Why do chronic venous leg ulcers not heal?
Chronic venous leg ulcers account for the majority of lower extremity ulcers and represent a serious health and financial burden. Although several clinical practice guidelines and systematic reviews are available to guide treatment decisions, healing rates have not improved over the last decade. This research study illustrates some of the limitations of relying on existing databases to guide wound management as well as the importance of considering patient preferences, staff knowledge and skill, and available resources.
Jones
Katherine R
KR
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio 44106, USA. Katherine.jones@case.edu
D000368:Aged; D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D001458:Bandages; D002908:Chronic Disease; D003646:Debridement; D055317:Evidence-Based Practice; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D007871:Leg Ulcer / Q000453:epidemiology / Q000628:therapy*; D016015:Logistic Models; D008297:Male; D015999:Multivariate Analysis; D020380:Needs Assessment; D054843:Negative-Pressure Wound Therapy; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000458:organization & administration*; D017592:Skin Care / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data; D053828:Stockings, Compression; D017211:Treatment Failure; D014481:United States / Q000453:epidemiology; D014945:Wound Healing
D000891:Anti-Infective Agents, Local