Cost survey of procedure with Unna boot in patients with venous ulcer

Baptista, Cleide Maria Caetano; Castilho, Valéria

doi:10.1590/s0104-11692006000600017

Cited by 13 publications

(9 citation statements)

References 10 publications

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“…Finally, we emphasize the importance of the nurse as responsible for the management of materials and their costs in hospitals, as knowledge and means holder for making decisions relating to the care process, based on scientific evidence to support its arguments in relation to the need for spending across the various types of treatment and justify the allocation of human resources to the administration (21) .…”

Section: Discussionmentioning

confidence: 99%

Procedures’ costs related to outpatient chemotherapy treatment of women suffering from breast cancer

Nobrega

Lima

2014

Rev. esc. enferm. USP

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Rev Esc Enferm RESUmEnObjetivo: Identificar el costo directo de los procedimientos relacionados con el tratamiento de quimioterapia ambulatoria para las mujeres con cáncer de mama. Método: Investigación cuantitativa, del tipo de estudio de caso, realizada en el ambulatorio de quimioterapia de un hospital privado Se calculó el costo total mediante la multiplicación del tiempo dedicado por los profesionales involucrados en el proceso, por el costo unitario de la mano de obra directa, sumándose al costo de los materiales, fár-macos y soluciones. Para la realización de los cálculos se utilizó la moneda brasileña (R$). Resultados: El costo total medio, por sesión de quimioterapia, correspondió a R$ 1.783,01 (100%), de los cuales R$ 1.671,66 (93,75%) fueron con fármacos, R$ 74,98 (4,21%) con materiales, R$ 28,49 (1,60%) con mano de obra y R$ 7,88 (0,44%) con soluciones. Conclusión: Los resultados logrados podrán servir como base para las discusiones y la toma de decisiones con respecto a la gestión de los costos relacionados con la quimioterapia, con vistas a la reducción de los gastos y la eliminación de los desperdicios, sin perjuicios a la atención prestada. dEScRiPtoRESNeoplasias de la mama Quimioterapia Costos de la Atención en Salud Costos y análisis de costo Enfermería oncológica. RESUmoObjetivo: Identificar o custo direto de procedimentos relacionados ao tratamento quimioterápico ambulatorial de mulheres portadoras de câncer de mama. Método: Pesquisa quantitativa, do tipo estudo de caso, realizada no ambulatório de quimioterapia de um hospital privado. O custo total foi calculado multiplicando-se o tempo despendido pelos profissionais envolvidos nos procedimentos terapêu-ticos, pelo custo unitário da mão de obra direta, somando-se ao custo dos materiais, fármacos e soluções. Para a realização dos cálculos, utilizou-se a moeda brasileira (R$). Resultados: O custo total médio, por sessão de quimioterapia, correspondeu a R$ 1.783,01 (100%), sendo R$ 1.671,66 (93,75%) com fármacos, R$ 74,98 (4,21%) com materiais, R$ 28,49 (1,60%) com mão de obra e R$ 7,88 (0,44%) com soluções. Conclusão: Os resultados obtidos poderão subsidiar discussões e tomadas de decisões em relação à gestão dos custos relativos à quimioterapia visando à redução dos gastos e a eliminação dos desperdícios, sem prejuízos ao atendimento prestado. dEScRitoRESNeoplasias da mama Quimioterapia Custos de cuidados de saúde Custos e análise de custo Enfermagem oncológica AbStRActObjective: To identify the direct cost of procedures related to an outpatient chemotherapy treatment for women with breast cancer. Method: This is a quantitative research, using the case study methodology, performed in an outpatient chemotherapy of a private hospital. The total cost was calculated by multiplying the time spent by professionals involved in therapeutic procedures, the unit cost of direct labor, adding to the cost of materials, drugs and solutions. For performing the calculations, we used the Brazilian currency (R$). Results: The average total cost per chemotherapy...

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Section: Discussionmentioning

confidence: 99%

Procedures’ costs related to outpatient chemotherapy treatment of women suffering from breast cancer

Nobrega

Lima

2014

Rev. esc. enferm. USP

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“…Moreover, this chronicity results in substantial public health expenditure and evident social and economic impacts. 3,4 …”

Section: Discussionmentioning

confidence: 99%

Evaluating the effectiveness of the customized Unna boot when treating patients with venous ulcers*

Luz

Araujo

Atzingen

et al. 2013

An. Bras. Dermatol.

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BACKGROUND Lower limb ulcers are a serious medical and socioeconomic problem throughout the world. One type of chronic wound of the lower extremities is the venous ulcer. Therapeutic methods for treating venous ulcer include the use of the Unna boot. OBJECTIVES To evaluate the effectiveness of the customized Unna boot in the treatment of venous ulcers and to monitor the subsequent development and healing of the lesions. METHODS Prospective exploratory and quantitative longitudinal study, conducted at the "Outpatients Department (Wound Care) of the Grupo da Fraternidade Espírita Irmão Alexandre" in the city of Pouso Alegre (MG), Brazil, in 2008. The sample consisted of 32 patients with venous ulcers who underwent treatment with the Unna boot and 11 patients (control group), who used a simple bandage application. The patients'lesions were monitored over a three month period. RESULTS The average age of the predominently female (65.1%) patients was 61.88. From observing the differences in healing times at the three evaluation stages, it was clear that after the initial evaluation the wound area decreased in Groups 1 and 2 (p>0.05). CONCLUSIONThe use of the customized Unna boot contributes to quicker healing. However, over a period of three months the simple bandage applications were seen to be just as effective as the Unna boot method.

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“…By example, one study found that 20% of patients with venous leg ulceration suffered from 10 or more episodes of ulceration 9 . When compared with other common causes of ulcers such as arterial and neuropathic ulcers, venous ulcers are known to be more common and have a higher recurrence rate 10,13 . For example, up to 72% of patients with venous ulcers have recurrences compared with 45% in nonvenous ulcers 10…”

Section: Epidemiology and Costs Of Chronic Venous Insufficiencymentioning

confidence: 99%

Venous ulcers: A reappraisal analyzing the effects of neuropathy, muscle involvement, and range of motion upon gait and calf muscle function

Shiman

Pieper

Templin

et al. 2009

Wound Repair Regeneration

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Chronic venous insufficiency is a complex disease that can result in severe sequelae including venous ulceration. Though the exact progression from chronic venous insufficiency to venous ulcer remains unclear, the high cost and burden of this disease on patients and society is quite clear. Sustained ambulatory venous pressures or venous hypertension plays an integral role in the development of venous ulceration and involves the failure of the calf muscle pump system. Standard of care involves compression therapy to assist the calf muscle pump. However, several cofactors may contribute to or exacerbate this disease and understanding their impact may provide insight into new treatment modalities. Nerve involvement, which may result in neuropathic pain and muscle dysfunction, alterations in mobility and a decrease in range of motion may lead to gait alterations all affecting calf muscle pump function. In this paper, we analyze these cofactors and discuss possible treatment options to target them. Physicians treating this disease should be aware of the numerous factors involved in its development. Exploring new treatment options may 1 day lessen the burden and suffering caused by venous insufficiency.

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Cost survey of procedure with Unna boot in patients with venous ulcer

Abstract: Baptista CMC, Castilho V. Cost survey of procedure with Unna boot in patients with venous ulcer. Rev Latino-am Enfermagem 2006 novembro-dezembro; 14(6):944-9. Aims was to identify the social-demographic characteristics and the lesions of patients with venousulcer (VU)

Cited by 13 publications

References 10 publications

Procedures’ costs related to outpatient chemotherapy treatment of women suffering from breast cancer

Procedures’ costs related to outpatient chemotherapy treatment of women suffering from breast cancer

Evaluating the effectiveness of the customized Unna boot when treating patients with venous ulcers*

Venous ulcers: A reappraisal analyzing the effects of neuropathy, muscle involvement, and range of motion upon gait and calf muscle function

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