{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T09:03:21Z","timestamp":1777712601180,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2004,6,1]],"date-time":"2004-06-01T00:00:00Z","timestamp":1086048000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The International Journal of Lower Extremity Wounds"],"published-print":{"date-parts":[[2004,6]]},"abstract":"<jats:p>This article discusses the different methods of evaluating cost in relation to the outcomes of treatment, and reviews the evidence of cost-effectiveness (CE) in the management of chronic leg ulceration. In essence, the CE argument revolves around the need to demonstrate outcomes of treatment in relation to particular levels of financial input by the health providers. High CE allows for either the same number of patients to be treatedmore efficiently (at a lower cost) ormore patients to be treated for the same financial input. Areview ofmedical and nursing databases (Medline, Embase, and Cinahl) identified studies of CE of dressing materials (n = 8), use of compression therapy (n = 4), and other treatments (n = 2). In addition, 5 research groups have undertaken studies to evaluate the relative CE of different systems of care. Overall conclusionsare that modern wound dressings provide a more costeffective alternative to saline gauze, whereas the evidence relating to the use of tissue-engineered skin is less clear. The use of compression bandaging is substantially more costeffective when compared with a system of care where compression is not systematically offered. The systems that offer compression are not only cost-effective but also lead to reductions in absolute cost. The evaluation of CE is likely to become an ever-increasing part of wound care evaluation as we strive to achieve greater efficiency in the use of scarce health resources.<\/jats:p>","DOI":"10.1177\/1534734604264864","type":"journal-article","created":{"date-parts":[[2004,5,27]],"date-time":"2004-05-27T08:40:00Z","timestamp":1085647200000},"page":"87-95","source":"Crossref","is-referenced-by-count":11,"title":["Cost-Effectiveness: Seeking Value for Money in Lower Extremity Wound Management"],"prefix":"10.1177","volume":"3","author":[{"given":"Peter J.","family":"Franks","sequence":"first","affiliation":[{"name":"Centre for Research & Implementation of Clinical Practice, Faculty of Health & Human Sciences, Thames Valley University, London"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nick","family":"Bosanquet","sequence":"additional","affiliation":[{"name":"Health Policy Unit, Imperial College, Bagrit Centre, London"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2004,6,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1586\/14737167.3.1.89"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.3109\/02813439409029256"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2000.9.1.6403"},{"key":"atypb4","doi-asserted-by":"crossref","unstructured":"4. Meaume S, Gemmen E. Cost-effectiveness of wound management in France: pressure ulcers and venous leg ulcers. JWound Care 2002;11(6):219-224.","DOI":"10.12968\/jowc.2002.11.6.26408"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.2165\/00115677-200109110-00005"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.1998.7.7.327"},{"key":"atypb7","doi-asserted-by":"crossref","unstructured":"7. Armstrong SH, Ruckley CV. Use of a fibrous dressing in exuding leg ulcers. J Wound Care 1997;6(7):322-324.","DOI":"10.12968\/jowc.1997.6.7.322"},{"key":"atypb8","unstructured":"8. Harding KG, Price P, Robinson B, Thomas S, Hofman D. Cost and dressing evaluation of hydrofiber and alginate dressings in the management of community based patients with chronic leg ulceration. Wounds 2001;13(6):229-236."},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1046\/j.1524-475x.2000.00251.x"},{"key":"atypb10","unstructured":"10. Sibbald RG, Torrance GW, Walker V, Attard C, Mac Neil P. Costeffectiveness of Apligraf in the treatment of venous leg ulcers. Ostomy\/Wound Manage 2001;47(8):36-46."},{"key":"atypb11","doi-asserted-by":"crossref","unstructured":"11. Cullum N, Nelson EA, Fletcher AW, Sheldon TA. Compression for venous leg ulcers. Cochrane Database Syst Rev 2001;(2):CD000265.","DOI":"10.1002\/14651858.CD000265"},{"key":"atypb12","doi-asserted-by":"crossref","unstructured":"12. Carr L, Phillips Z, Posnett J. Comparative cost-effectiveness of four-layer bandaging in the treatment of venous ulceration. JWound Care 1999;8(5):243-248.","DOI":"10.12968\/jowc.1999.8.5.26361"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4167"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1046\/j.1524-475X.2003.11303.x"},{"key":"atypb15","doi-asserted-by":"crossref","unstructured":"15. Korn P, Patel ST, Heller JA, et al. Why insurers should reimburse for compression stockings in patients with chronic venous statis ulcers. J Vasc Surg 2002;35(5):950-957.","DOI":"10.1067\/mva.2002.121984"},{"key":"atypb16","doi-asserted-by":"publisher","DOI":"10.1177\/026835559901400405"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.1016\/S0965-206X(00)80036-4"},{"key":"atypb18","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.305.6866.1389"},{"key":"atypb19","unstructured":"19. Bosanquet N, Franks P, Moffatt C, et al. Community leg ulcer clinics: cost effectiveness. Health Trends 1993;25:146-148."},{"key":"atypb20","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.312.7047.1648"},{"key":"atypb21","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2002.11.2.26366"},{"key":"atypb22","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.316.7143.1487"},{"key":"atypb23","unstructured":"23. Kerstein MD, Gahtan V. Outcomes of venous ulcer care: results of a longitudinal study. Ostomy\/Wound Manage 2000;46(6):22-29."},{"key":"atypb24","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2001.10.5.26082"},{"key":"atypb25","unstructured":"25. Atun R, Shah S, Bosanquet N. The medical devices Sector: coming out of the shadow. 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