The health economic burden that acute and chronic wounds impose on an average clinical commissioning group/health board in the UK
The health economic burden that acute and chronic wounds impose on an average clinical commissioning group/health board in the UK
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DOI：
10.12968/jowc.2017.26.6.292
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发表时间：
2017-06-01
影响因子：
1.9
通讯作者：
Vowden, P.
中科院分区：
文献类型：
--
作者：
Guest, J. F.;Vowden, K.;Vowden, P.
目的：评估英国一个典型的临床委托组织(CCG)/健康委员会(Health Board)的受访人群在急慢性伤口处理方面的护理模式和相关资源使用情况，以及相应的国民医疗服务(NHS)成本。方法：这是对健康改善网络(Thin)数据库中2000名患者的回顾队列分析的子分析。结果：2012/2013年度，平均每个CCG/健康委员会管理11,200个伤口，每个CCG/健康委员会的平均人口为250,000名18岁的成年人，相应的NHS患者管理成本估计为2013/2014年的价格。在这些人中，40%被认为是急性伤口，48%是慢性伤口，12%没有任何具体诊断。据估计，急性、慢性和未指明伤口的发病率分别以每年9%、12%和13%的速度增长。我们的分析表明，目前所有伤口类型的伤口愈合率必须平均每年至少增加1%，才能减缓日益增长的发病率。此外，预计到2019/2020年，CCG/健康委员会平均每年将管理23,200个伤口，并预计将花费5000万英镑(确定未来收到的付款的现值的过程)来管理这些伤口和相关并发症。结论：现实世界的证据突出了急慢性伤口对CCG/健康委员会的平均负担。需要采取策略来提高诊断和治愈率的准确性。利益声明：这项研究的赞助者没有参与研究设计、数据的收集、分析和解释、这篇手稿的撰写以及提交这篇文章发表的决定。这篇文章表达的观点是作者的观点，不一定是NHS、国家健康研究所(NIHR)、卫生部或任何其他发起人的观点。
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 similar to 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) 50 pound 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.Declaration of interest: The study's sponsors had no involvement in the study design, the collection, analysis and interpretation of the data, the writing of this manuscript and the decision to submit this article for publication. The views expressed in this article are those of the authors and not necessarily those of the NHS, the National Institute for Health Research (NIHR), the Department of Health, or any of the other sponsors.