{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T11:10:31Z","timestamp":1788779431811,"version":"build-2803163510"},"reference-count":49,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,1,4]],"date-time":"2022-01-04T00:00:00Z","timestamp":1641254400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["001"],"award-info":[{"award-number":["001"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The International Journal of Lower Extremity Wounds"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:p>The recurrence of venous ulcers is the wound reopening after a period of completed epithelisation of a previous ulcer due to exposure to causal factors and lack of prevention. Venous ulcers have a high recurrence rate that may increase through the years. Epidemiological evidence on its incidence and risk factors is scarce due to the lack of patient follow-up in outpatient clinics and adherence to treatment after healing. The objective was to analyze the incidence of venous ulcers recurrency in outpatients and the risk factors for its occurrence. It is an observational historical cohort with retrospective data collection, performed through electronic medical records. Setting: private health insurance outpatient clinic. The participants were adult patients with healed venous ulcers. Incidence of venous ulcer recurrence was calculated within individuals with healed ulcers from 2014 and 2018 with a follow-up of at least one year. Bivariate analysis and logistic regression were used to explore risk factors considering demographic, clinical, and wound-related variables. As a result, sixty-five (65) of the 134 patients with healed venous ulcers had a recurrence, leading to an incidence of 48.5%, with a mean onset time of 230.1 (SD 267) days. Patients with recurrent venous ulcers were primarily women (39\/48.1%), with a mean age of 64 (SD 15.5) years, 57 (50.8%) had some comorbidity, with systemic arterial hypertension as the most frequent (47\/51%). Obesity (15\/88.2%) increased the risk of venous ulcers recurrence by 8.7 (OR 95% CI 2.1-60.8; P\u2009=\u2009.009) times. In conclusion, venous ulcers recurrence incidence was 48.5%, with obesity as a risk factor. This study demonstrates that the clinical approach of people with venous ulcers should not finish when the wound is healed. For ulcer recurrence prevention interventions addressing systemic factors, besides topical management of the wound, are essential.<\/jats:p>","DOI":"10.1177\/15347346211065929","type":"journal-article","created":{"date-parts":[[2022,1,4]],"date-time":"2022-01-04T10:50:07Z","timestamp":1641293407000},"page":"455-463","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Incidence of Recurrent Venous Ulcer in Patients Treated at an Outpatient Clinic: Historical Cohort"],"prefix":"10.1177","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2146-6358","authenticated-orcid":false,"given":"Michele Neves Braj\u00e3o","family":"Rocha","sequence":"first","affiliation":[{"name":"Clinical Services, ConvaTec Medical Care Brazil, Sao Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol Viviana","family":"Serna Gonzalez","sequence":"additional","affiliation":[{"name":"Graduate Program in Adult Health Nursing, University of S\u00e3o Paulo School of Nursing (Universidade de Sao Paulo, Escola de Enfermagem-EEUSP), Sao Paulo, Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eline Lima","family":"Borges","sequence":"additional","affiliation":[{"name":"Department of Basic Nursing, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1288-5761","authenticated-orcid":false,"given":"Vera L\u00facia Concei\u00e7\u00e3o de Gouveia","family":"Santos","sequence":"additional","affiliation":[{"name":"Medical-Surgical Nursing Department, University of Sao Paulo School of Nursing (Universidade de Sao Paulo, Escola de Enfermagem-EEUSP), Sao Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soraia Assad Nasbine","family":"Rabeh","sequence":"additional","affiliation":[{"name":"General and Specialized Nursing Department, University of Sao Paulo School of Nursing in Riber\u00e3o Preto (Universidade de Sao Paulo, Escola de Enfermagem de Ribeir\u00e3o Preto-EERP\/USP), Ribeir\u00e3o Preto, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula Cristina","family":"Nogueira","sequence":"additional","affiliation":[{"name":"Medical-Surgical Nursing Department, University of Sao Paulo School of Nursing (Universidade de Sao Paulo, Escola de Enfermagem-EEUSP), Sao Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,1,4]]},"reference":[{"key":"bibr1-15347346211065929","unstructured":"World Health Organization WHO. 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