mdl-35896301
ABSTRACT

OBJECTIVES:

To explore children's foot, ankle and leg consultation patterns and management practices in Australian primary care.

DESIGN:

Cross-sectional, retrospective study.

SETTING:

Australia Bettering the Evaluation and Care of Health program dataset.

PARTICIPANTS:

Data were extracted for general practitioners (GPs) and patients <18 years from April 2000 to March 2016 inclusive. MAIN OUTCOME

MEASURES:

Demographic characteristics sex, GP age groups (ie, <45, 45-54, 55+ years), GP country of training, patient age grouping (0-4, 5-9, 10-14, 15-18 years), postcode, concession card status, indigenous status, up to three patient encounter reasons, up to four encounter problems/diagnoses and the clinical management actioned by the GP.

RESULTS:

Children's foot, ankle or leg problems were managed at a rate of 2.05 (95% CI 1.99 to 2.11) per 100 encounters during 229 137 GP encounters with children. There was a significant increase in the rate of foot, ankle and leg problems managed per 100 children in the population, from 6.1 (95% CI 5.3 to 6.8) in 2005-2006 to 9.0 (95% CI 7.9 to 10.1) in 2015-2016. Management of children's foot, ankle and leg problems were independently associated with male patients (30% more than female), older children (15-18 years were 7.1 times more than <1 years), male GPs (13% more) and younger GPs (<45 years of age 13% more than 55+). The top four most frequently managed problems were injuries (755.9 per 100 000 encounters), infections (458.2), dermatological conditions (299.4) and unspecified pain (176.3). The most frequently managed problems differed according to age grouping.

CONCLUSIONS:

Children commonly present to GPs for foot, ankle and leg problems. Presentation frequencies varied according to age. Unexpectedly, conditions presenting commonly in adults, but rarely in children, were also frequently recorded. This data highlights the importance of initiatives supporting contemporary primary care knowledge of diagnoses and management of paediatric lower limb problems to minimise childhood burden of disease.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pierna / Tobillo Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Adolescent / Adult / Child / Female / Humans / Male / Newborn País/Región como asunto: Oceania Idioma: En Revista: BMJ Open Año: 2022 Tipo del documento: Article País de afiliación: Australia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pierna / Tobillo Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Adolescent / Adult / Child / Female / Humans / Male / Newborn País/Región como asunto: Oceania Idioma: En Revista: BMJ Open Año: 2022 Tipo del documento: Article País de afiliación: Australia