| アブストラクト | The aim of this study was to estimate the patterns of care and annual levels of health care resource use attributable to the management of different wound types by the UK's National Health Service (NHS) in 2012/2013 and the annual costs incurred by the NHS in managing them. This was a retrospective cohort analysis of the records of 2000 patients in The Health Improvement Network (THIN) Database. Patients' characteristics, wound-related health outcomes and all health care resource use were quantified, and the total NHS cost of patient management was estimated at 2013/2014 prices. The NHS managed an estimated 2.2 million patients with a wound during 2012/2013. Patients were predominantly managed in the community by general practitioners (GPs) and nurses. The annual NHS cost varied between pound1.94 billion for managing 731 000 leg ulcers and pound89.6 million for managing 87 000 burns, and associated comorbidities. Sixty-one percent of all wounds were shown to heal in an average year. Resource use associated with managing the unhealed wounds was substantially greater than that of managing the healed wounds (e.g. 20% more practice nurse visits, 104% more community nurse visits). Consequently, the annual cost of managing wounds that healed in the study period was estimated to be pound2.1 billion compared with pound3.2 billion for the 39% of wounds that did not heal within the study year. Within the study period, the cost per healed wound ranged from pound698 to pound3998 per patient and that of an unhealed wound ranged from pound1719 to pound5976 per patient. Hence, the patient care cost of an unhealed wound was a mean 135% more than that of a healed wound. Real-world evidence highlights the substantial burden that wounds impose on the NHS in an average year. Clinical and economic benefits to both patients and the NHS could accrue from strategies that focus on (a) wound prevention, (b) accurate diagnosis and (c) improving wound-healing rates. |
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| ジャーナル名 | International wound journal |
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| 投稿日 | 2016/5/28 |
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| 投稿者 | Guest, Julian F; Ayoub, Nadia; McIlwraith, Tracey; Uchegbu, Ijeoma; Gerrish, Alyson; Weidlich, Diana; Vowden, Kathryn; Vowden, Peter |
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| 組織名 | Catalyst Health Economics Consultants, Northwood, Middlesex, UK.;Faculty of Life Sciences and Medicine, King's College, London, UK.;Bradford Teaching Hospitals NHS Foundation Trust and University of Bradford,;Bradford, UK. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/27229943/ |
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