{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T13:09:44Z","timestamp":1789477784286,"version":"build-2803163510"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,4,30]],"date-time":"2020-04-30T00:00:00Z","timestamp":1588204800000},"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":["Wound Repair Regeneration"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Venous Leg Ulcers cost Australia's healthcare system millions yearly, as they are underdiagnosed, and possibly undertreated. Most Venous Leg Ulcers are seen in general practice. However, it is currently unknown as to what treatment actions are most common in these contexts. Understanding how they are managed in these settings can improve healthcare delivery and patient outcomes. Using cross\u2010sectional general practitioner patient encounter data collected April 2006 to March 2016 from the Bettering the Evaluation and Care of Health program, a continuous national study of general practice clinical activity in Australia, we aimed to describe the characteristics of venous leg ulcer management by general practitioners in Australia. Among the 972\u2009100 general practitioner\u2010patient encounters recorded, 3604 (0.34%) involved management of VLU. Male general practitioners managed Venous Leg Ulcers significantly more often than female general practitioners. Most Venous Leg Ulcers were treated via dressings (76%) and\/or pharmacological treatments (25.7%), with few patients receiving the best practice treatment of medical compression (2.1%) or referral (4.9%). Patients with new (first visit) Venous Leg Ulcers were more likely to receive pharmacological treatments and to be referred elsewhere, and less likely to receive dressings than patients receiving follow\u2010up care. There appears to be a large gap between best practice guidelines and actual Venous Leg Ulcers treatments, as referrals and appropriate treatment was low. Further longitudinal studies are needed to determine the effectiveness of care for people with Venous Leg Ulcers who are managed by general practitioners.<\/jats:p>","DOI":"10.1111\/wrr.12820","type":"journal-article","created":{"date-parts":[[2020,4,19]],"date-time":"2020-04-19T14:03:30Z","timestamp":1587305010000},"page":"553-560","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Management of people with venous leg ulcers by Australian general practitioners: An analysis of the national patient\u2010encounter data"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8016-1060","authenticated-orcid":false,"given":"Carolina D.","family":"Weller","sequence":"first","affiliation":[{"name":"Monash Nursing and Midwifery  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5843-3533","authenticated-orcid":false,"given":"Ayoub","family":"Bouguettaya","sequence":"additional","affiliation":[{"name":"School of Psychology University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Britt","sequence":"additional","affiliation":[{"name":"Faculty of Medicine &amp; Health, Sydney School of Public Health University of Sydney  Camperdown New South Wales"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Harrison","sequence":"additional","affiliation":[{"name":"Menzies Centre for Health Policy, Sydney School of Public Health University of Sydney  Camperdown New South Wales"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,4,30]]},"reference":[{"issue":"5","key":"e_1_2_8_2_1","first-page":"331","article-title":"Venous leg ulcer management in general practice\u2013practice nurses and evidence based guidelines","volume":"41","author":"Weller CD","year":"2012","journal-title":"Aust Fam Physician"},{"issue":"2","key":"e_1_2_8_3_1","first-page":"84","article-title":"Solutions to the chronic wounds problem in Australia: a call to action","volume":"26","author":"Pacella R","year":"2018","journal-title":"Wound Practice Res."},{"issue":"1","key":"e_1_2_8_4_1","first-page":"20","article-title":"Modelling the direct health care costs of chronic wounds in Australia","volume":"22","author":"Graves N","year":"2014","journal-title":"Wound Practice Res."},{"issue":"2","key":"e_1_2_8_5_1","first-page":"74","article-title":"The Swedish national quality registry of ulcer treatment (RUT): how can'RUT'inform outcome measurement for people diagnosed with venous leg ulcers in Australia?","volume":"22","author":"Oien R","year":"2014","journal-title":"Wound Practice Res"},{"key":"e_1_2_8_6_1","volume-title":"An Economic Evaluation of Compression Therapy for Venous Leg Ulcers","author":"Australian Wound Management Association","year":"2013"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-018-3234-3"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12538"},{"key":"e_1_2_8_9_1","unstructured":"Australian Wound Management Association Inc. New Zealand Wound Care Society Inc. Australian and New Zealand Practice Guideline for Prevention and Management of Venous Leg Ulcers. October 2011 2011."},{"key":"e_1_2_8_10_1","volume-title":"Therapeutic Guidelines\u2014Ulcer and Wound Management","author":"Moulds R","year":"2012"},{"key":"e_1_2_8_11_1","volume-title":"Care of People with Chronic Leg Ulcers: an Evidence Based Guideline","author":"Jarroll B","year":"1999"},{"key":"e_1_2_8_12_1","volume-title":"Assessment and Management of Venous Leg Ulcers","author":"Virani T","year":"2004"},{"key":"e_1_2_8_13_1","unstructured":"Wounds Australia. Australian and New Zealand Clinical Practice Guideline for Prevention and Management of Venous Leg Ulcers. Wounds Australia.https:\/\/www.woundsaustralia.com.au\/Web\/Resources\/Publications\/Publications_Users_Only\/Australian_and_New_Zealand_Clinical_Practice_Guideline_for_Prevention_and_Management_of_Venous_Leg_U.aspx. Published2011. Updated November 21 2011. 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