{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T14:49:29Z","timestamp":1791643769628,"version":"4.3.4"},"reference-count":22,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Deutsche Derma Gesell"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and objectives<\/jats:title>\n                    <jats:p>Outpatient care of venous leg ulcers (VLU) is a problem of high medical and health economic relevance. Treatment is often inconsistent and not guideline\u2010compliant. The project Ulcus Cruris Care investigated the VLU outpatient care situation in Germany.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods<\/jats:title>\n                    <jats:p>Reimbursement data of 40,046 patient cases (2015\u20132019) with VLU diagnosis from a statutory health insurer (AOK Baden\u2010Wuerttemberg, Germany) were retrospectively analyzed. Outcome assessment was based on prescriptions, medical aids, nursing care, use of compression devices, surgical procedures and treatment costs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>47.3% (n\u00a0 = \u00a07,581) of patients without contraindication received a compression device within 90\u00a0days. 2.3% (n\u00a0 = \u00a0135) received surgical truncal vein interventions. 14.1% (n\u00a0 = \u00a0771) received consistent compression therapy associated with faster wound healing (121.6 \u00b1\u00a086.2 vs. 188.1 \u00b1\u00a0164.2\u00a0days, p\u00a0&lt;\u00a00.001), lower total costs (4,280 \u00b1\u00a05,326\u00a0\u20ac vs. 5,683 \u00b1\u00a09,657\u00a0\u20ac, p\u00a0&lt;\u00a00.001) and lower disease\u2010specific costs (2,498 \u00b1\u00a02,785\u00a0\u20ac vs. 2,797 \u00b1\u00a05,145\u00a0\u20ac, p\u00a0 = \u00a00.017) versus no or unsteady treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In outpatient VLU care around 80% of patients do not receive consistent compression therapy and are therefore not adequately treated. There is an urgent need for action to improve treatment of patients with VLU in Germany.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ddg.70021","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T08:02:19Z","timestamp":1773302539000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Outpatient care for venous leg ulceration in Germany: A retrospective claims data analysis"],"prefix":"10.1111","volume":"24","author":[{"given":"Lisa","family":"Weller","sequence":"first","affiliation":[{"name":"aQua Institute for Applied Quality Improvement and Research in Healthcare GmbH  G\u00f6ttingen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0618-4034","authenticated-orcid":false,"given":"Regina","family":"Po\u00df\u2010Doering","sequence":"additional","affiliation":[{"name":"Department of General Practice and Health Services Research Heidelberg University Hospital Heidelberg University Faculty of Medicine  Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Grobe","sequence":"additional","affiliation":[{"name":"aQua Institute for Applied Quality Improvement and Research in Healthcare GmbH  G\u00f6ttingen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Fleischhauer","sequence":"additional","affiliation":[{"name":"Department of General Practice and Health Services Research Heidelberg University Hospital Heidelberg University Faculty of Medicine  Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunter","family":"Laux","sequence":"additional","affiliation":[{"name":"Department of General Practice and Health Services Research Heidelberg University Hospital Heidelberg University Faculty of Medicine  Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jona","family":"Frasch","sequence":"additional","affiliation":[{"name":"University Medical Center Hamburg\u2010Eppendorf (UKE)  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Attila","family":"Altiner","sequence":"additional","affiliation":[{"name":"Department of General Practice and Health Services Research Heidelberg University Hospital Heidelberg University Faculty of Medicine  Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerstin","family":"Protz","sequence":"additional","affiliation":[{"name":"Competence Center for Health Services Research in Dermatology (CVderm) and Institute for Health Services Research in Dermatology and Nursing (IVDP) University Medical Center Hamburg\u2010Eppendorf (UKE)  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joachim","family":"Szecsenyi","sequence":"additional","affiliation":[{"name":"Department of General Practice and Health Services Research Heidelberg University Hospital Heidelberg University Faculty of Medicine  Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonas D.","family":"Senft","sequence":"additional","affiliation":[{"name":"Department of General Practice and Health Services Research Heidelberg University Hospital Heidelberg University Faculty of Medicine  Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,12]]},"reference":[{"issue":"7","key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1111\/ddg.15415","article-title":"Diagnosis and treatment of venous leg ulcers: S2k Guideline of the German Society of Phlebology and Lymphology (DGPL) e V Diagnosis and treatment of venous leg ulcers: S2k Guideline of the German Society of Phlebology and Lymphology (DGPL) e.V","volume":"22","author":"Valesky EM","year":"2024","journal-title":"J Dtsch Dermatol Ges"},{"key":"e_1_2_9_3_1","article-title":"S2k\u2010Leitlinie Diagnostik und Therapie des Ulcus cruris venosum, 4.1","author":"Valesky EM","journal-title":"Deutsche Gesellschaft f\u00fcr Phlebologie und Lymphologie"},{"issue":"2","key":"e_1_2_9_4_1","first-page":"105","article-title":"Epidemiology of chronic venous disorders in geographically diverse populations: results from the Vein Consult Program","volume":"31","author":"Rabe E","year":"2012","journal-title":"Int Angio"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1258\/phleb.2010.010s09"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-2325-3145"},{"issue":"7","key":"e_1_2_9_7_1","article-title":"Compression bandages or stockings versus no compression for treating venous leg ulcers","volume":"7","author":"Shi 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