Marcus J Gardner

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BACKGROUND One of the most devastating complications of diabetes is Charcot osteoarthropathy. It can lead to gross structural deformities of the foot and ankle, and subsequent skin ulceration and lower limb amputation from soft tissue or bony infection. However, it is often unrecognised, with deleterious consequences. OBJECTIVE This article describes the(More)
BACKGROUND There is limited understanding of the foot-health of people with diabetes in Australian regional areas. The aim of this study was to document the foot-health of people with diabetes who attend publically funded podiatric services in a regional Australian population. METHODS A three month prospective clinical audit was undertaken by the(More)
OBJECTIVE To ensure an efficient publicly funded podiatric service for people with diabetes in regional Victoria, a Podiatry Diabetes Model (PDM) of care was developed. The aim of this study was to determine if people with diabetes attended the most appropriate podiatric service as depicted by the model. METHODS A 3-month prospective clinical audit of the(More)
Background To ensure an efficient and consistent publically-funded podiatry service to people with diabetes in the Greater Bendigo region of Victoria the “Podiatry Diabetes Model” of care was developed. The model aims to ensure that people with diabetes are seen by a podiatry service that is most appropriate according to their risk of diabetes-related foot(More)
Background There is limited epidemiological research that reports on the foot-health of people with diabetes within Australian regional settings. This study reports on the baseline characteristics of a large prospective cohort study. The objective of this baseline analysis is to explore the relationship between demographic, socio-economic and(More)
Methods On establishment, the overarching goal of the DFC was to provide the best evidence-based care possible to those at the highest risk of developing diabetes-related foot problems in the region. To achieve this, the DFC undertook a ten-year process of continual quality improvement activities that included a series of retrospective clinical audits. This(More)
Methods A three-month prospective clinical audit of the podiatry services involved in the podiatric model of care was undertaken. Basic demographic variables were recorded in addition to the UT risk classification at baseline and incidence of ulceration. Statistical analysis was undertaken to explore the differences in the demographic variables with respect(More)
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