{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T07:01:26Z","timestamp":1791442886479,"version":"4.3.3"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,11,4]],"date-time":"2018-11-04T00:00:00Z","timestamp":1541289600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100014550","name":"Institut Catal\u00e0 de la Salut","doi-asserted-by":"crossref","award":["M\u00f2duls de Recerca del \u00c0mbit d'Atenci\u00f3 Primari"],"award-info":[{"award-number":["M\u00f2duls de Recerca del \u00c0mbit d'Atenci\u00f3 Primari"]}],"id":[{"id":"10.13039\/501100014550","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:p>The aims of the study were to describe and analyse the temporal trend of the prevalence and incidence of venous leg ulcers (VLU) over the years 2010 to 2014, to determine healing times and temporal trends in the study period, and to evaluate related aspects such as the use of the Ankle\u2010Brachial Pressure Index (ABPI) in a primary care health centre. This was a retrospective study based on a time series (years 2010\u20102014) of the prevalence and incidence of VLUs in people aged over 40\u2009years in a primary care centre in Barcelona City. We reviewed 3920 electronic health records selecting patients, per year (2010\u20102014), with VLUs based on the ICD\u201010 diagnoses. For prevalence, we took into account any patient with an active VLU in the year of study. For incidence, we took into account patients with a new VLU in the year of study. A descriptive analysis was carried out based on each of the collected variables. The variables were examined according to the years of study (time series) by one\u2010factor analysis of variance (<jats:sc>anova<\/jats:sc>) or Kruskal\u2013Wallis non\u2010parametric test, as appropriate. A survival analysis by Kaplan\u2013Meier curves and log\u2010rank test was also performed. A total of 139 patients met the VLU criteria. Among them, only 79.2% were classified as having a VLU and had a correct ICD diagnosis. The prevalence and incidence increased over the years, doubling in patients aged over 65\u2009years. Incidence increased from 0.5 new cases per 1000 people\/year in 2010 to 1 new case for every 1000 people\/year in 2014. Moreover, the prevalence ranged between 0.8 and 2.2 patients with VLU for every 1000\u2009people\/year. During the study period, a total of 84.2% of the VLUs healed (117\/139 VLU). Regarding average annual time to healing, the trend indicates that lesions took less time to heal (Kruskal\u2013Wallis test, <jats:italic>P<\/jats:italic> = 0.004), ranging between 453,9 weeks in 2005 to 19\u2009weeks in 2014. The use of ABPI also evolved and was found to be increasingly performed prior to the appearance of the lesion. The epidemiological profile of people affected by VLUs continues to be, mainly, that of women of an advanced age, over 70\u2009years. The frequency of VLU occurrence rose continually over the years, but healing took less time, and use of ABPI improved. Assigning a reference nurse in the wounds unit and the organisational structure around this problem may have an influence on improving care and the approach to these types of lesions.<\/jats:p>","DOI":"10.1111\/iwj.13026","type":"journal-article","created":{"date-parts":[[2018,11,5]],"date-time":"2018-11-05T04:35:50Z","timestamp":1541392550000},"page":"256-265","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":84,"title":["Epidemiology of venous leg ulcers in primary health care: Incidence and prevalence in a health centre\u2014A time series study (2010\u20102014)"],"prefix":"10.1111","volume":"16","author":[{"given":"Miriam","family":"Berenguer P\u00e9rez","sequence":"first","affiliation":[{"name":"Department of Community Nursing, Preventive Medicine, Public Health and History of Science, Faculty of Health Sciences University of Alicante  Alicante Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"L\u00f3pez\u2010Casanova","sequence":"additional","affiliation":[{"name":"Department of Community Nursing, Preventive Medicine, Public Health and History of Science, Faculty of Health Sciences University of Alicante  Alicante Spain"},{"name":"Centro de Salud de Onil  Alicante Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"Sarabia Lav\u00edn","sequence":"additional","affiliation":[{"name":"Nursing Department, Nursing Faculty University of Cantabria  Cantabria Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e9ctor","family":"Gonz\u00e1lez de la Torre","sequence":"additional","affiliation":[{"name":"Complejo Hospitalario Materno\u2010Infantil Insular de Gran Canaria, Servicio Canario de Salud  Las Palmas de Gran Canaria Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8307-7323","authenticated-orcid":false,"given":"Jos\u00e9","family":"Verd\u00fa\u2010Soriano","sequence":"additional","affiliation":[{"name":"Department of Community Nursing, Preventive Medicine, Public Health and History of Science, Faculty of Health Sciences University of Alicante  Alicante Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,11,4]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"25","volume-title":"\u00dalceras de la extremidad inferior","author":"Marinel.lo J","year":"2005"},{"key":"e_1_2_8_3_1","unstructured":"Conferencia Nacional de Consenso sobre \u00falceras de la Extremidad Inferior\u2010 CONUEI. 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