Epidemiology and Use of Compression Treatment in Venous Leg Ulcers: Nationwide Claims Data Analysis in Germany
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Epidemiology and Use of Compression Treatment in Venous Leg Ulcers: Nationwide Claims Data Analysis in Germany. / Heyer, Kristina; Protz, Kerstin; Glaeske, Gerd; Augustin, Matthias.
in: INT WOUND J, Jahrgang 14, Nr. 2, 04.2017, S. 338-343.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Epidemiology and Use of Compression Treatment in Venous Leg Ulcers: Nationwide Claims Data Analysis in Germany
AU - Heyer, Kristina
AU - Protz, Kerstin
AU - Glaeske, Gerd
AU - Augustin, Matthias
N1 - © 2016 Medicalhelplines.com Inc and John Wiley & Sons Ltd.
PY - 2017/4
Y1 - 2017/4
N2 - Chronic venous diseases are the most common causes of leg ulcers. Compression treatment (CT) is a central component of venous leg ulcer (VLU) therapy along with prevention based on guidelines and clinical evidence. However, large-scale data on the use of CT are rare. In particular, there have not yet been published nationwide data for Germany. We analysed data from a large German statutory health insurance (SHI) on incident VLU between 2010 and 2012. VLUs were identified by ICD-10 diagnoses. The status of active disease was defined by wound-specific treatments. Compression stockings and bandages were identified by SHI medical device codes. The overall estimated incident rate of active VLU of all insured persons was 0·34% from 2010 to 2012. Adapted to the overall German population, n = 229 369 persons nationwide had an incident VLU in 2010-2012. Among all VLU patients, only 40·6% received CT within 1 year, including 83·3% stockings, 31·8% bandages and 3·1% multi-component compression systems. Compression rates showed significant differences by gender and age. Large regional variations were observed. Validity of data is suggested by high concordance with a primary cohort study. Although recommended by guidelines, there is still a marked under-provision of care, with CT in incident VLUs in Germany requiring active measures.
AB - Chronic venous diseases are the most common causes of leg ulcers. Compression treatment (CT) is a central component of venous leg ulcer (VLU) therapy along with prevention based on guidelines and clinical evidence. However, large-scale data on the use of CT are rare. In particular, there have not yet been published nationwide data for Germany. We analysed data from a large German statutory health insurance (SHI) on incident VLU between 2010 and 2012. VLUs were identified by ICD-10 diagnoses. The status of active disease was defined by wound-specific treatments. Compression stockings and bandages were identified by SHI medical device codes. The overall estimated incident rate of active VLU of all insured persons was 0·34% from 2010 to 2012. Adapted to the overall German population, n = 229 369 persons nationwide had an incident VLU in 2010-2012. Among all VLU patients, only 40·6% received CT within 1 year, including 83·3% stockings, 31·8% bandages and 3·1% multi-component compression systems. Compression rates showed significant differences by gender and age. Large regional variations were observed. Validity of data is suggested by high concordance with a primary cohort study. Although recommended by guidelines, there is still a marked under-provision of care, with CT in incident VLUs in Germany requiring active measures.
U2 - 10.1111/iwj.12605
DO - 10.1111/iwj.12605
M3 - SCORING: Journal article
C2 - 27199102
VL - 14
SP - 338
EP - 343
JO - INT WOUND J
JF - INT WOUND J
SN - 1742-4801
IS - 2
ER -
