| アブストラクト | OBJECTIVE: To estimate the patterns of care and related resource use attributable to managing acute and chronic wounds among a catchment population of a typical clinical commissioning group (CCG)/health board and corresponding National Health Service (NHS) costs in the UK. METHOD: This was a sub-analysis of a retrospective cohort analysis of the records of 2000 patients in The Health Improvement Network (THIN) database. Patients' characteristics, wound-related health outcomes and health-care resource use were quantified for an average CCG/health board with a catchment population of 250,000 adults >/=18 years of age, and the corresponding NHS cost of patient management was estimated at 2013/2014 prices. RESULTS: An average CCG/health board was estimated to be managing 11,200 wounds in 2012/2013. Of these, 40% were considered to be acute wounds, 48% chronic and 12% lacking any specific diagnosis. The prevalence of acute, chronic and unspecified wounds was estimated to be growing at the rate of 9%, 12% and 13% per annum respectively. Our analysis indicated that the current rate of wound healing must increase by an average of at least 1% per annum across all wound types in order to slow down the increasing prevalence. Otherwise, an average CCG/health board is predicted to manage ~23,200 wounds per annum by 2019/2020 and is predicted to spend a discounted (the process of determining the present value of a payment that is to be received in the future) pound50 million on managing these wounds and associated comorbidities. CONCLUSION: Real-world evidence highlights the substantial burden that acute and chronic wounds impose on an average CCG/health board. Strategies are required to improve the accuracy of diagnosis and healing rates. |
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| ジャーナル名 | Journal of wound care |
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| Pubmed追加日 | 2017/6/10 |
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| 投稿者 | Guest, J F; Vowden, K; Vowden, P |
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| 組織名 | Director of Catalyst, Visiting Professor of Health Economics, Catalyst Health;Economics Consultants, Northwood, Middlesex, UK; Faculty of Life Sciences and;Medicine, King's College, London, UK.;Nurse Consultant, Bradford Teaching Hospitals NHS Foundation Trust and University;of Bradford, Bradford, UK.;Consultant Vascular Surgeon, Professor of Wound Healing Research, 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/28598761/ |
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