Document Detail


More Frequent Visits to Wound Care Clinics Result in Faster Times to Close Diabetic Foot and Venous Leg Ulcers.
MedLine Citation:
PMID:  23080236     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE:: To determine whether patients with Wagner grades 1 and 2 diabetic foot ulcers (DFUs) or venous leg ulcers (VLUs) differed in terms of time to close depending on visit frequency to wound care centers. DESIGN:: Retrospective cohort study. SETTING:: Outpatients wound care centers. PATIENTS:: Two hundred six patients with Wagner grade 1 or 2 DFUs and 215 patients with VLUs in the lower extremities collected from 9 wound care centers in 5 states (6 states for VLUs) during 2009/2010 and whose wounds had closed. INTERVENTIONS:: For each type of DFU/VLU, 1 group had every-other-week visits, defined as more than 10 days between visits in the first 4 weeks, whereas the other group had weekly visits, defined as at least once a week. MAIN OUTCOMES MEASURES:: Median time to close. MAIN RESULTS:: For patients with DFUs, 63.8% of wounds had closed in the weekly visit group after 4 weeks compared with 2.0% in the every-other-week group (P = 2.3 × 10); for patients with VLUs, 78 of 105 wounds (52%) closed in the weekly visit group compared with 0% in the every-other-week group (P = 2.40 × 10). After controlling for all covariates in a Cox regression model, median time to close for weekly patients was 28 days versus 66 days for patients seen every other week. Adjusted median times to close VLUs in the same groups were 25 versus 55 days. CONCLUSIONS:: More frequent visits can be extremely beneficial, with implications of lower costs and higher quality of life for patients.
Authors:
Robert A Warriner; James R Wilcox; Marissa J Carter; Deborah G Stewart
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Advances in skin & wound care     Volume:  25     ISSN:  1538-8654     ISO Abbreviation:  Adv Skin Wound Care     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100911021     Medline TA:  Adv Skin Wound Care     Country:  -    
Other Details:
Languages:  ENG     Pagination:  494-501     Citation Subset:  -    
Affiliation:
Robert A. Warriner III, MD, ABPM/UHM, FACA, FCCP, FCCWS, was Chief Medical Officer, Healogics, Inc, Jacksonville, Florida. (Editor's note: Sadly, Dr Warriner passed away just a few months before this article was published.) James R. Wilcox, BSN, is Director of Research & Quality for Medical Affairs, at Healogics, Inc, Jacksonville, Florida. Marissa J. Carter, PhD, MA, is President, Strategic Solutions, Cody, Wyoming. Deborah G. Stewart, MD, works at Healogics, Inc, Jacksonville, Florida. Dr Warriner, Mr Wilcox, and Dr Stewart have disclosed that they are employees of Healogics, Inc, which incorporated the former Diversified Clinical Services and National Healing Corporation. Dr Carter has disclosed that she is/was a consultant/advisor to Diversified Clinical Services.
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