The prevalence of chronic lower-limb ulceration has been underestimated: Results of a validated population questionnaire

Nelzén, Olle; Bergqvist, David; Lindhagen, A

doi:10.1046/j.1365-2168.1996.02099.x

Cited by 54 publications

(75 citation statements)

References 10 publications

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“…The available studies on the treatment of venous leg ulcers with products based on plants have not established the existence of a treatment that is individually effective. Vascular lesions have a significant impact on the quality of life of patients for adverse outcomes that may have not treated properly [17][18][19]. Different therapies seem to prevent or reduce the severity of ulcers, but the strength of the evidence was variable and implications suggest that benefits may be specific to certain types of underlying conditions of the patient and treatment [53,56].…”

Section: Resultsmentioning

confidence: 99%

“…Ulcers on the lower limbs require special attention, as they have a significant impact on the patients' quality of life. Additionally, they are difficult and expensive to treat [13][14][15][16][17][18][19][20]. The treatment of this disease is systemic especially through the use of local products that determine the cleansing of the wound and gradual regeneration.…”

Section: Introductionmentioning

confidence: 99%

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Complementary Medicine and Venous Ulcers: Review of Literature

Se¹

2017

Health Care Current Reviews

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Introduction: Complementary medicine has ancient historical roots and its use is constantly changing. It alongside scientific medicine is useful in the treatment of many diseases, including oncological, respiratory, and dermatological. It is used in the treatment of pain and in the local treatment of various ulcers (lesions) skin. In particular, scientific medicine uses several treatments for venous ulcers with not completely effective outcomes. Effective treatment prevents complications and improves the quality of life of patients. There is scientific evidence on the efficacy of complementary medicine in the treatment of venous ulcers of the lower limbs. Methods:It was performed as a literature review on the databases: MEDLINE, EMBASE and COCHRANE with the aim of detecting the evidence of efficacy of complementary medicine interventions in the treatment of venous ulcers and ways to treat it. We used the keywords and thesaurus descriptors for complementary medicine. We included the following drawings of relevant studies to the subject of the research: systematic reviews randomized controlled trials (RCTs), case control studies, observational studies, case reports, studies, and expert opinion in English, conducted on humans. For the purpose of this research, 174 documents were identified, of which only 15 were relevant and were within the inclusion criteria.Results: An analysis of the literature shows that many studies have evaluated the effectiveness of aloe, calendula, standardized extract from the aerial parts of A. pichinchensis, Mimosa tenuiflora, modified linen bandages, products made of honey found on the market, herbal therapies, polarized light therapy combined with herbal and plant biomembranes. However, these findings are insufficient to support or deny that one treatment is more effective than another. These results are not widely generalizable because of the low number of samples studied. Conclusion:Despite the interest in complementary medicine and the treatment of venous ulcers, there is currently no truly effective treatment strategy. The detected evidence is insufficient to make significant changes in the treatment of venous leg ulcers with complementary medicine interventions. The available studies on the treatment of venous leg ulcers with products based on plants have not established the existence of a treatment that may be effective individually. Additional studies would be needed to demonstrate the efficacy of these treatments.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Complementary Medicine and Venous Ulcers: Review of Literature

Se¹

2017

Health Care Current Reviews

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“…Darüber hinaus sind sie ein häufiges klinisches Problem, das in einer Querschnittsuntersuchung in Schweden bei jedem 50. Patienten auftrat [68] und extreme Kosten für das Gesundheitssystem verursacht. Allein in den USA werden die Kosten chronischer Wunden aufgrund der hohen Rezidivrate, wegen des Verlustes der Arbeitskraft und den Kosten der medizinischen Behandlung auf 1 Mrd.…”

Section: Fazit Für Die Praxisunclassified

“…Plastisch-rekonstruktive Verfahren in der interdisziplinären Therapie chronischer Wunden Leitthema Chronische Wunden stellen in der täglichen Praxis ein häufiges Problem dar [68]. In den meisten Definitionen wird eine Wunde, die in 30 Tagen nicht abheilt, als chronisch bezeichnet [56].…”

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Plastisch-rekonstruktive Verfahren in der interdisziplinären Therapie chronischer Wunden

Kremer

Germann

Riedel

et al. 2008

Chirurg

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Chronic wounds are an increasingly serious socioeconomic problem. Their most frequent underlying causes are peripheral arterial occlusive disease, chronic venous insufficiency, and diabetic foot syndrome. Such wounds are also found in post-traumatic conditions or as pressure sores in nonambulatory patients. This review presents the reconstructive plastic surgical options and decision-making algorithms embedded for an interdisciplinary approach.

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“…Die Häufigkeit chronischer Wunden ist weit höher als oft angenommen. So liegt beispielsweise in Schweden die Prävalenz von Ulzera der unteren Extremität bei 1/50 der Bevölkerung [18]. In der Altersgruppe über 70 Jahren wurde eine Prävalenz von verheilten und offenen chronischen Wunden der unteren Extremität von 9,8% gefunden [16].…”

Section: Ergebnisoptimierung In Der Behandlung Chronischer Wundenunclassified

Vascular interventions and reconstructive plastic surgery

Aust

Spies

Kall

et al. 2007

Chirurg

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Despite the high prevalence of arterial occlusive disease, only a few studies have investigated the benefit of interventions to recanalize extremity arteries prior to plastic operations to close chronic wounds. The purpose of this study was to investigate the correlation of simple clinical examinations and apparative diagnostics of arterial occlusive disease of the lower extremity in patients with chronic wounds and to evaluate the benefit of vascular procedures to optimize wound perfusion before surgical closure. A total of 150 individuals with chronic wounds were included in this retrospective study. All patients underwent palpation of their foot pulses, Doppler sonography, and measurement of occlusive pressure. Positive results were tested by angiography. All patients with peripheral extremity vessel occlusion underwent vascular interventions prior to plastic operations for definitive wound closure. In all 34 patients with missing foot pulses, the clinical diagnosis of arterial occlusion could be confirmed by angiography. Peripheral recanalization and improved wound perfusion could be achieved in all patients. Arterial insufficiency could be diagnosed rapidly and safely using simple clinical examination such as palpation of foot pulses or measurement of occlusive pressures combined with Doppler sonography. Thus this simple and straightforward algorithm helped to secure the success of surgical therapy by shortening the time until wound-healing and reducing the psychosocial burden on the patient and financial costs to the health care system.

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The prevalence of chronic lower-limb ulceration has been underestimated: Results of a validated population questionnaire

Cited by 54 publications

References 10 publications

Complementary Medicine and Venous Ulcers: Review of Literature

Complementary Medicine and Venous Ulcers: Review of Literature

Plastisch-rekonstruktive Verfahren in der interdisziplinären Therapie chronischer Wunden

Vascular interventions and reconstructive plastic surgery

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