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Prevalence of chronic wounds in the general population: systematic review and meta-analysis of observational studies

Martinengo, Laura, Olsson, Maja, Bajpai, Ram, Soljak, Michael, Upton, Zee, Schmidtchen, Artur, Car, Josip, Järbrink, Krister·2019·Annals of Epidemiology

Abstract

Purpose Chronic wounds are a major public health challenge, but little is known about the true burden with studies reporting different estimates because of disparities in study designs and measurement methods. This hampers efficient resource allocation, planning, and improvement of wound care. Methods Our study aimed to pool prevalence estimates from a global perspective by systematically carrying out searches in MEDLINE, EMBASE, Cochrane, CINAHL, Global Health, and PsycINFO databases for articles reporting the prevalence of chronic wounds in adults, from January 2000 to June 2018. The included publications had to define wound chronicity by duration (≥3 weeks), and/or labeling the wounds as chronic, complex, or hard-to-heal. Results Seventeen studies met the inclusion criteria, and 11 studies analyzing chronic wounds in the general population were included in random effects meta-analyses to calculate pooled prevalence. Chronic wounds of mixed etiologies (n = 3) showed a pooled prevalence of 2.21 per 1000 population, and for chronic leg ulcers (n = 9), the prevalence was estimated at 1.51 per 1000 population. Conclusions Our findings, aligned to previous studies reporting point prevalence of chronic wounds identified within the healthcare system, showed that the vast majority of chronic wounds in epidemiological studies are made up by chronic leg ulcers.

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Research works printed but not linked: 50

  1. Kyaw, 2018, Need for improved definition of “chronic wounds” in clinical studies, Acta Derm Venereol, 98, 157, 10.2340/00015555-2786 · DOI
  2. Lazarus, 1994, Definitions and guidelines for assessment of wounds and evaluation of healing, Wound Repair Regen, 2, 165, 10.1046/j.1524-475X.1994.20305.x · DOI
  3. Posnett, 2008, The burden of chronic wounds in the UK, Nurs Times, 104, 44
  4. Kobza, 2000, The impact of telemedicine on outcomes of chronic wounds in the home care setting, Ostomy Wound Manage, 46, 48
  5. Iyun, 2016, Point prevalence of chronic wounds at a tertiary hospital in Nigeria, Wounds, 28, 57
  6. Graves, 2014, The prevalence and incidence of chronic wounds: a literature review, Wound Pract Res, 22, 4
  7. Sen, 2009, Human skin wounds: a major and snowballing threat to public health and the economy, Wound Repair Regen, 17, 763, 10.1111/j.1524-475X.2009.00543.x · DOI · Paper page
  8. Phillips, 2016, Estimating the costs associated with the management of patients with chronic wounds using linked routine data, Int Wound J, 13, 1193, 10.1111/iwj.12443 · DOI
  9. Guest, 2017, Health economic burden that different wound types impose on the UK's National Health Service, Int Wound J, 14, 322, 10.1111/iwj.12603 · DOI
  10. Fife, 2012, Wound care outcomes and associated cost among patients treated in US outpatient wound centers - data from the US wound registry, Wounds, 24, 10
  11. Frykberg, 2015, Challenges in the treatment of chronic wounds, Adv Wound Care (New Rochelle), 4, 560, 10.1089/wound.2015.0635 · DOI
  12. Ward, 2013, Estimating disease prevalence and incidence using administrative data: some assembly required, J Rheumatol, 40, 1241, 10.3899/jrheum.130675 · DOI
  13. Wright, 1998, Development and importance of health needs assessment, BMJ, 316, 1310, 10.1136/bmj.316.7140.1310 · DOI
  14. Divajeva, 2014, Economics of chronic diseases protocol: cost-effectiveness modelling and the future burden of non-communicable disease in Europe, BMC Public Health, 14, 456, 10.1186/1471-2458-14-456 · DOI
  15. Barendregt, 2013, Meta-analysis of prevalence, J Epidemiol Community Health, 67, 974, 10.1136/jech-2013-203104 · DOI · Paper page
  16. Järbrink, 2016, Prevalence and incidence of chronic wounds and related complications: a protocol for a systematic review, Syst Rev, 5, 152, 10.1186/s13643-016-0329-y · DOI
  17. Sheehan, 2003, Percent change in wound area of diabetic foot ulcers over a 4-week period is a robust predictor of complete healing in a 12-week prospective trial, Diabetes Care, 26, 1879, 10.2337/diacare.26.6.1879 · DOI
  18. van Rijswijk, 1994, Predictors of time to healing deep pressure ulcers, Ostomy Wound Manage, 40, 40
  19. Phillips, 2000, Prognostic indicators in venous ulcers, J Am Acad Dermatol, 43, 627, 10.1067/mjd.2000.107496 · DOI
  20. Clopper, 1934, The use of confidence or fiducial limits illustrated in the case of the binomial, Biometrika, 26, 404, 10.1093/biomet/26.4.404 · DOI
  21. Egger, 1997, Bias in meta-analysis detected by a simple, graphical test, BMJ, 315, 629, 10.1136/bmj.315.7109.629 · DOI · Paper page
  22. Baujat, 2002, A graphical method for exploring heterogeneity in meta-analyses: application to a meta-analysis of 65 trials, Stat Med, 21, 2641, 10.1002/sim.1221 · DOI
  23. Schwarzer, 2007, meta: An R package for meta-analysis, R News, 7, 40
  24. Heyer, 2016, Epidemiology of chronic wounds in Germany: analysis of statutory health insurance data, Wound Repair Regen, 24, 434, 10.1111/wrr.12387 · DOI
  25. Clarke-Moloney, 2006, An exploration of current leg ulcer management practices in an Irish community setting, J Wound Care, 15, 407, 10.12968/jowc.2006.15.9.26963 · DOI
  26. Moffatt, 2004, Prevalence of leg ulceration in a London population, QJM, 97, 431, 10.1093/qjmed/hch075 · DOI
  27. O'Brien, 2000, Prevalence and aetiology of leg ulcers in Ireland, Ir J Med Sci, 169, 110, 10.1007/BF03166911 · DOI
  28. Oien, 2000, Wound management for 287 patients with chronic leg ulcers demands 12 full-time nurses. Leg ulcer epidemiology and care in a well-defined population in southern Sweden, Scand J Prim Health Care, 18, 220, 10.1080/028134300448788 · DOI
  29. Oien, 2006, Accurate diagnosis and effective treatment of leg ulcers reduce prevalence, care time and costs, J Wound Care, 15, 259, 10.12968/jowc.2006.15.6.26922 · DOI
  30. Pálsdóttir, 2010, Chronic leg ulcers among the Icelandic population, EWMA J, 10, 19
  31. Pina, 2005, Leg ulceration in Portugal: prevalence and clinical history, Eur J Vasc Endovasc Surg, 29, 549, 10.1016/j.ejvs.2005.01.026 · DOI
  32. Walker, 2002, The occurrence of leg ulcers in Auckland: results of a population-based study, N Z Med J, 115, 159
  33. Hall, 2014, Point prevalence of complex wounds in a defined United Kingdom population, Wound Repair Regen, 22, 694, 10.1111/wrr.12230 · DOI
  34. McDermott-Scales, 2009, Prevalence of wounds in a community care setting in Ireland, J Wound Care, 18, 405, 10.12968/jowc.2009.18.10.44602 · DOI
  35. Jiang, 2011, Epidemiology of chronic cutaneous wounds in China, Wound Repair Regen, 19, 181, 10.1111/j.1524-475X.2010.00666.x · DOI
  36. Rodrigues, 2006, Prevalence of chronic wounds in Quebec home care: an exploratory study, Ostomy Wound Manage, 52, 46
  37. Schwien, 2005, Pressure ulcer prevalence and the role of negative pressure wound therapy in home health quality outcomes, Ostomy Wound Manage, 51, 47
  38. Barrois, 2008, A national prevalence study of pressure ulcers in French hospital inpatients, J Wound Care, 17, 373, 10.12968/jowc.2008.17.9.30934 · DOI
  39. Amir, 2017, Pressure ulcers in four Indonesian hospitals: prevalence, patient characteristics, ulcer characteristics, prevention and treatment, Int Wound J, 14, 184, 10.1111/iwj.12580 · DOI
  40. El-Nahas, 2008, The prevalence of risk factors for foot ulceration in Egyptian diabetic patients, Pract Diabetes Int, 25, 362, 10.1002/pdi.1311 · DOI
  41. Nelzen, 2008, Prevalence of venous leg ulcer: the importance of the data collection method, Phlebolymphology, 15, 143
  42. Fonder, 2008, Treating the chronic wound: a practical approach to the care of nonhealing wounds and wound care dressings, J Am Acad Dermatol, 58, 185, 10.1016/j.jaad.2007.08.048 · DOI
  43. Baker, 1994, Epidemiology of chronic leg ulcers in Australia, Aust N Z J Surg, 64, 258, 10.1111/j.1445-2197.1994.tb02196.x · DOI
  44. Gould, 2015, Chronic wound repair and healing in older adults: current status and future research, Wound Repair Regen, 23, 1, 10.1111/wrr.12245 · DOI · Paper page
  45. Gupta, 2004, An Indian community-based epidemiological study of wounds, J Wound Care, 13, 323, 10.12968/jowc.2004.13.8.26657 · DOI
  46. Pearce, 2013, Global epidemiology: the importance of international comparisons and collaborations, Open Access Epidemiol, 1, 15
  47. Ledikwe, 2014, Improving the quality of health information: a qualitative assessment of data management and reporting systems in Botswana, Health Res Pol Syst, 12, 7, 10.1186/1478-4505-12-7 · DOI
  48. Frerichs, 1991, Epidemiologic surveillance in developing countries, Annu Rev Public Health, 12, 257, 10.1146/annurev.pu.12.050191.001353 · DOI
  49. Gupta, 2002, Leg ulcers in the tropics, Int J Low Extrem Wounds, 1, 58, 10.1177/153473460200100108 · DOI
  50. Mostow, 1994, Diagnosis and classification of chronic wounds, Clin Dermatol, 12, 3, 10.1016/0738-081X(94)90251-8 · DOI

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Metadata

Authors
Martinengo, L., Olsson, M., Bajpai, R., Soljak, M., Upton, Z., Schmidtchen, A., Car, J., & Järbrink, K.
Venue
Annals of Epidemiology
Publisher
Elsevier BV
Published
2019-01
Volume
29
Pages
8-15
ISSN
1047-2797
Cited by
686
References
8
Language
en

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Martinengo, L., Olsson, M., Bajpai, R., Soljak, M., Upton, Z., Schmidtchen, A., Car, J., & Järbrink, K. (2019). Prevalence of chronic wounds in the general population: systematic review and meta-analysis of observational studies. Annals of Epidemiology. https://doi.org/10.1016/j.annepidem.2018.10.005