Lecture to Examine the Evidence Behind Common Podiatric Treatments

July 27, 2017

Track 1: Oral Abstract Presentations
Friday, July 28
10–11:30 a.m.
Tennessee C

The Cochrane Database of Systematic Reviews is recognized as the leading source of reviews of medical literature. The top reviews in podiatry for the past 20 years will be examined during a lecture Friday before the presentation of seven oral abstracts.

“They do an exceptional job of putting the evidence together in an easily understandable takeaway. I want to make sure podiatrists are aware that we can learn a lot if we just keep up with these systematic reviews,” Kyle W. Bruce, DPM, MPH, said of the Cochrane Reviews.

Dr. Bruce, a podiatrist at Trinity Health of New England, in Springfield, MA, will present “20 Years of the Cochrane Review: The Top Podiatric Takeaways.” That is lot of ground to cover, so Dr. Bruce will focus on specific studies.

“I hope we can stir up some good discussions about treatments that previously were thought to be quite effective but are turning out to be less than stellar in their collective results,” he said.

Among those treatments covered will be hyperbaric oxygen, antimicrobial topical dressings that proved to be ineffective, surgeries with little evidence of value, and wound debridement, Dr. Bruce said.

“I like studies that seem to contradict what we learned in our training in school and residency, ones that go against what the marketers of devices want to sell you,” he said. “I want to break through the financial nonsense and just get down to the nuts and bolts of what works.”

Dr. Bruce said he also wants to see more podiatrists take an interest in publishing research to prove the medical and financial value of common therapies.

“The mantra has been to publish or perish. If we are not going to support the things we do, we are going to start getting hit in the pocketbook with lack of reimbursement,” he said. “With the move to value-based payment, if we do not prove the effectiveness of what we do, we will have trouble being reimbursed for those procedures.

“There will be a lot of takeaways in a short amount of time that will hopefully change the way people practice and change the way they look at creating evidence to support the things they do.”  


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