Pain in venous leg ulcers

Hofman, D.; Tj, Ryan; Arnold, F.; Cherry, George W.; Lindholm, Christina; Bjellerup, Mats; Glynn, C. J.

doi:10.12968/jowc.1997.6.5.222

Cited by 119 publications

(69 citation statements)

References 7 publications

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“…Our results are supported by those of Hofman et a1. [13] who found that 82% of 94 patients with venous ulcers reported distressing to excruciating pain, which in general was inadequately controlled. We believe that pain is common in all patients with venous ulcers.…”

Section: The Sf-mpqmentioning

confidence: 99%

Venous Leg Ulcers: Is Pain a Problem?

Noonan

Burge

1998

Phlebology

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Objective: To employ standardized techniques to measure and characterize the pain associated with leg ulcers of defined causes. Methods: Patients attending leg ulcer clinics were interviewed by one research nurse using a structured questionnaire. Ulcers were classified as venous, arterial or mixed depending on the clinical assessment and ankle-brachial systolic pressure index. Pain was assessed objectively using two validated instruments for scoring pain: a verbal rating scale and a painintensity visual analogue scale. The significance of the observations was tested using either the Mann-Whitney V-test (unpaired observations) or the Wilcoxon signedrank test (paired observations). A profile of the quality of pain was obtained using the short-form McGill Pain Questionnaire (SF-MPQ). Quality of life was assessed using the COOP Chart System. Patients: We assessed 38 patients with venous ulcers, three patients with mixed arterial/venous ulceration and 10 patients with arterial disease. Main outcome measures: Pain scores on verbal rating scales and visual analogue scales. Results: Venous leg ulcers are painful. Although pain scores are greater in arterial ulcers, most patients with venous ulceration suffer at least moderate pain. Night pain disturbed sleep in 73% of all patients and pain affected mood in more than 50%. Dressing changes exacerbated pain. Correspondence and offprint requests to: Dr S. M. Burge, Department of Dermatology, The Churchill, Old Road, Headington, Oxford OX3 7LJ, UK. Conclusions:Pain reduces the quality of life in most patients with leg ulcers. Pain control is an essential consideration in all patients with leg ulcers.

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Section: The Sf-mpqmentioning

confidence: 99%

Venous Leg Ulcers: Is Pain a Problem?

Noonan

Burge

1998

Phlebology

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“…The exact prevalence of pain is unknown, but recent studies have reported that 17-65% of patients experience severe or continuous pain associated with a leg ulcer (2,3). There are different pathologies that might cause pain associated with leg ulcérations (e.g.…”

mentioning

confidence: 99%

Association of Pain Level, Health and Wound Status in Patients with Chronic Leg Ulcers

Renner¹,

Seikowski²,

Simon³

2014

Acta Derm Venerol

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Pain is a ubiquitous problem in patients with chronic leg wounds. The pain may be caused by the underlying pathology of the leg ulceration, the wound, wound treatment, or complications such as skin irritation around the ulcer. The objectives of this research were to evaluate the level of suffering endured by patients because of their ulcer-related pain, and to evaluate whether and how this pain is treated. In addition, to determine whether this pain influences quality of life and health status. In 2010, data were collected in order to characterize the patients by socio-demographic facts, such as age, gender, co-morbidity, pathogenesis of the wound, wound status of new patients, wound pain, and use of analgesics. In addition, modified EQ-5D questionnaires were distributed with additional questions concerning pain experience, treatment, and general health status. Of 103 patients, 45 were male and 58 female. Mean age was 67.8 years (males 65 years, females 70 years). Up to 69% had leg ulcerations due to vascular disease. Out of the 103 distributed questionnaires, 49 were returned and evaluated. Analysis showed that 82% of these patients reported wound-related pain, and 42% estimated their analgesics as not sufficiently pain relieving (mean value of the visual analogue scale (VAS) 4.9). Mean health status was 50.5 (maximal health status 100). Patients with a pain value ≥ 5 showed a lesser mean health status (42.2) than patients with a pain value < 5 (60.3). The proportion of patients receiving no, or only weak, analgesics was nearly the same for patients with VAS ≥ 5 and with VAS < 5. Further research in pain therapy is of utmost importance to improve the quality of life of patients with chronic wounds.

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“…They can be painful, malodorous and have been shown to severely impact on patients' mobility and quality of life. [8][9][10] In severe cases, ulceration can lead to limb amputation. 11 Leg ulcers are also costly.…”

Section: Leg Ulcersmentioning

confidence: 99%

“…Longer ulcer duration is associated with longer time to healing and is an important prognostic variable; 9,47 we therefore recorded duration of reference ulcer at baseline based on participant report.…”

Section: Duration Of Reference Ulcermentioning

confidence: 99%

VenUS II: a randomised controlled trial of larval therapy in the management of leg ulcers

Dumville

Worthy²,

Soares³

et al. 2009

Health Technol Assess

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EA Nelson and DJ Torgerson on behalf of the VenUS II teamHow to obtain copies of this and other HTA programme reports An electronic version of this publication, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable CD-ROM is also available (see below).Printed copies of HTA monographs cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our Despatch Agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for HealthResearch (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects. First is the commissioned route. Suggestions f...

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Pain in venous leg ulcers

Cited by 119 publications

References 7 publications

Venous Leg Ulcers: Is Pain a Problem?

Venous Leg Ulcers: Is Pain a Problem?

Association of Pain Level, Health and Wound Status in Patients with Chronic Leg Ulcers

VenUS II: a randomised controlled trial of larval therapy in the management of leg ulcers

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