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      Attendee Profile of a Clubfoot Patient: Experiences from an Indian Ponseti Clubfoot Clinic

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          ABSTRACT

          Introduction

          The attendee (relatives) profile of clubfoot child for initiating treatment is probably a gross measure of family responsibility and social awareness regarding the disease in Indian circumstances. We conducted a prospective pilot study with primary research question “Who brings the clubfeet patient to the clubfeet clinic?” Further, the patients were followed up to 7 visits to see any gross changes in the attendee trend. The involvement of second-degree relatives was also closely monitored.

          Materials and methods

          The CURE counselors recorded the relatives accompanying the newly enrolled clubfoot patients (July–December 2017). Patients already in follow-up, with irregular follow-up, lost to follow-up, and not willing to participate in the study were excluded. For the purpose of statistical analysis, the total opportunities to accompany patient (100 patients × 7 visits = 700 occasions) were taken as the base measurement.

          Results

          Out of 100 studied patients, only 39 children sought treatment within 6 weeks. Mother accompanied the child most (88.5%) followed by father (71.7%) ( p < 0.000001). Both parents accompanied the child on 62.4% occasions. The second-degree relatives accompanied the child on 32.7% occasions ( p < 0.000001). The most persistent attendee over 7 weeks was child's mother, followed by father and next by parents together. The second-degrees relatives were least persistent of all.

          Conclusion

          Our study showed a high percentage of parental participation and its persistence during the casting phase of Ponseti method in Indian clubfoot children. There seems to be a lot of scope for further community education and awareness in view of the relatively older child being brought for treatment and lesser involvement of second-degree relatives.

          How to cite this article

          Vimal Kumar KH, Agarwal A, et al. Attendee Profile of a Clubfoot Patient: Experiences from an Indian Ponseti Clubfoot Clinic. J Foot Ankle Surg (Asia-Pacific) 2019;6(1):7-9.

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          Most cited references 7

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          Analysis of the effectiveness of a non-governmental organization in supporting clubfoot clinic at a tertiary care center.

           P, Sharma,  R, Verma (2020)
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            Barriers experienced by parents of children with clubfoot deformity attending specialised clinics in Uganda.

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              • Abstract: not found
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              Family studies and the cause of congenital club foot talipes equinovarus, talipes calcaneo-valgus and metatarsus varus.

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                Author and article information

                Journal
                JFASAP
                Journal of Foot and Ankle Surgery (Asia Pacific)
                JFASAP
                Jaypee Brothers Medical Publishers
                2348-280X
                2394-7705
                January-June 2019
                : 6
                : 1
                : 7-9
                Affiliations
                [1-3 ]Department of Pediatric Orthopedics, Chacha Nehru Bal Chikitsalaya, Delhi, India
                Author notes
                Anil Agarwal, Department of Pediatric Orthopedics, Chacha Nehru Bal Chikitsalaya, Delhi, India, Phone: +91 9810290295, e-mail: rachna_anila@ 123456yahoo.co.in
                Article
                10.5005/jp-journals-10040-1098
                Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.

                Creative Commons Attribution 4.0

                Product
                Categories
                ORIGINAL ARTICLE
                Custom metadata
                JFASAP-2019-6-007.pdf

                General medicine, Pathology, Surgery, Sports medicine, Anatomy & Physiology, Orthopedics

                CTEV, Clubfoot, Attendee

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