The humanistic and economic burden of chronic wounds: a protocol for a systematic review

Background: Chronic non-healing wounds present a substantial economic burden to healthcare system; significant reductions in quality of life for those affected, and precede often serious events such as limp amputations or even premature deaths. This burden is also likely to increase with a larger pr...

Full description

Bibliographic Details
Main Authors: Schmidtchen, Artur, Pang, Caroline, Bajpai, Ram, Järbrink, Krister, Ni, Gao, Sönnergren, Henrik, Car, Josip
Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
Format: Journal Article
Language:English
Published: 2017
Subjects:
Online Access:https://hdl.handle.net/10356/84977
http://hdl.handle.net/10220/42078
_version_ 1811678576655728640
author Schmidtchen, Artur
Pang, Caroline
Bajpai, Ram
Järbrink, Krister
Ni, Gao
Sönnergren, Henrik
Car, Josip
author2 Lee Kong Chian School of Medicine (LKCMedicine)
author_facet Lee Kong Chian School of Medicine (LKCMedicine)
Schmidtchen, Artur
Pang, Caroline
Bajpai, Ram
Järbrink, Krister
Ni, Gao
Sönnergren, Henrik
Car, Josip
author_sort Schmidtchen, Artur
collection NTU
description Background: Chronic non-healing wounds present a substantial economic burden to healthcare system; significant reductions in quality of life for those affected, and precede often serious events such as limp amputations or even premature deaths. This burden is also likely to increase with a larger proportion of elderly and increasing prevalence of life-style diseases such as obesity and diabetes. Reviews of the evidence on the burden of illness associated with chronic wounds have not been comprehensive in scope and have not provided an assessment of the distribution of the health care costs across categories of resource use. Methods/design: This study is a systematic review of multiple databases for studies on adult patients with chronic wounds and with the primary objective to assess the impact on health-related quality of life by category of ulcers, and associated direct and indirect costs. Eligible studies will primary be empirical studies evaluating, describing or comparing measurement of quality of life and economic impact. Two reviewers will independently screen titles and abstracts and select studies involving adults with chronic wounds. These investigators will also independently extract data using a pre-designed data extraction form. Differences in applied methodologies and uncertainties will clearly be accounted for. Conservative valuations of costs and impact on health-related quality of life will be prioritised. Variations that may depend on age distribution, the categorisation of ulcer, healthcare system etc. will be described clearly. Discussion: The proposed systematic review will yield a comprehensive assessment of the humanistic and economic burden of chronic wounds in an adult population. A better understanding of the humanistic and economic burden of chronic wounds is essential for policy and planning purposes, to monitor trends in disease burden and not at least in order to estimate the real-world cost-effectiveness of new treatments and therapies. Systematic review registration: PROSPERO CRD42016037496.
first_indexed 2024-10-01T02:55:28Z
format Journal Article
id ntu-10356/84977
institution Nanyang Technological University
language English
last_indexed 2024-10-01T02:55:28Z
publishDate 2017
record_format dspace
spelling ntu-10356/849772020-11-01T05:12:27Z The humanistic and economic burden of chronic wounds: a protocol for a systematic review Schmidtchen, Artur Pang, Caroline Bajpai, Ram Järbrink, Krister Ni, Gao Sönnergren, Henrik Car, Josip Lee Kong Chian School of Medicine (LKCMedicine) Hard-to-heal ulcers Chronic wounds Background: Chronic non-healing wounds present a substantial economic burden to healthcare system; significant reductions in quality of life for those affected, and precede often serious events such as limp amputations or even premature deaths. This burden is also likely to increase with a larger proportion of elderly and increasing prevalence of life-style diseases such as obesity and diabetes. Reviews of the evidence on the burden of illness associated with chronic wounds have not been comprehensive in scope and have not provided an assessment of the distribution of the health care costs across categories of resource use. Methods/design: This study is a systematic review of multiple databases for studies on adult patients with chronic wounds and with the primary objective to assess the impact on health-related quality of life by category of ulcers, and associated direct and indirect costs. Eligible studies will primary be empirical studies evaluating, describing or comparing measurement of quality of life and economic impact. Two reviewers will independently screen titles and abstracts and select studies involving adults with chronic wounds. These investigators will also independently extract data using a pre-designed data extraction form. Differences in applied methodologies and uncertainties will clearly be accounted for. Conservative valuations of costs and impact on health-related quality of life will be prioritised. Variations that may depend on age distribution, the categorisation of ulcer, healthcare system etc. will be described clearly. Discussion: The proposed systematic review will yield a comprehensive assessment of the humanistic and economic burden of chronic wounds in an adult population. A better understanding of the humanistic and economic burden of chronic wounds is essential for policy and planning purposes, to monitor trends in disease burden and not at least in order to estimate the real-world cost-effectiveness of new treatments and therapies. Systematic review registration: PROSPERO CRD42016037496. ASTAR (Agency for Sci., Tech. and Research, S’pore) Published version 2017-02-09T08:39:44Z 2019-12-06T15:54:45Z 2017-02-09T08:39:44Z 2019-12-06T15:54:45Z 2017 Journal Article Järbrink, K., Ni, G., Sönnergren, H., Schmidtchen, A., Pang, C., Bajpai, R., et al. (2017). The humanistic and economic burden of chronic wounds: a protocol for a systematic review. Systematic Reviews, 6, 15-. 2046-4053 https://hdl.handle.net/10356/84977 http://hdl.handle.net/10220/42078 10.1186/s13643-016-0400-8 en Systematic Reviews © 2017 The Author(s). This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. 7 p. application/pdf
spellingShingle Hard-to-heal ulcers
Chronic wounds
Schmidtchen, Artur
Pang, Caroline
Bajpai, Ram
Järbrink, Krister
Ni, Gao
Sönnergren, Henrik
Car, Josip
The humanistic and economic burden of chronic wounds: a protocol for a systematic review
title The humanistic and economic burden of chronic wounds: a protocol for a systematic review
title_full The humanistic and economic burden of chronic wounds: a protocol for a systematic review
title_fullStr The humanistic and economic burden of chronic wounds: a protocol for a systematic review
title_full_unstemmed The humanistic and economic burden of chronic wounds: a protocol for a systematic review
title_short The humanistic and economic burden of chronic wounds: a protocol for a systematic review
title_sort humanistic and economic burden of chronic wounds a protocol for a systematic review
topic Hard-to-heal ulcers
Chronic wounds
url https://hdl.handle.net/10356/84977
http://hdl.handle.net/10220/42078
work_keys_str_mv AT schmidtchenartur thehumanisticandeconomicburdenofchronicwoundsaprotocolforasystematicreview
AT pangcaroline thehumanisticandeconomicburdenofchronicwoundsaprotocolforasystematicreview
AT bajpairam thehumanisticandeconomicburdenofchronicwoundsaprotocolforasystematicreview
AT jarbrinkkrister thehumanisticandeconomicburdenofchronicwoundsaprotocolforasystematicreview
AT nigao thehumanisticandeconomicburdenofchronicwoundsaprotocolforasystematicreview
AT sonnergrenhenrik thehumanisticandeconomicburdenofchronicwoundsaprotocolforasystematicreview
AT carjosip thehumanisticandeconomicburdenofchronicwoundsaprotocolforasystematicreview
AT schmidtchenartur humanisticandeconomicburdenofchronicwoundsaprotocolforasystematicreview
AT pangcaroline humanisticandeconomicburdenofchronicwoundsaprotocolforasystematicreview
AT bajpairam humanisticandeconomicburdenofchronicwoundsaprotocolforasystematicreview
AT jarbrinkkrister humanisticandeconomicburdenofchronicwoundsaprotocolforasystematicreview
AT nigao humanisticandeconomicburdenofchronicwoundsaprotocolforasystematicreview
AT sonnergrenhenrik humanisticandeconomicburdenofchronicwoundsaprotocolforasystematicreview
AT carjosip humanisticandeconomicburdenofchronicwoundsaprotocolforasystematicreview