{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T05:55:14Z","timestamp":1791266114389,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"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":["International Wound Journal"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Chronic venous diseases (CVD), including venous leg ulcers (VLU), represent a significant health burden. Despite the central role of compression therapy in current treatment guidelines, recent evidence suggests substantial gaps in provision. A retrospective cohort study was conducted using anonymized claims data from 3.35\u2009million insured individuals. Persons with VLU or CVD in 2017 were observed over 5\u2009years. Compression therapy, comorbidities, antibiotic prescriptions, and physician contacts were analysed. The prevalence was 0.50% for VLU (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200916\u2009615) and 7.27% for CVD (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009243\u2009681). Across 5\u2009years, 75.85% (VLU) and 53.10% (CVD) received compression therapy. However, 24.15% of persons with VLU were not treated with compression therapy. Persons receiving compression were predominantly female and older (VLU: 74.13\u2009years, 59.56% women; CVD: 68.55\u2009years, 70.86% women), exhibited a higher mean Charlson Comorbidity Index (CCI [95% CI]: VLU 4.09 [4.03\u20134.15], CVD 2.67 [2.65\u20132.68] vs. VLU 3.14 [3.05\u20133.23], CVD 2.12 [2.11\u20132.14] without compression). In the first year post\u2010diagnosis, 51.43% VLU persons with compression received antibacterials (vs. 36.28%). The data confirm prior estimates of disease prevalence and highlight a substantial gap in the documented use of guideline\u2010compliant compression therapy, especially in VLU. High multimorbidity and care intensity underscore the need for better integration of compression therapy in routine practice.\n                  <\/jats:p>","DOI":"10.1111\/iwj.71061","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T05:26:33Z","timestamp":1791264393000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Underprovision of Medical Compression Therapy: Retrospective Analysis Based on Statutory Health Insurance Data on Venous Leg Ulcers, Chronic Venous Disease and Comorbidities"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5564-5285","authenticated-orcid":false,"given":"Markus","family":"St\u00fccker","sequence":"first","affiliation":[{"name":"Department of Dermatology, Phlebology Center Ruhr University Bochum  Bochum Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2436-7697","authenticated-orcid":false,"given":"Eberhard","family":"Rabe","sequence":"additional","affiliation":[{"name":"Practice Phlebology and Dermatology Dr. Pannier  Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2676-1479","authenticated-orcid":false,"given":"Kristina","family":"Hagenstr\u00f6m","sequence":"additional","affiliation":[{"name":"University Medical Centre Hamburg\u2010Eppendorf (UKE) Institute for Health Services Research in Dermatology and Nursing (IVDP)  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3660-5840","authenticated-orcid":false,"given":"Tobias","family":"Hirsch","sequence":"additional","affiliation":[{"name":"Practice for Internal Medicine and Vascular Diseases  Halle Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1338-8433","authenticated-orcid":false,"given":"Luis","family":"M\u00f6ckel","sequence":"additional","affiliation":[{"name":"eurocom e.V.\u2014European Manufacturers Federation for Compression Therapy and Orthopaedic Devices  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8368-5633","authenticated-orcid":false,"given":"Kristin","family":"Sauer","sequence":"additional","affiliation":[{"name":"eurocom e.V.\u2014European Manufacturers Federation for Compression Therapy and Orthopaedic Devices  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,5]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2021.12.024"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100037\u20101617353"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.33235\/wpr.31.4.164\u2010173"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ddg.15415"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13891"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD013397.pub2"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ddg.70021"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12605"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.33235\/wpr.32.3.136\u2010144"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00103\u2010013\u20101912\u20101"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100034\u20101396815"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021\u20109681(87)90171\u20108"},{"key":"e_1_2_11_14_1","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1111\/wrr.12387","article-title":"Epidemiology of Chronic Wounds in Germany: Analysis of Statutory Health Insurance Data","volume":"24","author":"Heyer K.","year":"2016","journal-title":"Wound Repair and Regeneration"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.zefq.2019.02.004"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.35279\/jowm202110.04"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12773"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11182521"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.3238\/arztebl.m2025.0207"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1055\/a\u20102200\u20100292"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/cts.70454"}],"container-title":["International Wound 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