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Does the point of healthcare contact affect successful diagnosis of diabetic Charcot neuroarthropathy?
Sherratt, Amy Hancox, Jennie Game, Frances Gray, Katie
Sherratt, Amy
Hancox, Jennie
Game, Frances
Gray, Katie
Abstract
Background: Charcot neuroarthropathy (CN) is a lesser-known and commonly
misdiagnosed diabetic foot complication. Delays in diagnosis increase the risk of
severe long-term foot complications. Aims: To undertake a retrospective audit
of patients with active CN, recording the time to diagnosis, misdiagnosis rates,
healthcare professional (HCP) and setting type at each contact since symptom onset
prior to their referral to a multidisciplinary foot team (MDFT) clinic in a circumscribed
part of England. Methods: Clinical notes of 46 consecutive patients attending a MDFT
clinic in the East Midlands region of England during a 2-month period, with active
CN were assessed. Results: Of the 46 included patients, 22 developed CN while in
primary care. These patients had a mean time from symptom onset to confirmed
diagnosis of 68 days, with 64% receiving a misdiagnosis. Non-specialist HCPs failed
to suspect CN in 85% of contacts compared to 20% in specialist HCPs. Conclusions:
Non-specialist HCPs need a greater degree of awareness and understanding of CN to
reduce diagnostic delays and misdiagnosis rates
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Citation
Sherratt A, Hancox J, Game F, Gray K (2024) Does the point-of-healthcare contact affect successful diagnosis of diabetic Charcot neuroarthropathy? The Diabetic Foot Journal 27(2): 44–8