{"title":"德国腿部溃疡伤口敷料:分布、地区差异和卫生保健提供者","authors":"Kristina Hagenström , Kerstin Protz , Gerd Glaeske , Matthias Augustin","doi":"10.1016/j.wndm.2018.09.009","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Although there are standards in guideline-compliant treatment<span> of chronic wounds, little is known about the use of wound dressings in Germany.</span></p></div><div><h3>Objective</h3><p>The objective of the longitudinal study was to analyze the use of wound dressings, to explore regional differences and to characterize prescriptions by different physician specialties in patients<span> with leg ulcers in Germany.</span></p></div><div><h3>Methods</h3><p>Wound dressing rates for incident leg ulcers were analyzed from a German statutory health insurance between 2010 and 2012.</p></div><div><h3>Results</h3><p>From 2010 to 2012, out of 7,248,644 insured persons 0.52% [95%-CI 0.51–0.52%] were identified as having an incident ulcer. 76.0% were treated with hydroactive wound dressings. By contrast, in 23.7% only non-hydroactive dressings were used, and more often prescribed in venous (24.0%) than in mixed leg ulcers (20.8%). Most frequently used products were foam dressings (49.7%), followed by gauze compresses (29.5%). Wound specialized physicians had the highest overall proportion of prescriptions (60.2%) and a slightly higher proportion of non-hydroactive wound dressings. Large regional variations were observed.</p></div><div><h3>Conclusion</h3><p>In Germany, a high level of use of hydroactive wound dressings in leg ulcers and marked regional variations were found.</p></div>","PeriodicalId":38278,"journal":{"name":"Wound Medicine","volume":"23 ","pages":"Pages 58-63"},"PeriodicalIF":0.0000,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.wndm.2018.09.009","citationCount":"2","resultStr":"{\"title\":\"Wound dressings for leg ulcers in Germany: Distribution, regional variations and health care providers\",\"authors\":\"Kristina Hagenström , Kerstin Protz , Gerd Glaeske , Matthias Augustin\",\"doi\":\"10.1016/j.wndm.2018.09.009\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Although there are standards in guideline-compliant treatment<span> of chronic wounds, little is known about the use of wound dressings in Germany.</span></p></div><div><h3>Objective</h3><p>The objective of the longitudinal study was to analyze the use of wound dressings, to explore regional differences and to characterize prescriptions by different physician specialties in patients<span> with leg ulcers in Germany.</span></p></div><div><h3>Methods</h3><p>Wound dressing rates for incident leg ulcers were analyzed from a German statutory health insurance between 2010 and 2012.</p></div><div><h3>Results</h3><p>From 2010 to 2012, out of 7,248,644 insured persons 0.52% [95%-CI 0.51–0.52%] were identified as having an incident ulcer. 76.0% were treated with hydroactive wound dressings. By contrast, in 23.7% only non-hydroactive dressings were used, and more often prescribed in venous (24.0%) than in mixed leg ulcers (20.8%). Most frequently used products were foam dressings (49.7%), followed by gauze compresses (29.5%). Wound specialized physicians had the highest overall proportion of prescriptions (60.2%) and a slightly higher proportion of non-hydroactive wound dressings. Large regional variations were observed.</p></div><div><h3>Conclusion</h3><p>In Germany, a high level of use of hydroactive wound dressings in leg ulcers and marked regional variations were found.</p></div>\",\"PeriodicalId\":38278,\"journal\":{\"name\":\"Wound Medicine\",\"volume\":\"23 \",\"pages\":\"Pages 58-63\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2018-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.wndm.2018.09.009\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Wound Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S221390951830048X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Wound Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S221390951830048X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"Medicine","Score":null,"Total":0}
Wound dressings for leg ulcers in Germany: Distribution, regional variations and health care providers
Background
Although there are standards in guideline-compliant treatment of chronic wounds, little is known about the use of wound dressings in Germany.
Objective
The objective of the longitudinal study was to analyze the use of wound dressings, to explore regional differences and to characterize prescriptions by different physician specialties in patients with leg ulcers in Germany.
Methods
Wound dressing rates for incident leg ulcers were analyzed from a German statutory health insurance between 2010 and 2012.
Results
From 2010 to 2012, out of 7,248,644 insured persons 0.52% [95%-CI 0.51–0.52%] were identified as having an incident ulcer. 76.0% were treated with hydroactive wound dressings. By contrast, in 23.7% only non-hydroactive dressings were used, and more often prescribed in venous (24.0%) than in mixed leg ulcers (20.8%). Most frequently used products were foam dressings (49.7%), followed by gauze compresses (29.5%). Wound specialized physicians had the highest overall proportion of prescriptions (60.2%) and a slightly higher proportion of non-hydroactive wound dressings. Large regional variations were observed.
Conclusion
In Germany, a high level of use of hydroactive wound dressings in leg ulcers and marked regional variations were found.
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