Epidemiology of chronic wounds in Germany: Analysis of statutory health insurance data.

Epidemiologic analyses in routine care of chronic wounds are scarce, and published studies show wide variations. This study analyzes the population-based prevalence and incidence of chronic wounds in Germany. Secondary analyses of data from a German statutory health insurance with about 9 million in...

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Published in:Wound Repair & Regeneration Vol. 24; no. 2; pp. 434 - 443
Main Authors: Heyer, Kristina, Herberger, Katharina, Protz, Kerstin, Glaeske, Gerd, Augustin, Matthias
Format: pictorial research tables/charts Journal Article
Published: Wiley-Blackwell Mar/Apr2016
Online Access:View this record in EBSCOhost
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      dt: Mar/Apr2016
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/wrr.12387
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        atl: Epidemiology of chronic wounds in Germany: Analysis of statutory health insurance data.
      aug:
        au:
          Heyer, Kristina
          Herberger, Katharina
          Protz, Kerstin
          Glaeske, Gerd
          Augustin, Matthias
        affil: Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg ‐ Eppendorf (UKE), Hamburg Germany
      sug:
        subj:
          Wounds, Chronic Epidemiology
          Insurance, Health Germany
          Human
          Maps
          Germany
          Secondary Analysis
          Confidence Intervals
          Leg Ulcer
          Diabetic Foot
          Data Analysis Software
          Outpatients
          Inpatients
          Epidemiological Research
          Prevalence
          Incidence
          Age Factors
          Sex Factors
          Geographic Factors
          Female
          Male
          Adult
          Middle Age
          Aged
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
          Male
      ab: Epidemiologic analyses in routine care of chronic wounds are scarce, and published studies show wide variations. This study analyzes the population-based prevalence and incidence of chronic wounds in Germany. Secondary analyses of data from a German statutory health insurance with about 9 million insured persons were examined (2010 to 2012). Internal diagnostic validations were used to control for different inclusion criteria. In 2012, 1.04% (95% CI 1.03-1.05) of insured patients had a wound diagnosis, including 0.70% with leg ulcers and 0.27% with diabetic ulcers. Wound treatment was received by 0.43% (0.43-0.44) of patients. Prevalence and incidence increased over 3 years. Extrapolated to the German population, there were 786,407 prevalent and 196,602 incident chronic wounds, including 326,334/172,026 patients who underwent wound-relevant treatment in 2012. There is an annually increasing frequency of chronic wounds in Germany. Chronic wound epidemiology is sensitive to wound treatment as a filter criterion.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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