TOPICAL TREATMENT OF DIABETIC FOOT ULCERS - AN ECONOMIC-ANALYSIS OF TREATMENT ALTERNATIVES AND STRATEGIES

被引：23

作者：

APELQVIST, J

RAGNARSONTENNVALL, G

LARSSON, J

机构：

[1] Department of Internal Medicine, University Hospital of Lund

[2] Ihe, The Swedish Institute for Health Economics, Lund

[3] Department of Orthopaedic Surgery, University Hospital of Lund

来源：

DIABETIC MEDICINE | 1995年 / 12卷 / 02期

关键词：

FOOT ULCER; TOPICAL TREATMENT; DIABETES MELLITUS; ECONOMIC ANALYSIS;

D O I：

10.1111/j.1464-5491.1995.tb00442.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In a prospective study, 314 patients with diabetic foot ulcers were followed and 40 patients died before healing occurred. In those patients who healed, a retrospective economic analysis of the costs for topical treatment was performed. The aim of the study was to analyse the costs and discuss how different treatment strategies influence total costs. Data collected for each patient were total time to healing, treatment time for each type of dressing, and the frequency of dressing changes. Material costs for the dressings, labour, and travelling costs were calculated separately. A formula for simulation of economic consequences of different treatment strategies including the introduction of new strategies was designed. The cost for topical treatment was strongly related to the severity of the ulcer and wound healing time. The average weekly cost per patient for topical treatment varied between pound 40.3 and pound 385. The dominating costs for topical treatment were expenses for staff and transportation. The most important factor to reduce costs is the frequency of dressing changes. The study emphasizes the need for prospective comparative studies of cost effectiveness in topical treatment strategies.

引用

页码：123 / 128

页数：6

共 14 条

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