{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T15:59:39Z","timestamp":1791561579104,"version":"4.3.4"},"reference-count":11,"publisher":"Mark Allen Group","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2017,6,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To estimate the patterns of care and related resource use attributable to managing acute and chronic wounds among a catchment population of a typical clinical commissioning group (CCG)\/health board and corresponding National Health Service (NHS) costs in the UK.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>This was a sub-analysis of a retrospective cohort analysis of the records of 2000 patients in The Health Improvement Network (THIN) database. Patients' characteristics, wound-related health outcomes and health-care resource use were quantified for an average CCG\/health board with a catchment population of 250,000 adults \u226518 years of age, and the corresponding NHS cost of patient management was estimated at 2013\/2014 prices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>An average CCG\/health board was estimated to be managing 11,200 wounds in 2012\/2013. Of these, 40% were considered to be acute wounds, 48% chronic and 12% lacking any specific diagnosis. The prevalence of acute, chronic and unspecified wounds was estimated to be growing at the rate of 9%, 12% and 13% per annum respectively. Our analysis indicated that the current rate of wound healing must increase by an average of at least 1% per annum across all wound types in order to slow down the increasing prevalence. Otherwise, an average CCG\/health board is predicted to manage ~23,200 wounds per annum by 2019\/2020 and is predicted to spend a discounted (the process of determining the present value of a payment that is to be received in the future) \u00a350 million on managing these wounds and associated comorbidities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Real-world evidence highlights the substantial burden that acute and chronic wounds impose on an average CCG\/health board. Strategies are required to improve the accuracy of diagnosis and healing rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.12968\/jowc.2017.26.6.292","type":"journal-article","created":{"date-parts":[[2017,6,9]],"date-time":"2017-06-09T12:58:22Z","timestamp":1497013102000},"page":"292-303","source":"Crossref","is-referenced-by-count":179,"title":["The health economic burden that acute and chronic wounds impose on an average clinical commissioning group\/health board in the UK"],"prefix":"10.12968","volume":"26","author":[{"given":"J. F.","family":"Guest","sequence":"first","affiliation":[{"name":"Director of Catalyst, Visiting Professor of Health Economics, Catalyst Health Economics Consultants, Northwood, Middlesex, UK; Faculty of Life Sciences and Medicine, King's College, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Vowden","sequence":"additional","affiliation":[{"name":"Nurse Consultant, Bradford Teaching Hospitals NHS Foundation Trust and University of Bradford, Bradford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Vowden","sequence":"additional","affiliation":[{"name":"Consultant Vascular Surgeon, Professor of Wound Healing Research, Bradford Teaching Hospitals NHS Foundation Trust and University of Bradford, Bradford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-009283"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12603"},{"issue":"2","key":"B18","first-page":"10","volume":"7","author":"Vowden P","year":"2016","journal-title":"Wounds International."},{"issue":"2","key":"B19","first-page":"7","volume":"6","author":"Dowsett C","year":"2015","journal-title":"Wounds International"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.1046\/j.1524-475X.2003.11303.x"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1111\/j.1067-1927.2004.012206.x"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2000.9.6.25992"},{"key":"B23","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2015.24.7.300"},{"key":"B24","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2013.22.3.109"},{"key":"B25","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2012.21.8.389"},{"key":"B26","first-page":"65","volume":"9","author":"Pagnamenta F","year":"2014","journal-title":"Wound Essentials"}],"container-title":["Journal of Wound Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/jowc.2017.26.6.292","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T14:04:54Z","timestamp":1653401094000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/jowc.2017.26.6.292"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6,2]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,6,2]]}},"alternative-id":["10.12968\/jowc.2017.26.6.292"],"URL":"https:\/\/doi.org\/10.12968\/jowc.2017.26.6.292","relation":{},"ISSN":["0969-0700","2052-2916"],"issn-type":[{"value":"0969-0700","type":"print"},{"value":"2052-2916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,6,2]]}}}