Foot problems in @entity1 with XXXX in primary care: baseline findings from a prospective cohort study.

@entity1 @entity308 @entity28 @entity299 @entity4553 @entity158 @entity3812 @entity210 @entity208
BACKGROUND: Foot problems are common in @entity1 with @entity210 yet the prevalence of current foot problems in @entity1 with @entity210 and the burden they present to healthcare systems is not known. This cross-sectional study aimed to determine the prevalence and associations of @entity4553 , @entity158 and disability in @entity1 with @entity210 , and to assess the  frequency with which foot problems lead to consultation with healthcare professionals. METHODS: Adults registered with 20 general practices who had consulted their GP about @entity210 or been prescribed @entity208 or @entity3812 in the preceding two years were mailed a questionnaire. Prevalence of @entity4553 , @entity158 in the last month, and disabling @entity158 in the mailed population were ascertained using validated instruments and estimated by inverse-weighted logistic regression. Associations with socio-demographic, comorbid and @entity210 -specific factors were examined using logistic regression. @entity1 were asked if they had seen health care professionals for foot problems within the preceding 12  months. RESULTS: One thousand one hundred eighty-four questionnaires were received (response 66  %). Prevalence of @entity4553 was 36.3  %, @entity158 in the last month 22.3  % and disabling @entity158 14.5  %. @entity4553 associated with age (adjusted OR 1.47 per 10-year increase, 95 % CI 1.26, 1.72) and female gender (2.03; 1.31, 3.15). Foot @entity158 in the last month associated with age (1.24; 1.00, 1.55), @entity28 (BMI 30.0-34.9 2.67; 1.32, 5.38; BMI   >=    35.0 3.16; 1.44, 6.93), mild @entity308 (2.04; 1.09, 3.81) and polyarticular @entity210 attacks (1.86; 1.18, 2.95). Disabling @entity158 associated with age (1.42; 1.08, 1.87), @entity28 (BMI 30.0-34.9 3.73; 1.54, 9.09; BMI   >=    35.0 4.36; 1.64, 11.64), @entity308 (mild 2.63; 1.25, 5.53; moderate 3.53; 1.11, 11.26) and @entity299 (2.45; 1.32, 4.53). In the previous 12  months, 495 (42.8  %) reported consulting their GP about their feet and 281 (23.7  %) a podiatrist/chiropodist. CONCLUSIONS: Foot problems are common in @entity1 with @entity210 and frequently lead to healthcare consultation. @entity4553 has similar associations to those seen in the general population, whereas @entity158 associates with @entity28 and @entity210 characteristics, and disabling @entity158 with @entity28 and comorbidity. @entity1 assessment should consider foot problems and offer specific treatment where relevant.
