Cost of wound treatment to increase significantly in Denmark over the next decade

Hjort, Axel M.; Gottrup, Finn

doi:10.12968/jowc.2010.19.5.48046

Cited by 57 publications

(30 citation statements)

References 6 publications

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“…For example, a cost modelling conducted in Australia suggested that the three most common chronic wounds (pressure injuries, foot wounds associated with diabetes and leg ulcers) present a cost of US$2·85 billion per annum across hospital, community and residential aged care settings. A cost modelling study conducted in Denmark suggested that chronic wounds cost DKK56m (€8 m) in 2009, and this cost will increase to DKK224m (€30 m) in the year 2020 .…”

Section: Literature Reviewmentioning

confidence: 99%

The financial and quality‐of‐life cost to patients living with a chronic wound in the community

Kapp

Santamaria

2017

International Wound Journal

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Chronic wounds are associated with financial and personal costs. The system level expense associated with chronic wounds has been established, however, the out-of-pocket cost incurred by individuals who self-fund has not been the focus of extensive investigation. Recently, there has been renewed interest in evaluating quality of life, in line with the shift to patient enablement and self-care in chronic disease management. The objectives of this research were to describe the out-of-pocket wound treatment costs and the quality of life of people who have chronic wounds. A questionnaire incorporating the Cardiff Wound Impact Schedule and purpose-designed instruments was completed by a non-probability, convenience sample of 113 people in Australia and Wales. Data was analysed using descriptive statistics. The sample was on average 63·6 years of age and had wounds that were on an average 109 weeks duration. Participants had spent on average AU$2475 on wound dressing products since the wound started, and AU$121·82 in the most recent 28 days which represented 10% of their disposable income. Health-related quality of life was sub-optimal, 6/10 (ave) according to the Cardiff Wound Impact Schedule. Younger participants reported significantly poorer quality of life on all CWIS sub-scales when compared to older participants. This study found that chronic wounds present a significant financial cost to individuals who must self-fund their wound dressings and other wound treatment related expenses. Participants who had access to wound product subsidisation also experienced personal financial costs. People who have chronic wounds experience sub-optimal quality of life therefore this condition is also costly to the individual's well-being. The quality of life of younger people has not received adequate attention and requires further consideration given the many years that younger people may have to live with this debilitating and often recurrent condition. Continued action is required to reduce the financial and personal costs experienced by people who have chronic wounds. It is imperative that healthcare funding is directed to people who have chronic wounds, in particular to alleviate the out-of-pocket costs experienced by self-funders. Continued attention to the quality of life of people who have chronic wounds is required to minimise the negative effects of this condition and enhance well-being.

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Section: Literature Reviewmentioning

confidence: 99%

The financial and quality‐of‐life cost to patients living with a chronic wound in the community

Kapp

Santamaria

2017

International Wound Journal

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“…However, existing evidence point in the direction that more specialised and intense wound care is cost-effective and not rarely cost-saving [23]. Moreover, a Danish study has argued that by adopting a national strategy based on best practice guidelines, it may be possible to reduce the costs for wound management with up to 30% [24]. …”

Section: Introductionmentioning

confidence: 99%

The humanistic and economic burden of chronic wounds: a protocol for a systematic review

et al. 2017

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BackgroundChronic non-healing wounds present a substantial economic burden to healthcare system; significant reductions in quality of life for those affected, and precede often serious events such as limp amputations or even premature deaths. This burden is also likely to increase with a larger proportion of elderly and increasing prevalence of life-style diseases such as obesity and diabetes. Reviews of the evidence on the burden of illness associated with chronic wounds have not been comprehensive in scope and have not provided an assessment of the distribution of the health care costs across categories of resource use.Methods/designThis study is a systematic review of multiple databases for studies on adult patients with chronic wounds and with the primary objective to assess the impact on health-related quality of life by category of ulcers, and associated direct and indirect costs. Eligible studies will primary be empirical studies evaluating, describing or comparing measurement of quality of life and economic impact. Two reviewers will independently screen titles and abstracts and select studies involving adults with chronic wounds. These investigators will also independently extract data using a pre-designed data extraction form. Differences in applied methodologies and uncertainties will clearly be accounted for. Conservative valuations of costs and impact on health-related quality of life will be prioritised. Variations that may depend on age distribution, the categorisation of ulcer, healthcare system etc. will be described clearly.DiscussionThe proposed systematic review will yield a comprehensive assessment of the humanistic and economic burden of chronic wounds in an adult population. A better understanding of the humanistic and economic burden of chronic wounds is essential for policy and planning purposes, to monitor trends in disease burden and not at least in order to estimate the real-world cost-effectiveness of new treatments and therapies.Systematic review registrationPROSPERO CRD42016037496 Electronic supplementary materialThe online version of this article (doi:10.1186/s13643-016-0400-8) contains supplementary material, which is available to authorized users.

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“…6 The annual wound care costs in Denmark, a country with similar demographics to that of Finland, are estimated to be around 100 million euros. 7 From the perspective of patients, community, and health-care resources, a new, safe, clinically-and cost-effective method for the treatment of chronic wounds would be undoubtedly welcome.…”

Section: Scope and Significancementioning

confidence: 99%

Refined Spruce Resin to Treat Chronic Wounds: Rebirth of an Old Folkloristic Therapy

Jokinen

Sipponen

2016

Advances in Wound Care

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Significance: The treatment of chronic wounds results in an enormous drain on healthcare resources in terms of workload, costs, frustration, and impaired quality of life, and it presents a clinical challenge for physicians worldwide. Effective local treatment of a chronic wound has an important role, particularly in patients who are-because of their poor general condition, diminished life expectancy, or unacceptable operative risk-outside of surgical treatment. Recent Advances: Since 2002, our multidisciplinary research group has investigated the properties of Norway spruce (Picea abies) resin in wound healing and its therapeutic applications in wound care. Resin is a complex mixture of resin acids (e.g., abietic, neoabietic, dehydroabietic, pimaric, isopimaric, levopimaric, sandrakopimaric, and palustric acids) and lignans (e.g., pino-, larici-, matairesinol, and p-hydroxycinnamic acid) having substantial antimicrobial, wound-healing, and skin regeneration enhancing properties. Critical Issues: The cornerstone in successful wound care is an efficient causal treatment of the underlying co-morbidities, for example, diabetes, malnutrition, vascular-or certain systemic diseases. However, definitive diagnosis and specific therapy of a chronic wound is often difficult, because the etiology is practically always multi-factorial, and in the chronic phase, confounding factors such as infections invariably impede wound healing. Future Directions: To study the exact molecular mechanism of actions by which resin promotes cellular regeneration and epithelialization during the wound-healing process. To investigate potential antimicrobial properties of resin against the most ominous multidrug-resistant beta-lactamase (including carbapenemases and metallo-b-lactamases) producing bacteria, and to individualize those pharmacologically active compounds which are responsible for the antimicrobial activity of resin. SCOPE AND SIGNIFICANCEAlthough at least 170 topical wound care products are available, 1,2 well-designed randomized and controlled clinical trials regarding wound care products are rare, and the number of case-control or observational studies is limited. [3][4][5] It is estimated that the care of chronic wounds in the United States costs 6-15 billion U.S. dollars annually. 6 The annual wound care costs in Denmark, a country with similar demographics to that of Finland, are estimated to be around 100 million euros.7 From the perspective of patients, community, and health-care resources, a new, safe, clinically-and cost-effective method for the treatment of chronic wounds would be undoubtedly welcome. TRANSLATIONAL RELEVANCEOur multidisciplinary research group in Finland has investigated the properties of Norway spruce (Picea abies) resin in the treatment of acute-and chronic-, either infected or noninfected, wounds for more than 10 years now. 2,[8][9][10][11][12][13][14][15][16][17] As a result of this comprehensive translational research program, we have succeeded in showing through basic, clinical, and applied research...

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Cost of wound treatment to increase significantly in Denmark over the next decade

Cited by 57 publications

References 6 publications

The financial and quality‐of‐life cost to patients living with a chronic wound in the community

The financial and quality‐of‐life cost to patients living with a chronic wound in the community

The humanistic and economic burden of chronic wounds: a protocol for a systematic review

Refined Spruce Resin to Treat Chronic Wounds: Rebirth of an Old Folkloristic Therapy

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