{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:03:14Z","timestamp":1785409394806,"version":"3.56.0"},"reference-count":18,"publisher":"Mark Allen Group","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2020,5,2]]},"abstract":"<jats:p> The effective management of hard-to-heal wounds has increasingly important implications for those who provide wound care services within healthcare systems. The burden of wounds in the population continues to grow, as does the demand for wound care, against a backdrop of cost constraints and increasing expectations. The need to improve both outcomes and efficiency in wound care is therefore paramount and the time taken to heal wounds is an important factor in determining both. Survey methodology was used to collect data across 10 community wound care providers in the UK, Ireland, Finland, Norway and Denmark between February and August 2017. This allowed for analysis of wounds and their characteristics, dressing selection and nursing practice across a typical wound caseload. Data from 1057 wounds demonstrates that the characteristics and consequences of hard-to-heal wounds are different from improving wounds. However, wounds are, in general, treated in the same way, irrespective of whether they are hard-to-heal or improving, suggesting that the healing status of a wound is not a major factor in treatment selection. Early intervention to return hard-to-heal wounds to a healing trajectory may be a useful approach to improving efficiency in wound care. <\/jats:p>","DOI":"10.12968\/jowc.2020.29.5.282","type":"journal-article","created":{"date-parts":[[2020,5,18]],"date-time":"2020-05-18T16:23:04Z","timestamp":1589818984000},"page":"282-288","source":"Crossref","is-referenced-by-count":19,"title":["The characteristics and impact of hard-to-heal wounds: results of a standardised survey"],"prefix":"10.12968","volume":"29","author":[{"given":"Jeanette","family":"Milne","sequence":"first","affiliation":[{"name":"Northumbria Healthcare NHS Foundation Trust, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Searle","sequence":"additional","affiliation":[{"name":"Smith + Nephew Medical Ltd, Hull, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Styche","sequence":"additional","affiliation":[{"name":"Smith + Nephew Medical Ltd, Hull, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.324.7330.160"},{"issue":"4","key":"B2","first-page":"22","volume":"7","author":"White R.","year":"2011","journal-title":"Wounds UK"},{"issue":"3","key":"B3","first-page":"58","volume":"24","author":"Widgerow AD.","year":"2012","journal-title":"Wounds"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2017.26.6.292"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2014.23.11.552"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12623"},{"issue":"2","key":"B7","first-page":"53","volume":"8","author":"Dowsett C","year":"2017","journal-title":"Wounds International"},{"issue":"4","key":"B8","first-page":"20","volume":"9","author":"Ousey K","year":"2013","journal-title":"Wounds UK"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12603"},{"issue":"2","key":"B10","first-page":"58","volume":"3","author":"Rippon M","year":"2007","journal-title":"Wounds UK"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2017.09.007"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2010.03.009"},{"key":"B15","unstructured":"World Union of Wound Healing Societies (WUWHS). Principles of best practice: Wound exudate and the role of dressings. A consensus document. London: MEP Ltd, 2007"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12465"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2008.00484.x"},{"key":"B18","first-page":"e1","volume":"11","author":"Payne WG","year":"2011","journal-title":"Eplasty"},{"key":"B19","first-page":"S14,S16","author":"Hampton J.","year":"2015","journal-title":"Br J Community Nurs"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2010.15.3.46899"}],"container-title":["Journal of Wound Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/jowc.2020.29.5.282","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,25]],"date-time":"2022-05-25T00:25:40Z","timestamp":1653438340000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/jowc.2020.29.5.282"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,2]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,5,2]]}},"alternative-id":["10.12968\/jowc.2020.29.5.282"],"URL":"https:\/\/doi.org\/10.12968\/jowc.2020.29.5.282","relation":{},"ISSN":["0969-0700","2052-2916"],"issn-type":[{"value":"0969-0700","type":"print"},{"value":"2052-2916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,2]]}}}