SLHD Podiatry's current research focus is measuring and improving access to podiatry and high risk foot services and investigating current practice and optimal frequency for conservative sharp wound debridement. In 2016, SLHD Podiatry was successfully awarded a Translational Research Grant from the Ministry of Health to investigate debridement frequency with a multi-site randomized controlled trial. The main RCT of debridement frequency is underway and in data collection phase. Recruitment has commenced across sites with the lead site being RPAH Diabetes Centre High Risk Foot Service. The trial aims to determine the optimal frequency of wound debridement for diabetes-related foot ulcers. The outcomes of this study will have direct benefits including identifying evidence to inform evidence based guidelines and informing our workforce requirements.
A State-Wide Audit of Debridement Frequency is also part of our Translational Research Project investigating conservative sharp wound debridement in the management of diabetes-related foot ulcers. The project is looking for 12 sites to be included who use sharp wound debridement when managing diabetes-related foot ulcers in their clinics. Each site would compile a dataset on 10-30 consecutive new patients for 12 weeks, with the outcome recorded at the 12th week of treatment. The audit will provide a benchmark and context for the findings in terms of frequency of debridement and time to healing for diabetic foot ulcers treated by podiatrists in NSW. There is currently no local data published on debridement practice or time to healing hence the dataset derived from the audit and survey will provide this information.
During 2016, the department conducted a project to evaluate the pressure relieving capacity of commonly used offloading methods. One of our senior podiatrists in collaboration with the Diabetes Centre RPAH High Risk Foot Service is reviewing inpatient admissions of patients with diabetes related foot ulceration to assess trends and identify opportunities for service improvement. In 2016 as part of her Masters dissertation, one of our senior podiatrists completed a cross-sectional observational study evaluating the inter-rater reliability of infection assessment using the Infectious Disease's Classification System for diabetic foot infection in the multidisciplinary setting. Most recently one of the department's senior podiatrists is undertaking a project with the aim of improving quality of podiatry care for inpatients at CRGH.
- Awarded a NSW Health Translational Research Grant for the NSW Multi-Site Diabetes Debridement Study submission which is in collaboration the Diabetes Centre RPAH High Risk Foot Service
- Awarded $5000 seeding grant funding from SLHD for project measuring pressure offloading methods commonly used in clinical practice
- HETI Grant which funded Dr Anita Raspovic a senior lecturer at La Trobe University to provide education on the PEDAR - X a computerized gait assessment tool which allows analysis of plantar pressures
- SLHD Podiatry Education Forum with abstracts presented from SLHD and other Districts.
2016 Krista Sturday, Senior Podiatrist, Innovation in Education: Student Embedded Clinics
Higher Degree Students:
- Vanessa Nube, Director of Podiatry & Chief Investigator, Diabetes Debridement Study
- Jessica White, Senior Podiatrist & Project Coordinator, Diabetes Debridement Study
- Jessica White (Senior Podiatrist) Masters in Science Wound Healing & Tissue Repair, Cardiff University, Wales
Publications and Presentations
- Nube V, Frank G, White J, Stubbs S, Nannery S, Pfrunder L, Twigg SM, & McLennan SV. Hard-to-heal diabetes-related foot ulcers: current challenges and future prospects. Chronic Wound Care Management and Research, 2016;3: 133-146.
- Penkala S, Sturdy K, White J, & Nube V. Student embedded clinics to improve workplace preparedness: A university and NSW Health collaboration. Journal of Foot & Ankle Research. In press.
- Frank G, Nube V, & Penkala S. Clinical utility of different offloading techniques to reduce peak plantar pressures at neuropathic forefoot ulcers sites in people with diabetes: A preliminary study. Journal of Foot & Ankle Research.
- Australian and New Zealand Vascular Surgery Conference 2016, Sheraton on the Park Sydney. Georgina Frank (Deputy HOD Podiatry); Role of Podiatry in Diabetic Foot Ulcers
- Australian and New Zealand Vascular Surgery Conference 2016, Sheraton on the Park Sydney. Jessica White (Senior Podiatrist); The inter-rater reliability of the Infectious Diseases Classification System for Diabetic Foot Infection
- Wounds Australia November 2016 Melbourne Convention Centre: Jessica White (Senior Podiatrist) Access to High Risk Foot Services: Who is referring & who is not?
- Sarah Stubbs (Senior Podiatrist) Sydney Local Health District Education Day Should we be patient attention to hospital admissions for diabetes-related foot ulcers?
- Elizabeth Bova (Podiatrist) Sydney Local Health District Education Day: Stepping up to Falls Injury Prevention
- Jessica White (Senior Podiatrist) Sydney Local Health District Education Day: The inter-rater reliability of the Infectious Diseases Classification System for Diabetic Foot Infection
||YEARS total $$
|Ministry of Health Translation Research Grant
||Director of Podiatry Vanessa Nube & HOD Endocrinology Professor Stephen Twigg
||Diabetes Debridement Study
|SLHD Allied Health Seeding Grant
||Measuring Pressure offloading methods commonly used in clinical practice
||Education Day: Use of the PEDAR, a computerized gait assessment tool which allows analysis of plantar pressures
Contact details for department
Head of Department: Mrs Vanessa Nube
Telephone: (02) 9767 5221
Facsimile: (02) 9767 5297