{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T13:25:58Z","timestamp":1793885158922,"version":"4.8.0"},"reference-count":39,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2027,1,1]],"date-time":"2027-01-01T00:00:00Z","timestamp":1798761600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2027,1,1]],"date-time":"2027-01-01T00:00:00Z","timestamp":1798761600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2027,1,1]],"date-time":"2027-01-01T00:00:00Z","timestamp":1798761600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2027,1,1]],"date-time":"2027-01-01T00:00:00Z","timestamp":1798761600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2027,1,1]],"date-time":"2027-01-01T00:00:00Z","timestamp":1798761600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2027,1,1]],"date-time":"2027-01-01T00:00:00Z","timestamp":1798761600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2027,1,1]],"date-time":"2027-01-01T00:00:00Z","timestamp":1798761600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["annalsofvascularsurgery.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Annals of Vascular Surgery"],"published-print":{"date-parts":[[2027,1]]},"DOI":"10.1016\/j.avsg.2026.09.053","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T15:20:36Z","timestamp":1791818436000},"page":"787-795","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Impact of Simple Vascular Quality Initiative Frailty Score on Outcomes of Venous Leg Ulcer Healing and Recurrence"],"prefix":"10.1016","volume":"134","author":[{"given":"Joseph P.","family":"Hart","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2201-8767","authenticated-orcid":false,"given":"Mona","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7789-512X","authenticated-orcid":false,"given":"Mark G.","family":"Davies","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.avsg.2026.09.053_bib1","doi-asserted-by":"crossref","first-page":"M146","DOI":"10.1093\/gerona\/56.3.M146","article-title":"Frailty in older adults: evidence for a phenotype","volume":"56","author":"Fried","year":"2001","journal-title":"J Gerontol A Biol Sci Med Sci"},{"key":"10.1016\/j.avsg.2026.09.053_bib2","doi-asserted-by":"crossref","first-page":"2129","DOI":"10.1111\/j.1532-5415.2011.03597.x","article-title":"The identification of frailty: a systematic literature review","volume":"59","author":"Sternberg","year":"2011","journal-title":"J Am Geriatr Soc"},{"key":"10.1016\/j.avsg.2026.09.053_bib3","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/j.amjsurg.2018.11.020","article-title":"Impact of frailty on outcomes in surgical patients: a systematic review and meta-analysis","volume":"218","author":"Panayi","year":"2019","journal-title":"Am J Surg"},{"key":"10.1016\/j.avsg.2026.09.053_bib4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.cger.2010.08.009","article-title":"The frailty syndrome: definition and natural history","volume":"27","author":"Xue","year":"2011","journal-title":"Clin Geriatr Med"},{"key":"10.1016\/j.avsg.2026.09.053_bib5","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1016\/j.jvs.2022.05.017","article-title":"A Vascular Quality Initiative frailty assessment predicts postdischarge mortality in patients undergoing arterial reconstruction","volume":"76","author":"Kraiss","year":"2022","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.avsg.2026.09.053_bib6","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1503\/cmaj.050051","article-title":"A global clinical measure of fitness and frailty in elderly people","volume":"173","author":"Rockwood","year":"2005","journal-title":"C Med Assoc J"},{"key":"10.1016\/j.avsg.2026.09.053_bib7","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.jss.2013.01.021","article-title":"Accumulating deficits model of frailty and postoperative mortality and morbidity: its application to a national database","volume":"183","author":"Velanovich","year":"2013","journal-title":"J Surg Res"},{"key":"10.1016\/j.avsg.2026.09.053_bib8","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1016\/j.jvs.2014.08.115","article-title":"Frailty increases the risk of 30-day mortality, morbidity, and failure to rescue after elective abdominal aortic aneurysm repair independent of age and comorbidities","volume":"61","author":"Arya","year":"2015","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.avsg.2026.09.053_bib9","doi-asserted-by":"crossref","first-page":"904","DOI":"10.1016\/j.avsg.2012.09.015","article-title":"Simplified frailty index to predict adverse outcomes and mortality in vascular surgery patients","volume":"27","author":"Karam","year":"2013","journal-title":"Ann Vasc Surg"},{"issue":"2 Suppl","key":"10.1016\/j.avsg.2026.09.053_bib10","doi-asserted-by":"crossref","first-page":"3s","DOI":"10.1016\/j.jvs.2014.04.049","article-title":"Management of venous leg ulcers: clinical practice guidelines of the Society for Vascular Surgery \u00ae and the American Venous Forum","volume":"60","author":"O'Donnell","year":"2014","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.avsg.2026.09.053_bib11","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1016\/S0140-6736(82)90325-7","article-title":"The cause of venous ulceration","volume":"2","author":"Browse","year":"1982","journal-title":"Lancet"},{"key":"10.1016\/j.avsg.2026.09.053_bib12","doi-asserted-by":"crossref","first-page":"29","DOI":"10.3390\/jcm10010029","article-title":"Why venous leg ulcers have difficulty healing: overview on pathophysiology, clinical consequences, and treatment","volume":"10","author":"Raffetto","year":"2020","journal-title":"J Clin Med"},{"key":"10.1016\/j.avsg.2026.09.053_bib13","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1016\/j.avsg.2026.07.026","article-title":"Impact of Area Deprivation Index on the outcomes of venous leg ulcer healing and recurrence","volume":"133","author":"Cheun","year":"2026","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.avsg.2026.09.053_bib14","doi-asserted-by":"crossref","DOI":"10.1177\/02683555261465585","article-title":"Current outcomes of interventions to treat mixed arterial-venous ulcers","author":"Hart","year":"2026","journal-title":"Phlebology"},{"key":"10.1016\/j.avsg.2026.09.053_bib15","doi-asserted-by":"crossref","first-page":"1387","DOI":"10.1016\/j.jvs.2010.06.161","article-title":"Revision of the venous clinical severity score: venous outcomes consensus statement: special communication of the American Venous Forum Ad Hoc Outcomes Working Group","volume":"52","author":"Vasquez","year":"2010","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.avsg.2026.09.053_bib16","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1038\/nmeth.2089","article-title":"NIH Image to ImageJ: 25 years of image analysis","volume":"9","author":"Schneider","year":"2012","journal-title":"Nat Methods"},{"key":"10.1016\/j.avsg.2026.09.053_bib17","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1111\/j.1529-8019.2006.00096.x","article-title":"Wound bed score and its correlation with healing of chronic wounds","volume":"19","author":"Falanga","year":"2006","journal-title":"Dermatol Ther"},{"key":"10.1016\/j.avsg.2026.09.053_bib18","doi-asserted-by":"crossref","first-page":"960","DOI":"10.1046\/j.1365-2133.2000.03478.x","article-title":"A multicentre study of percentage change in venous leg ulcer area as a prognostic index of healing at 24 weeks","volume":"142","author":"Kantor","year":"2000","journal-title":"Br J Dermatol"},{"key":"10.1016\/j.avsg.2026.09.053_bib19","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.ejvs.2021.12.024","article-title":"Editor's choice\u2013European Society for Vascular Surgery (ESVS) 2022 clinical practice guidelines on the management of chronic venous disease of the lower limbs","volume":"63","author":"De Maeseneer","year":"2022","journal-title":"Euro J Vasc Endovasc Surg"},{"key":"10.1016\/j.avsg.2026.09.053_bib20","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1111\/j.1742-4801.2006.00180.x","article-title":"Preventing venous ulcer recurrence: a review","volume":"3","author":"Vowden","year":"2006","journal-title":"Int Wound J"},{"key":"10.1016\/j.avsg.2026.09.053_bib21","first-page":"143","article-title":"Prevalence of venous leg ulcer: the importance of the data collection method","volume":"15","author":"Nelzen","year":"2008","journal-title":"Phlebolymphology"},{"key":"10.1016\/j.avsg.2026.09.053_bib22","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1177\/0268355519825590","article-title":"Controlling compression bandaging pressure in leg ulcer research trials: a summary of the literature","volume":"34","author":"Boxall","year":"2019","journal-title":"Phlebology"},{"key":"10.1016\/j.avsg.2026.09.053_bib23","doi-asserted-by":"crossref","DOI":"10.12968\/bjcn.2013.18.Sup12.S35","article-title":"Why don't patients adhere to compression therapy?","author":"Bainbridge","year":"2013","journal-title":"Br J Community Nurs"},{"key":"10.1016\/j.avsg.2026.09.053_bib24","doi-asserted-by":"crossref","first-page":"537","DOI":"10.12968\/nrec.2011.13.11.537","article-title":"Achieving concordance with compression therapy","volume":"13","author":"Brown","year":"2011","journal-title":"Nurs Resident Care"},{"key":"10.1016\/j.avsg.2026.09.053_bib25","doi-asserted-by":"crossref","first-page":"265","DOI":"10.12968\/jowc.2005.14.6.26787","article-title":"Compression and peri-ulcer skin in outpatients' venous leg ulcers: results of a French survey","volume":"14","author":"Dereure","year":"2005","journal-title":"J Wound Care"},{"key":"10.1016\/j.avsg.2026.09.053_bib26","doi-asserted-by":"crossref","first-page":"339","DOI":"10.12968\/jowc.2006.15.8.26947","article-title":"The concept of concordance and its relation to leg ulcer management","volume":"15","author":"Mandal","year":"2006","journal-title":"J Wound Care"},{"issue":"11 Suppl","key":"10.1016\/j.avsg.2026.09.053_bib27","article-title":"Why patients do not comply with compression bandaging","volume":"12","author":"Edwards","year":"2003","journal-title":"Br J Nurs"},{"key":"10.1016\/j.avsg.2026.09.053_bib28","series-title":"Principles and practice of geriatric surgery","first-page":"465","article-title":"Age, frailty, and impaired wound healing","author":"Gould","year":"2020"},{"key":"10.1016\/j.avsg.2026.09.053_bib29","doi-asserted-by":"crossref","first-page":"256","DOI":"10.3399\/bjgp20X709829","article-title":"Are chronic wounds a feature of frailty?","volume":"70","author":"Ferris","year":"2020","journal-title":"Br J Gen Pract"},{"key":"10.1016\/j.avsg.2026.09.053_bib30","series-title":"Emergency laparoscopic surgery in the elderly and frail patient","first-page":"61","article-title":"Wound healing in elderly and frail patients","author":"Caracino","year":"2021"},{"key":"10.1016\/j.avsg.2026.09.053_bib31","article-title":"Development and validation of QMortality risk prediction algorithm to estimate short term risk of death and assess frailty: cohort study","volume":"358","author":"Hippisley-Cox","year":"2017","journal-title":"Bmj"},{"key":"10.1016\/j.avsg.2026.09.053_bib32","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1186\/s12877-021-02676-y","article-title":"Assessment of frailty in elderly patients attending a multidisciplinary wound care centre: a cohort study","volume":"21","author":"Espaulella-Ferrer","year":"2021","journal-title":"BMC Geriatr"},{"key":"10.1016\/j.avsg.2026.09.053_bib33","doi-asserted-by":"crossref","first-page":"e43","DOI":"10.1017\/S1463423619000100","article-title":"Access to care of frail community-dwelling older adults in Belgium: a qualitative study","volume":"20","author":"Fret","year":"2019","journal-title":"Prim Health Care Res Dev"},{"key":"10.1016\/j.avsg.2026.09.053_bib34","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1186\/s12877-018-0960-7","article-title":"Patient-centred access to health care: a framework analysis of the care interface for frail older adults","volume":"18","author":"Kurpas","year":"2018","journal-title":"BMC Geriatr"},{"key":"10.1016\/j.avsg.2026.09.053_bib35","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1186\/s12889-021-10688-x","article-title":"Frailty status changes are associated with healthcare utilization and subsequent mortality in the elderly population","volume":"21","author":"Li","year":"2021","journal-title":"BMC Public Health"},{"key":"10.1016\/j.avsg.2026.09.053_bib36","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1177\/026835550001500202","article-title":"Risk factors for healing and recurrence of chronic venous leg ulcers","volume":"15","author":"Barwell","year":"2000","journal-title":"Phlebology"},{"key":"10.1016\/j.avsg.2026.09.053_bib37","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1007\/s40257-016-0214-4","article-title":"Critical evaluation of delayed healing of venous leg ulcers: a retrospective analysis in Canadian patients","volume":"17","author":"Yang","year":"2016","journal-title":"Am J Clin Dermatol"},{"key":"10.1016\/j.avsg.2026.09.053_bib38","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.ejvs.2004.10.002","article-title":"Risk factors for delayed healing and recurrence of chronic venous leg ulcers--an analysis of 1324 legs","volume":"29","author":"Gohel","year":"2005","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.avsg.2026.09.053_bib39","doi-asserted-by":"crossref","first-page":"474","DOI":"10.12968\/jowc.2022.0143","article-title":"The influence of socioeconomic factors on intervention and postoperative healing of venous ulcers: a prospective study","volume":"33","author":"Blomgren","year":"2024","journal-title":"J Wound Care"}],"container-title":["Annals of Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0890509626007107?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0890509626007107?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T12:37:39Z","timestamp":1793882259000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0890509626007107"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2027,1]]},"references-count":39,"alternative-id":["S0890509626007107"],"URL":"https:\/\/doi.org\/10.1016\/j.avsg.2026.09.053","relation":{},"ISSN":["0890-5096"],"issn-type":[{"value":"0890-5096","type":"print"}],"subject":[],"published":{"date-parts":[[2027,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Impact of Simple Vascular Quality Initiative Frailty Score on Outcomes of Venous Leg Ulcer Healing and Recurrence","name":"articletitle","label":"Article Title"},{"value":"Annals of Vascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.avsg.2026.09.053","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}