{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T01:28:28Z","timestamp":1786584508518,"version":"build-2736575974"},"reference-count":59,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"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":["Int J of Nursing Practice"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Chronic leg ulcers (CLUs) are complex wounds that often fail to heal within a reasonable timeframe, leading to prolonged morbidity, reduced quality of life and significant healthcare costs. The severity and exudate level of these wounds influence treatment choice and patient outcomes. In Poland, evidence on the economic impact of advanced dressings for CLUs remains limited, despite their inclusion in clinical guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aims to evaluate the cost\u2010effectiveness and cost\u2010utility of superabsorbent polymer dressings versus foam dressings in the management of moderate\u2010to\u2010highly exuding chronic leg ulcers within Polish healthcare settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This early\u2010stage model\u2010based economic evaluation was conducted in a time horizon of 6\u2009months within the context of the Polish healthcare system. The model inputs were identified through systematic literature reviews and incorporated into a mathematical model that accounted for the natural history of chronic leg ulcers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The average cost per patient for superabsorbent polymer dressings was estimated at PLN 11144 (\u20ac2563; $2786), while foam dressings averaged PLN 14685 (\u20ac3378; $3671), contributing to the cost difference between the two wound dressings of PLN 3541 (\u20ac815; $885) per patient over 6\u2009months. Healing rates are projected to improve by an additional 2%, and health\u2010related quality of life is expected to increase by 0.123 quality\u2010adjusted life weeks in favour of superabsorbent polymer dressings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These results provide evidence that superabsorbent polymer dressings are clinically and economically viable treatment options compared to foams for moderately to excessively exuding chronic leg ulcers in Poland.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ijn.70147","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:36:25Z","timestamp":1777422985000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Management of Moderate\u2010to\u2010Highly Exuding Chronic Leg Ulcers With Superabsorbent Wound Dressings Versus Foams Dressings in Polish Settings: An Early\u2010Stage Cost\u2010Effectiveness Evaluation"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7146-1267","authenticated-orcid":false,"given":"Vladica","family":"Veli\u010dkovi\u0107","sequence":"first","affiliation":[{"name":"Evidence Generation Department Hartmann Group  Heidenheim Germany"},{"name":"Institute of Public Health, Medical Decision Making and HTAUMIT  Hall in Tirol Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Serafin","sequence":"additional","affiliation":[{"name":"Evidence Generation Department Hartmann Group  Heidenheim Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beata","family":"Mrozikiewicz\u2010Rakowska","sequence":"additional","affiliation":[{"name":"Medical Center of Postgraduate Education  Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arkadiusz","family":"Jawie\u0144","sequence":"additional","affiliation":[{"name":"Antoni Jurasz University Hospital No. 1, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toru\u0144  Bydgoszcz Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.10578"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X15583266"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2019.24.Sup9.S26"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2020.29.3.174"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742\u2010481X.2012.01089.x"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2020.29.6.340"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2019.01.004"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2012.06.013"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X12454577"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1185\/030079906x167705"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.13237"},{"key":"e_1_2_10_13_1","volume-title":"Methods for the Economic Evaluation of Health Care Programmes","author":"Drummond M. 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