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Musculoskeletal Pain Clinical Study Group Report on Podiatry Consensus Meeting Prof. Jim Woodburn School of Health & Soc

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Musculoskeletal Pain Clinical Study Group Report on Podiatry Consensus Meeting Prof. Jim Woodburn School of Health & Social Care. Glasgow Caledonian University, Glasgow, UK. CSG Meeting, Chancellor’s hotel, Manchester 1-2 nd May 2008. Background. Newly formed Musculoskeletal pain CSG

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Musculoskeletal Pain Clinical Study Group

Report on Podiatry Consensus Meeting

Prof. Jim Woodburn

School of Health & Social Care.

Glasgow Caledonian University, Glasgow, UK

CSG Meeting, Chancellor’s hotel, Manchester 1-2nd May 2008

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Background

Newly formed Musculoskeletal pain CSG

Scoping exercise to identify priority research areas

Foot and Ankle pain (with relevance to podiatry) scoping conducted via consensus type meeting, GCU 17-18th April 2008

Initial feedback to CSG today

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Stage 1: Expert Working Party (Podiatry)

Open invitation on National Academic Mailing List Service (JISCmail) ‘Podiatry’ list

Members of working party

Contribute project ideas

Selected invitations to current/past arc grant/fellowship award holders and leading clinicians

Other leaders in the field

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Stage 2: Consensus meeting

Conducted 17-18th April 2008

11 participants

Scoping exercise (lead from CSG objectives)

Identify current high quality trials and other clinical research activity

Identify duplication, opportunities for collaborations, gaps

Develop new research questions

Priority setting

Modified Delphi technique

Wider consultation initiative (multi-stakeholders)

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Stage 2: Consensus meeting

Workshop I: review of current evidence

Identify trials and other clinical research activity

Current research activity in major centres

Duplication and opportunities for collaborations

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Stage 2: Consensus meeting

Workshop II: scoping exercise

Projects submitted online

Small group activity to generate project lists

7 project ideas submitted online from 21 UK podiatrists

2 rejected (not relevant to MSK foot and ankle pain)

8 additional projects identified from group activity

Final list of 15 msk foot and ankle pain related projects

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Stage 2: Consensus meeting

Workshop III: priority setting

Modified Delphi technique

Anonymous voting

2 scales- rank order by importance / funding priority

Top 5 projects identified

Group discussion / repeat voting until consensus reached

Top 5 projects reached after only one round of voting / discussion

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Stage 2: Consensus meeting

(1) Foot care provision in rheumatoid arthritis

(2) Therapeutic footwear in common painful and disabling musculoskeletal and rheumatological foot and ankle problems

(3) (primary care) foot care in the elderly in relation to falls, mobility and QoL

(4) Foot orthoses

(5) Self-managed foot care

Unresolved tension- Podiatry Vs Foot care (complex interventions)

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Stage 2: Consensus meeting

Workshop IV: Identification of lead-in projects

Small group activity to identify lead in studies relevant to prioritised list

  • Common areas identified across all projects
  • Epidemiology
  • Disease burden and economic impact
  • Mechanisms
  • Diagnostic criteria
  • Standardised care and outcomes.
  • Methodological issues
  • Lack of pre-clinical, phase I and II studies
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Stage 3: Consultation / reporting

15 prioritised projects to be circulated more widely

Other podiatrists

Orthopaedic surgery

Orthotists / appliance staff

Occupational / physiotherapy / nursing

Rheumatologists

Primary care physicians

Patients

Report to MSK CSG (stage 1-2 available)

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Conflict of interest statements

Turner and Woodburn declare a conflict of interest in the form of publications related to projects 1 and 5 in the prioritised list. Sources of funding for these studies were the Medical Research Council and the Arthritis Research Campaign

Redmond declares a potential conflict of interest in relation to 1 (currently engaged in NIHR funded research into podiatry care in RA), 2 (currently involved in an arc funded project to generate a report on the use of footwear in people with RA), 4 (previous publications in the field) and 5 & 6 (membership of an organisation promoting multidisciplinary team working and self management [ARMA] and involvement in an arc funded standards of care project recommending integrated team working and empowered self care).

Williams is currently funded by the European League Against Rheumatism(An investigation into patients experience of therapeutic footwear)

No other potential conflicts of interest were declared.

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