{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T18:50:44Z","timestamp":1791831044612,"version":"4.3.4"},"reference-count":55,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T00:00:00Z","timestamp":1704672000000},"content-version":"vor","delay-in-days":7,"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":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Diabetic foot ulcers affect quality of life and economically burden patients and the Indonesian healthcare system. The comparative cost\u2010effectiveness of wound care specialists in private practices (e.g., wound clinics) and wound care nurses in national hospitals remains unknown. Thus, we used a decision tree to compare the cost and healing rates for patients after 12\u2009weeks of wound care. Uncertainty was addressed using one\u2010way and probabilistic sensitivity analyses. Among 89 participants (42 in the national hospital and 47 in the private practice), no significant differences were observed between the two groups in terms of sex, age, education level, smoking status, duration of diabetes, Wagner wound classification, glycated haemoglobin levels, neuropathy status, ankle\u2010brachial index, baseline characteristics, quality of life, DMIST (depth, maceration, inflammation\/infection, size, tissue type of the wound bed, type of wound edge, and tunnelling\/undermining) score and wound location (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&gt;\u20090.05). However, significant differences were observed for days from first visit\/assessment until complete healing, mean quality of life (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009\u2264\u20090.001) and wound size (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.047). Wound care specialists in private practices had a significantly lower cost of 2,804,423.3 Indonesian rupiah compared to 6,483,493.4 Indonesian rupiah for wound care nurses in national hospitals. The incremental cost\u2010effectiveness ratio was \u2212165,723.9. Therefore, wound care specialists in private practices are more cost\u2010effective for managing diabetic foot ulcers. Probability sensitivity analysis confirmed that 80%\u201390% of the scenarios were cost\u2010effective. These findings may inform healthcare resource allocation in Indonesia. Additionally, evidence\u2010based cost\u2010effectiveness measures were strengthened in private practices and national hospitals.\n                  <\/jats:p>","DOI":"10.1111\/wrr.13147","type":"journal-article","created":{"date-parts":[[2023,12,27]],"date-time":"2023-12-27T07:48:55Z","timestamp":1703663335000},"page":"80-89","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Evaluating the cost\u2010effectiveness of diabetic foot ulcer management by wound care specialists in\n                    <scp>Indonesia<\/scp>"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5794-7826","authenticated-orcid":false,"given":"Suriadi","family":"Jais","sequence":"first","affiliation":[{"name":"Graduate Nursing Program Institut Teknologi dan Kesehatan Muhammadiyah Kalbar  Pontianak Kalimantan Barat Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makoto","family":"Oe","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences Kanazawa University  Kanazawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiromi","family":"Sanada","sequence":"additional","affiliation":[{"name":"Ishikawa Prefectural Nursing University  Kahoku\u2010gun Ishikawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agung","family":"Sasongko","sequence":"additional","affiliation":[{"name":"Program Studi Manajemen Informatika Universitas Bina Sarana Informatika  Pontianak Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haryanto","family":"Haryanto","sequence":"additional","affiliation":[{"name":"Graduate Nursing Program Institut Teknologi dan Kesehatan Muhammadiyah Kalbar  Pontianak Kalimantan Barat Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2019.107843"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/21501319221089767"},{"key":"e_1_2_10_4_1","volume-title":"IDF Atlas 9th Edition 2019","author":"Williams R","year":"2019"},{"key":"e_1_2_10_5_1","volume-title":"IDF Diabetes Atlas. 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