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Foot and ankle surgery in Australia

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  #1  
Old 30th October 2007, 12:43 PM
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Default Types of surgery done by podiatric surgeons in Australia

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Prevalence and type of foot surgery performed in Australia: A clinical review
Paul J. Bennett
The Foot
Volume 17, Issue 4, December 2007, Pages 197-204

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Abstract
The aim of this study was to investigate the type and prevalence of foot surgery being conducted by fellows of the Australian College of Podiatric Surgeons.

Methods
A clinical audit of 786 patient files was undertaken, all of whom had been operated on by 10 podiatric surgeons during a 12-month period. A coding framework was used whereby all files audited had each foot condition classified according to the International Classification of Diseases.

Results
A total of 1575 diagnosed conditions, which subsequently underwent surgical treatment were identified in 785 case files. The most common conditions identified in this study were: lesser toe deformities (46.1%), hallux abducto valgus (20.8%), intermetatarsal neuroma (Morton's) (7.8%), hallux rigidus/limitus (6.6%) and onychocryptosis (6.7%). It would appear that, on a state for state basis, the amount of foot surgery conducted by podiatric surgeons across Australia is relatively uniform. In terms of the type and prevalence of conditions surgically treated by podiatrists internationally, these rates bear striking similarity to the results reported in the United Kingdom and the United States.

Conclusion
The data suggests podiatric surgeons operate ostensibly on healthy female patients in their fifth and sixth decade of life. Almost half of the patients operated upon underwent multiple procedures, with variability in the type and frequency of procedures most likely being attributable to individual surgeon preference.
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Old 30th October 2007, 12:59 PM
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Default Re: Types of surgery done by podiatric surgeons in Australia

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Paul, if you are about, what were the numbers on rearfoot surgery?
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Old 14th September 2008, 04:13 PM
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Default Foot and ankle surgery in Australia

Foot and ankle surgery in Australia: a descriptive analysis of the Medicare Benefits Schedule database, 1997-2006

Hylton B Menz , Mark F Gilheany and Karl B Landorf

Journal of Foot and Ankle Research 2008, 1:10doi:10.1186/1757-1146-1-10

Published: 15 September 2008

Abstract (provisional)

Background
Foot and ankle problems are highly prevalent in the general community and a substantial proportion of people seek surgical treatment to alleviate foot pain and deformity. However, the epidemiology of foot and ankle surgery has not been examined in detail. Therefore, the aim of this study was to examine patterns and costs of private sector foot surgery provision in Australia.

Methods
Data pertaining to all foot and ankle surgical procedures for the calendar years 1997-2006 were extracted from the Australian Medicare Benefits Schedule (MBS) database and were cross-tabulated by sex and age. Descriptive analyses were undertaken to assess sex and age differences in the number and type of procedures performed and to assess for temporal trends over the ten year assessment period. The total cost to Medicare of subsiding surgeons' fees in 2006 was also determined.

Results
During the 1997-2006 period, 996,477 surgical procedures were performed on the foot and ankle by private surgeons in Australia. Approximately equal numbers of procedures were performed on males (52%) and females (48%). However, males were more likely to undergo toenail, ankle, clubfoot, tarsal coalition and congenital vertical talus surgery, whereas females were more likely to undergo lesser toe, first metatarsophalangeal joint (MPJ), neuroma, heel, rearfoot and lesser MPJ surgery. The total number of procedures was stable over the assessment period, however there was a relative increase in the number of procedures performed on people aged over 55 years. The total contribution of Medicare to subsiding surgeons' fees for procedures performed in 2006 was $14M.

Conclusions
Foot and ankle surgery accounts for a considerable degree of healthcare expenditure in Australia, and the number of procedures in those aged over 55 years is increasing. Given the ageing demographics of the Australian population, the future public health and economic impact of foot morbidity is likely to be substantial. Strategies need to be implemented to ensure that the surgical labour force is adequate to address this increasing demand.
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