Measuring costs and quality of life for venous leg ulcers

Barnsbee, Louise, Cheng, Qinglu, Tulleners, Ruth, Lee, Xing, Brain, David and Pacella, Rosana E. (2018) Measuring costs and quality of life for venous leg ulcers. International wound journal. ISSN 1742-4801

[img] Text (This is the peer reviewed version of the following article: Measuring costs and quality of life for venous leg ulcers, International Wound Journal which has been published in final form at https://doi.org/10.1111/iwj.13000.)
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Abstract

Venous leg ulcers (VLUs) result in substantial economic costs and reduced quality of life (QoL); however, there are few Australian cost estimates, especially using patient‐level data. We measured community‐setting VLU management costs and the impact on the QoL of affected individuals. VLU patients were recruited from a specialist wound clinic, an outpatient clinic, and two community care clinics in Queensland. Cost data were collected at the baseline visit. QoL (EQ‐5D‐5L) and wound status data were collected at baseline, 1, 3, and 6 months. Patients were classified into guideline‐based/optimal care and usual care groups. Average weekly costs per patient were statistically significantly different between the usual care and optimal care groups—$214.61 and $294.72, respectively (P = 0.04). Baseline average QoL score for an unhealed ulcer was significantly higher in the optimal care group compared with usual care (P = 0.025). Time to healing differed between the usual care group and the optimal care group (P = 0.04), with averages of 3.9 and 2.7 months, respectively. These findings increase the understanding of the costs, QoL, and healing outcomes of VLU care. Higher optimal care costs may be offset by faster time to healing. This study provides data to inform an economic evaluation of guideline‐based care for VLUs.

Item Type: Article
Additional Information: This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Uncontrolled Keywords: compression therapy, cost, quality of life, venous leg ulcer
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RL Dermatology
Divisions: Departments > Research and Employer Engagement Office
SWORD Depositor: Publications Router Jisc
Depositing User: Publications Router Jisc
Date Deposited: 23 Nov 2018 12:07
Last Modified: 10 Oct 2019 07:58
URI: http://eprints.chi.ac.uk/id/eprint/3911

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