{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:42:17Z","timestamp":1777916537148,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,4,25]],"date-time":"2019-04-25T00:00:00Z","timestamp":1556150400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Phlebology"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>In the Ziekenhuisgroep Twente Hospital, nurses from two community care organizations were trained to visit patients at home and provide adequate ulcer care. Furthermore, the one-stop clinic was introduced to set a diagnosis and treatment plan at the first visit in the hospital. The purpose of this study was to (a) evaluate if there is a difference in time to wound healing for patients with UCV treated by dedicated nurses compared to treatment by nurses in the Dermatology outpatient clinic and (b) determine if the one-stop clinic setting would lead to a difference in time to wound healing compared to the standard way of care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective cohort study, all files of patients with an ulcer in the Dermatology department of ZGT between 1 June 2010 and 1 June 2015 were studied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Out of a total of 385 new patients with an ulcer, 97 cases were included. Patients who were treated by dedicated nurses were significantly older ( p\u2009=\u20090.002) and had larger wounds ( p\u2009=\u20090.008). Age was not significantly related to time for wound closure (HR 0.99; 95% CI: 0.97\u20131.01, p\u2009=\u20090.226). After adjustment for confounders, there was no significant difference in time to wound closure between dedicated nurses (2.2 months (1.4\u20133.0)) versus hospital care (2.3 months (2.1\u20132.6)) (HR 1.01; 95% CI: 0.61\u20131.67, p\u2009=\u20090.961). The one-stop clinic led to a statistically shorter time to closure of the wound (1.8 versus 2.7 standard way of care, p\u2009=\u20090.007).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Time to wound closure is not statistically different between patients treated by dedicated nurses compared to hospital care when adjusted for the effects of the one-stop clinic. The one-stop clinic gives a significant better chance for faster time to wound closure controlled for both groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0268355519840841","type":"journal-article","created":{"date-parts":[[2019,4,26]],"date-time":"2019-04-26T02:46:37Z","timestamp":1556246797000},"page":"27-38","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Evaluation of the introduction of the one-stop clinic and dedicated nurses for the ulcer cruris venosum care in the east of the Netherlands"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0204-5312","authenticated-orcid":false,"given":"B","family":"Rook","sequence":"first","affiliation":[{"name":"Ziekenhuisgroep Twente, Almelo, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Wikkerink","sequence":"additional","affiliation":[{"name":"Carintreggeland, Hengelo, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"EBM","family":"Kroft","sequence":"additional","affiliation":[{"name":"DermaTwente, Oldenzaal, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,4,25]]},"reference":[{"key":"bibr1-0268355519840841","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.1999.tb00526.x"},{"key":"bibr2-0268355519840841","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.290.6485.1855"},{"key":"bibr3-0268355519840841","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/413604"},{"key":"bibr4-0268355519840841","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7249.1589"},{"key":"bibr5-0268355519840841","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.294.6584.1389"},{"key":"bibr6-0268355519840841","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(93)91085-Z"},{"key":"bibr7-0268355519840841","first-page":"1","volume":"1","author":"Khachemoune A","year":"2001","journal-title":"Internet J Dermatol"},{"key":"bibr8-0268355519840841","first-page":"38","volume":"57","author":"Harrison MB","year":"2011","journal-title":"Ostomy Wound Manage"},{"key":"bibr9-0268355519840841","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-8-243"},{"key":"bibr10-0268355519840841","volume-title":"Diagnostiek en behandeling van het ulcus cruris venosum","author":"(NVDV) NVvDeV","year":"2005"},{"key":"bibr11-0268355519840841","doi-asserted-by":"publisher","DOI":"10.1080\/08998280.2007.11928324"},{"key":"bibr12-0268355519840841","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c6045"},{"key":"bibr13-0268355519840841","doi-asserted-by":"publisher","DOI":"10.1007\/s10016-005-6869-6"},{"key":"bibr14-0268355519840841","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e318276fbcb"},{"key":"bibr15-0268355519840841","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2013.03.004"},{"key":"bibr16-0268355519840841","unstructured":"Venous leg ulcer. NHS. [Online]. Available from: http:\/\/www.nhs.uk\/Conditions\/Leg-ulcer-venous\/Pages\/Introduction.aspx (2014, accessed 8 November 2015)."},{"key":"bibr17-0268355519840841","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7108.576"},{"key":"bibr18-0268355519840841","doi-asserted-by":"crossref","unstructured":"O'Meara S, Cullum N, Nelson EA, Dumville J.C. Compression for venous leg ulcers.\n                      Cochrane Database Syst Rev\n                      2012; 11: CD000265.","DOI":"10.1002\/14651858.CD000265.pub3"},{"key":"bibr19-0268355519840841","doi-asserted-by":"crossref","unstructured":"Nelson EA, Bradley MD. Dressings and topical agents for arterial leg ulcers.\n                      Cochrane Database of Systematic Reviews\n                      2007; 1: CD001836","DOI":"10.1002\/14651858.CD001836.pub2"},{"key":"bibr20-0268355519840841","unstructured":"NHG.\n                      NHG-Standaard Ulcus cruris venosum\n                      , https:\/\/www.nhg.org\/standaarden\/volledig\/nhg-standaard-ulcus-cruris-venosum and https:\/\/www.nhg.org\/standaarden\/volledig\/nhg-standaard-ulcus-cruris-venosum (2015, accessed 28 June 2015)."},{"key":"bibr21-0268355519840841","unstructured":"Maessen-Visch M. Maessen-Visch M. Richtlijnen Veneuze pathologie 2014.\n                      Nederlandse Vereniging voor Dermatologie en Venereologie (NVDV)\n                      2014; 166-265"},{"key":"bibr22-0268355519840841","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.1991.tb03265.x"},{"key":"bibr23-0268355519840841","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(00)00379-X"},{"key":"bibr24-0268355519840841","volume-title":"Retrospective cohort study: strengths and weaknesses. 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