{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T14:45:51Z","timestamp":1793803551789,"version":"4.6.1"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,5,26]],"date-time":"2016-05-26T00:00:00Z","timestamp":1464220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"NIHR Wound Prevention and Treatment Healthcare Technology Co-operative (NIHR WoundTec HTC)","id":[{"id":"https:\/\/ror.org\/02erzes48","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Bradford Institute For Health Research","id":[{"id":"https:\/\/ror.org\/048xj8s16","id-type":"ROR","asserted-by":"crossref"}]},{"name":"3M United Kingdom PLC"},{"name":"Activa Healthcare Limited"},{"name":"Brightwake Limited"},{"name":"KCI Medical Limited"},{"name":"Longhand Data"},{"name":"Medira Limited"},{"name":"Molnlycke Health Care Limited"},{"name":"Park House Healthcare Limited"},{"name":"Perfectus Biomed Limited"},{"name":"Pulsecare Medical LLC"},{"name":"Smith & Nephew Medical Limited"},{"name":"Sozo Woundcare Limited"},{"name":"Systagenix Wound Management Limited"},{"name":"Trio Healthcare"},{"name":"Urgo Limited"},{"name":"Willingsford Limited"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2017,4]]},"abstract":"Abstract<\/jats:title>\n \n The aim of this study was to estimate the patterns of care and annual levels of health care resource use attributable to the management of different wound types by the\n UK<\/jats:styled-content>\n 's National Health Service (\n NHS<\/jats:styled-content>\n ) in 2012\/2013 and the annual costs incurred by the\n NHS<\/jats:styled-content>\n in managing them. This was a retrospective cohort analysis of the records of 2000 patients in The Health Improvement Network (\n THIN<\/jats:styled-content>\n ) Database. Patients' characteristics, wound\u2010related health outcomes and all health care resource use were quantified, and the total\n NHS<\/jats:styled-content>\n cost of patient management was estimated at 2013\/2014 prices. The\n NHS<\/jats:styled-content>\n managed an estimated 2\u00b72 million patients with a wound during 2012\/2013. Patients were predominantly managed in the community by general practitioners (GPs) and nurses. The annual\n NHS<\/jats:styled-content>\n cost varied between \u00a31\u00b794 billion for managing 731 000 leg ulcers and \u00a389\u00b76 million for managing 87 000 burns, and associated comorbidities. Sixty\u2010one percent of all wounds were shown to heal in an average year. Resource use associated with managing the unhealed wounds was substantially greater than that of managing the healed wounds (e.g. 20% more practice nurse visits, 104% more community nurse visits). Consequently, the annual cost of managing wounds that healed in the study period was estimated to be \u00a32\u00b71 billion compared with \u00a33\u00b72 billion for the 39% of wounds that did not heal within the study year. Within the study period, the cost per healed wound ranged from \u00a3698 to \u00a33998 per patient and that of an unhealed wound ranged from \u00a31719 to \u00a35976 per patient. Hence, the patient care cost of an unhealed wound was a mean 135% more than that of a healed wound. Real\u2010world evidence highlights the substantial burden that wounds impose on the\n NHS<\/jats:styled-content>\n in an average year. Clinical and economic benefits to both patients and the\n NHS<\/jats:styled-content>\n could accrue from strategies that focus on (a) wound prevention, (b) accurate diagnosis and (c) improving wound\u2010healing rates.\n <\/jats:p>","DOI":"10.1111\/iwj.12603","type":"journal-article","created":{"date-parts":[[2016,5,26]],"date-time":"2016-05-26T22:02:42Z","timestamp":1464300162000},"page":"322-330","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":388,"title":["Health economic burden that different wound types impose on the\n UK<\/scp>\n 's National Health Service"],"prefix":"10.1111","volume":"14","author":[{"given":"Julian F","family":"Guest","sequence":"first","affiliation":[{"name":"Catalyst Health Economics Consultants Northwood Middlesex UK"},{"name":"Faculty of Life Sciences and Medicine King's College London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Ayoub","sequence":"additional","affiliation":[{"name":"Catalyst Health Economics Consultants Northwood Middlesex UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracey","family":"McIlwraith","sequence":"additional","affiliation":[{"name":"Catalyst Health Economics Consultants Northwood Middlesex UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ijeoma","family":"Uchegbu","sequence":"additional","affiliation":[{"name":"Catalyst Health Economics Consultants Northwood Middlesex UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyson","family":"Gerrish","sequence":"additional","affiliation":[{"name":"Catalyst Health Economics Consultants Northwood Middlesex UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Weidlich","sequence":"additional","affiliation":[{"name":"Catalyst Health Economics Consultants Northwood Middlesex UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Vowden","sequence":"additional","affiliation":[{"name":"Bradford Teaching Hospitals NHS Foundation Trust and University of Bradford Bradford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Vowden","sequence":"additional","affiliation":[{"name":"Bradford Teaching Hospitals NHS Foundation Trust and University of Bradford Bradford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,5,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-009283"},{"key":"e_1_2_9_3_1","unstructured":"Expenditure on healthcare in the UK 2013 reference table index. 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