We are looking for scientific papers and/or reports ( both Government and Non-Government) which looks at the effectiveness and cost effectiveness of Prosthetic and Orthotic Services.
Hi Prof Nachi, by typing 'Orthotic Services' into Podiatry Today, came up with some material regarding quality and evidence base use for orthotics but as far as I know, the Australians have a follow up protocol for checking effectiveness of orthotics - whether this extends to the actual services, I will ask Craig Payne on this. Are you wanting to evaluate cost effectiveness of the services who make custom orthoses as opposed to supplying non custom (prefab, heat mouldable) etc.? They are not mutually exclusive - some applications, especially diabetic and arthritic feet, do better in custom orthoses. Best regards, Anette Thompson
Thanks Anette: I am aware of the work on insoles ( Rome, Menz and others). I am interested in reports looking at the service provision itself ( rather than specific interventions). If you come across anything in developing/ under developed countries, please let me know. Regards, Nachi.
too many variables to get results within the margin of error.
Consider foott yping the cohort to cull the subjects that would reduce variables.
Dennis
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