{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T03:35:52Z","timestamp":1787801752105,"version":"build-2784847793"},"reference-count":14,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,12,4]],"date-time":"2016-12-04T00:00:00Z","timestamp":1480809600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Chronic oedema (<jats:styled-content style=\"fixed-case\">CO<\/jats:styled-content>) is a major clinical problem worldwide, which has many important secondary consequences for health, activity and participation. Effective treatment planning and organisation of services is dependent on an understanding of the condition and its epidemiology. This cross\u2010sectional study was designed to estimate the point prevalence of <jats:styled-content style=\"fixed-case\">CO<\/jats:styled-content> within the health services of one <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> urban population and to determine the proportions that have concurrent leg ulceration.<\/jats:p><jats:p>Patients with <jats:styled-content style=\"fixed-case\">CO<\/jats:styled-content> in all anatomic sites were ascertained by health care professionals in one acute and one community hospital, all relevant outpatient and community nursing services, general practices and all nursing\/residential homes in one urban catchment area (Derby City). The presence and distribution of oedema was confirmed through a brief clinical examination. A battery of demographic and clinical details was recorded for each case.<\/jats:p><jats:p>Within the study population of Derby City residents, 971 patients were identified with <jats:styled-content style=\"fixed-case\">CO<\/jats:styled-content> [estimated crude prevalence 3\u00b793 per 1000, 95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) 3\u00b769\u20134\u00b719]. The prevalence was the highest among those aged 85 or above (28\u00b775 per 1000) and was higher among women (5\u00b737 per 1000) than men (2\u00b748 per 1000). The prevalence among hospital inpatients was 28\u00b75%. Only five (3%) patients in the community population had oedema related to cancer or cancer treatment. Of the 304 patients identified with oedema from the Derby hospitals or community health services, 121 (40%) had a concurrent leg ulcer.<\/jats:p><jats:p>Prevalence statistics and current demographic trends indicate that <jats:styled-content style=\"fixed-case\">CO<\/jats:styled-content> is a major and growing health care problem.<\/jats:p>","DOI":"10.1111\/iwj.12694","type":"journal-article","created":{"date-parts":[[2016,12,5]],"date-time":"2016-12-05T02:58:51Z","timestamp":1480906731000},"page":"772-781","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":101,"title":["Chronic oedema: a prevalent health care problem for <scp>UK<\/scp> health services"],"prefix":"10.1111","volume":"14","author":[{"given":"Christine J","family":"Moffatt","sequence":"first","affiliation":[{"name":"School of Health Sciences, University of Nottingham Royal Derby Hospital Centre  Derby England"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vaughan","family":"Keeley","sequence":"additional","affiliation":[{"name":"Department of Lymphoedema Service, Division of Medicine and Cancer Derby Teaching Hospitals NHS Foundation Trust  Derby England"},{"name":"University of Nottingham Royal Derby Hospital Centre  Derby England"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter J","family":"Franks","sequence":"additional","affiliation":[{"name":"Centre for Research &amp; Implementation of Clinical Practice  London England"},{"name":"Faculty of Medicine, Division of Nursing and Healthcare University of Glasgow  Glasgow Scotland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Rich","sequence":"additional","affiliation":[{"name":"Department of Lymphoedema Service, Division of Medicine and Cancer Derby Teaching Hospitals NHS Foundation Trust  Derby England"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorraine L","family":"Pinnington","sequence":"additional","affiliation":[{"name":"University of Nottingham Royal Derby Hospital Centre  Derby England"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,12,4]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-4801.2005.00066.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcg126"},{"key":"e_1_2_6_4_1","volume-title":"The challenge of obesity in the who european region and the strategies for response","author":"Branca F","year":"2007"},{"key":"e_1_2_6_5_1","unstructured":"European Commission. 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