What are the CPD needs of GPs working in areas of high deprivation? Report of a focus group meeting of ‘GPs at the Deep End’

Background Multimorbidity is prevalent and adversely affects health outcomes. Foot pain is common and one of the primary reasons for utilisation of podiatry services. At present, little is known about the impact of multimorbidity on foot health and related outcomes following podiatric intervention. The aims of this study were to evaluate whether there is a difference in foot health outcomes following exposure to podiatric foot care for people with and without multimorbidity; and ii) to evaluate whether the presence or absence of multimorbidity affects patients’ perceptions of change in foot pain. Methods The PROMFoot study is a prospective cohort study of adults with a new episode of foot pain attending the podiatry service within the NHS Greater Glasgow and Clyde health board. Baseline medical comorbidity status (no condition, single condition, multiple conditions), longitudinal data on foot health measured using the Foot Health Status Questionnaire (FHSQ), and patient rating of change scores for foot pain were obtained from the PROMFoot study at baseline, and 3 and 6 months after podiatric intervention. Foot health scores (pain, function, footwear and general foot health) and perceptions of change for foot pain were compared between comorbidity groups. Results A total of 115 participants (59% female) with a mean age of 55 years were included. Multimorbidity was common, affecting 61 participants (53%); while 28 (24.3%) and 26 (22.6%) reported single or no medical comorbidities respectively. Significantly worse foot health scores for all FHSQ domains were observed for the multimorbidity group at baseline, 3 and 6 months. Change scores for foot pain were similar between groups and demonstrate modest improvements, however multimorbidity group membership was strongly associated with a perceptions of change in foot pain. Multimorbidity was independently associated with poorer foot function outcomes at 3 months, and poorer foot pain and foot function outcomes at 6 months. Conclusions Multimorbidity was associated with poor foot health outcomes and lower rates of self-perceived improvement in foot pain over 6 months following podiatric intervention in a sample of patients attending podiatric biomechanics clinics for a new episode of foot pain. Electronic supplementary material The online version of this article (10.1186/s13047-019-0346-x) contains supplementary material, which is available to authorized users.

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The impact of multimorbidity on foot health outcomes in podiatry patients with musculoskeletal foot pain: a prospective observational study

Hendry

Fenocchi

Mason

et al. 2019

Journal of Foot and Ankle Research

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The subversive challenges of multimorbidity

Watt

2017

Br J Gen Pract

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Notificações de violências contra a mulher adulta no Estado de São Paulo em 2014

Vieira Carnevalle,

Gioia Schimidt,

Antonio de Moraes

et al. 2022

Bepa

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Estudo descritivo, exploratório, de caráter quantitativo, realizado com o objetivo de apresentar os dados epidemiológicos da violência doméstica, sexual e/ou outras violências que atingiram a mulher adulta no ano 2014 no Estado de São Paulo. Os dados foram extraídos do componente de Vigilância de Violências e Acidentes do Sistema de Informação de Agravos de Notificação (VIVA/Sinan), a partir das fichas de notificação individual de violência doméstica, sexual e/ou outras violências. A proporção de 81,7%das violências foi verificada na zona urbana, sendo a residência (66,4%) o local de maior ocorrência. As taxas de violência entre as faixas etárias variaram entre 0,029 a 0,039 por 100 mil habitantes do sexo feminino; sendo as mulheres casadas ou em união consensual e ainda as negras as mais atingidas. O homem foi o maior representante provável da autoria dosatos de violência (64,8%), sendo a suspeita da associação com consumo de álcool demonstrado em 30% dos casos. O comportamento violento e repetitivo atingiu 41,4% revelando que a reincidência é uma realidade a ser enfrentada. O vínculo/grau de parentesco do provável autor da agressão pertenceu ao grupo companheiro, em todos os tipos de violência, excetona sexual. O estupro constituiu-se na forma mais incidente de violência sexual, sendo realizada a profilaxia de DST (45,2%), HIV (44,7%), Hepatite B (30,8%) e contracepção de emergência (29,5%). O aborto legal foi necessário para 2,6% dos casos. A violência contra a mulher afeta aspectos físicos, econômicos, reprodutivos e comportamentais que podem contribuir na geração de doenças ou consequências fatais, extrapolando o âmbito da saúde e revelando a necessidade do cuidado ampliado e intersetorial.

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What are the CPD needs of GPs working in areas of high deprivation? Report of a focus group meeting of ‘GPs at the Deep End’

Cited by 3 publications

References 4 publications

The impact of multimorbidity on foot health outcomes in podiatry patients with musculoskeletal foot pain: a prospective observational study

The impact of multimorbidity on foot health outcomes in podiatry patients with musculoskeletal foot pain: a prospective observational study

The subversive challenges of multimorbidity

Notificações de violências contra a mulher adulta no Estado de São Paulo em 2014

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