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Performance of the tool to predict recurrence within a 12\u2010month period was assessed using Area Under the Receiver Operating Characteristic Curve (AUC) analysis. Multi\u2010site retrospective and prospective longitudinal studies were undertaken to validate a risk assessment tool for the recurrence of venous leg ulcers within 12\u2009months. In the retrospective study (<jats:italic>n<\/jats:italic> =\u2009250), 55% of venous leg ulcers recurred within 12\u2009months, and the risk assessment total score had excellent discrimination and goodness of fit with an AUC of 0.83 (95% CI, 0.76\u20100.90, <jats:italic>P<\/jats:italic> &lt;\u2009.001). The prospective study (<jats:italic>n<\/jats:italic> =\u2009143) observed that 50.4% (<jats:italic>n<\/jats:italic> =\u200963) of venous leg ulcers recurred within 12\u2009months of healing. Participants were classified using the risk assessment tool as being at low risk (28%), moderate risk (59%), and high risk (13%); the proportion of wounds recurring at 12\u2009months was 15%, 61%, and 67% for each group, respectively. Validation results indicated good discrimination and goodness of fit, with an AUC of 0.73 (95% CI, 0.64\u20100.82, <jats:italic>P<\/jats:italic> &lt;\u2009.001). Validation of this risk assessment tool for the recurrence of venous leg ulcers provides clinicians with a resource to identify high\u2010risk patients and to guide decisions on adjunctive, tailored interventions to address the specific risk factors to decrease the risk of recurrence.<\/jats:p>","DOI":"10.1111\/iwj.12911","type":"journal-article","created":{"date-parts":[[2018,3,15]],"date-time":"2018-03-15T11:28:56Z","timestamp":1521113336000},"page":"686-694","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":66,"title":["Predicting the likelihood of venous leg ulcer recurrence: The diagnostic accuracy of a newly developed risk assessment tool"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5743-2731","authenticated-orcid":false,"given":"Kathleen J.","family":"Finlayson","sequence":"first","affiliation":[{"name":"Faculty of Health Queensland University of Technology  Kelvin Grove Queensland Australia"},{"name":"Institute of Health &amp; 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