{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T04:35:52Z","timestamp":1790915752270,"version":"4.1.0"},"reference-count":55,"publisher":"Mark Allen Group","issue":"Sup3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Nurs"],"published-print":{"date-parts":[[2000,10,26]]},"abstract":"<jats:p> A European cost-effectiveness study has been conducted using published clinical trial data from multinational studies on chronic venous leg ulcers and pressure sores. Data relevant to UK chronic wound management practice have been extracted and are presented here. A total of 15 pressure sore studies involving 519 wounds, and 12 leg ulcer studies involving 843 ulcers were used in a pooled analysis. The study objectives included the calculation of comparative costs in \u00a3 sterling for three different treatment protocols for each wound type. The protocols have been adapted for UK clinical practice in both hospital and community settings and are based on primary dressings and nurse time costs, wound cleansing and debridement, the use of fillers, and compression as appropriate. The focus of the study has been the cost-effectiveness comparison (as measured by cost per healed wound) of two modern dressings \u2014 Granuflex\u00ae hydrocolloid dressing and Apligraf\u00ae skin replacement \u2014 and traditional gauze dressings in the treatment of venous leg ulcers and, in the case of pressure sores, comparison of Granuflex\u00ae and Comfeel\u00ae hydrocolloid dressings and traditional saline gauze dressings. The choice of dressings studied was dictated by the available published literature. The construction of treatment protocols and assumptions on treatments otherwise missing from published papers has been achieved through the use of an expert panel. Results show Granuflex\u00ae to be 50% more cost-effective, at \u00a3422 per healed wound, than Comfeel\u00ae (\u00a3643) and 500% more so than saline gauze (\u00a32548) in the treatment of pressure sores. Granuflex\u00ae at \u00a3342 was also more cost-effective than gauze (\u00a3541) or Apligraf\u00ae (\u00a36741) in the treatment of venous leg ulcers. These data will provide a valuable adjunct to published clinical evidence, offering further information upon which carers can base their choice of wound dressing. <\/jats:p>","DOI":"10.12968\/bjon.2000.9.sup3.12483","type":"journal-article","created":{"date-parts":[[2014,5,23]],"date-time":"2014-05-23T14:28:37Z","timestamp":1400855317000},"page":"S6-S24","source":"Crossref","is-referenced-by-count":51,"title":["The cost-effectiveness of wound management protocols of care"],"prefix":"10.12968","volume":"9","author":[{"given":"Keith","family":"Harding","sequence":"first","affiliation":[{"name":"Wound Healing Research Unit, Cardiff Medicentre, Cardiff"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith","family":"Cutting","sequence":"additional","affiliation":[{"name":"Buckinghamshire Chilterns University College, Chalfont Campus, Chalfont St Giles, 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