title: Cost consequences due to reduced ulcer healing times - analyses based on the Swedish Registry of Ulcer Treatment.
abstract: Resource use and costs for topical treatment of hard-to-heal ulcers based on data from the Swedish Registry of Ulcer Treatment (RUT) were analysed in patients recorded in RUT as having healed between 2009 and 2012, in order to estimate potential cost savings from reductions in frequency of dressing changes and healing times. RUT is used to capture areas of improvement in ulcer care and to enable structured wound management by registering patients with hard-to-heal leg, foot and pressure ulcers. Patients included in the registry are treated in primary care, community care, private care, and inpatient hospital care. Cost calculations were based on resource use data on healing time and frequency of dressing changes in Swedish patients with hard-to-heal ulcers who healed between 2009 and 2012. Per-patient treatment costs decreased from SEK38 223 in 2009 to SEK20 496 in 2012, mainly because of shorter healing times. Frequency of dressing changes was essentially the same during these years, varying from 1·4 to 1·6 per week. The total healing time was reduced by 38%. Treatment costs for the management of hard-to-heal ulcers can be reduced with well-developed treatment strategies resulting in shortened healing times as shown in RUT.
authors.affiliation: Blekinge Wound Healing Centre, Karlskrona, Sweden. rut.oien@ltblekinge.se.|Blekinge Centre of Competence, Karlskrona, Sweden. rut.oien@ltblekinge.se.
authors.forename: Rut F
authors.initials: RF
authors.lastname: Öien
authors.affiliation: Blekinge Centre of Competence, Karlskrona, Sweden.|Department of Surgery, Blekinge County Hospital, Karlskrona, Sweden.
authors.forename: Henrik
authors.initials: H
authors.lastname: Forssell
authors.affiliation: Swedish Institute for Health Economics (IHE), Lund, Sweden.
authors.forename: Gunnel
authors.initials: G
authors.lastname: Ragnarson Tennvall
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001458:Bandages; D002648:Child; D017046:Cost Savings; D005260:Female; D017048:Health Care Costs; D006801:Humans; D008297:Male; D008875:Middle Aged; D012042:Registries; D012189:Retrospective Studies; D012883:Skin Ulcer / Q000191:economics* / Q000503:physiopathology / Q000628:therapy*; D013548:Sweden; D013997:Time Factors; D014945:Wound Healing; D055815:Young Adult
keywords: Compression therapy; Cost savings; Dressing material; Hard-to-heal leg, foot and pressure ulcers; Structured wound management