{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T13:04:17Z","timestamp":1792760657136,"version":"4.5.0"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2024,5,9]],"date-time":"2024-05-09T00:00:00Z","timestamp":1715212800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,9]],"date-time":"2024-05-09T00:00:00Z","timestamp":1715212800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The aim of this research was to describe the epidemiology, presentation and healthcare use in primary care for foot and ankle problems in children and young people (CYP) across England. We undertook a population-based cohort study using data from the Clinical Practice Research Datalink Aurum database, a database of anonymised electronic health records from general practices across England. Data was accessed for all\u00a0CYP aged 0\u201318 years presenting to their general practitioner between January 2015 and December 2021 with a foot and\/or ankle problem. Consultation rates were calculated and used to estimate numbers of consultations in an average practice. Hierarchical Poisson regression estimated relative rates of consultations across sociodemographic groups and logistic regression evaluated factors associated with repeat consultations. A total of 416,137 patients had 687,753 foot and ankle events, of which the majority were categorised as \u201cmusculoskeletal\u201d (34%) and \u201cunspecified pain\u201d (21%). Rates peaked at 601 consultations per 10,000 patient-years among males aged 10\u201314 years in 2018. An average practice might observe 132 (95% CI 110 to 155) consultations annually. Odds for repeat consultations were higher among those with pre-existing diagnoses including juvenile arthritis (OR 1.73, 95% CI 1.48 to 2.03).<\/jats:p>\n                  <jats:p>\n                    <jats:italic>\u00a0 \u00a0 Conclusions<\/jats:italic>\n                    : Consultations for foot and ankle\u00a0problems were high among CYP, particularly males aged 10 to 14 years. These data can inform service provision to ensure CYP access  appropriate health professionals for accurate diagnosis and treatment.\n                    <jats:table-wrap>\n                      <jats:table>\n                        <jats:tbody>\n                          <jats:tr>\n                            <jats:td colspan=\"2\">\n                              <jats:bold>What is Known:<\/jats:bold>\n                              <jats:italic>\u2022 Foot and ankle problems can have considerable impact on health-related quality of life in children and young people (CYP).<\/jats:italic>\n                              <jats:italic>\u2022 There is limited data describing the nature and frequency of foot and ankle problems in CYP.<\/jats:italic>\n                            <\/jats:td>\n                          <\/jats:tr>\n                          <jats:tr>\n                            <jats:td colspan=\"2\">\n                              <jats:bold>What is New:<\/jats:bold>\n                              <jats:italic>\u2022 Foot and ankle consultations were higher in English general practice among CYP aged 10 to 14 years compared to other age groups, and higher among males compared to females.<\/jats:italic>\n                              <jats:italic>\u2022 The high proportion of unspecified diagnoses and repeat consultations suggests there is need for greater integration between general practice and allied health professionals in community-based healthcare settings.<\/jats:italic>\n                            <\/jats:td>\n                          <\/jats:tr>\n                        <\/jats:tbody>\n                      <\/jats:table>\n                    <\/jats:table-wrap>\n                  <\/jats:p>","DOI":"10.1007\/s00431-024-05590-8","type":"journal-article","created":{"date-parts":[[2024,5,9]],"date-time":"2024-05-09T02:41:57Z","timestamp":1715222517000},"page":"3299-3307","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Foot and ankle problems in children and young people: a population-based cohort study"],"prefix":"10.1007","volume":"183","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2986-792X","authenticated-orcid":false,"given":"Emma","family":"Rezel-Potts","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7252-9515","authenticated-orcid":false,"given":"Catherine","family":"Bowen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6202-2606","authenticated-orcid":false,"given":"Kate M.","family":"Dunn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7065-1157","authenticated-orcid":false,"given":"Christopher I.","family":"Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1898-9075","authenticated-orcid":false,"given":"Martin C.","family":"Gulliford","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0989-0903","authenticated-orcid":false,"given":"Stewart C.","family":"Morrison","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,5,9]]},"reference":[{"issue":"683","key":"5590_CR1","doi-asserted-by":"publisher","first-page":"e422","DOI":"10.3399\/bjgp19X703817","volume":"69","author":"R Ferguson","year":"2019","unstructured":"Ferguson R, Culliford D, Prieto-Alhambra D et al (2019) Encounters for foot and ankle pain in UK primary care: a population-based cohort study of CPRD data. 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CPRD has ethical approval from the Health Research Authority to support research using anonymised patient data.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclaimer"}}]}}