To establish the relative cost effectiveness of community leg ulcer clinics that use four layer compression bandaging versus usual care provided by district nurses.
Randomised controlled trial with 1 year of follow up.
Eight community based research clinics in four trusts in Trent Subjects : 233 patients with venous leg ulcers allocated at random to intervention (120) or control (113) group.
Weekly treatment with four layer bandaging in a leg ulcer clinic (clinic group) or usual care at home by the district nursing service (control group).
Time to complete ulcer healing, patient health status, and recurrence of ulcers Satisfaction with care, use of services, and personal costs were also monitored Results : The ulcers of patients in the clinic group tended to heal sooner than those in the control group over the whole 12 month follow up (log rank P=0.03).
At 12 weeks, 34% of patients in the clinic group were healed compared with 24% in the control.
The crude initial healing rate of ulcers in intervention compared with control patients was 1.45 (95% confidence interval 1.04 to 2.03).
No significant differences were found between the groups in health status.
Mean total NHS costs were £878.06 per year for the clinic group and £859.34 for the control (P=0.89). (...)
Mots-clés Pascal : Ulcère, Jambe, Randomisation, Essai thérapeutique contrôlé, Couche, Bandage compressif, Infirmier, Etude comparative, Communauté, Analyse coût efficacité, Homme, Membre inférieur, Peau pathologie, Economie santé
Mots-clés Pascal anglais : Ulcer, Leg, Randomization, Controlled therapeutic trial, Layer, Compressive bandage, Nurse, Comparative study, Community, Cost efficiency analysis, Human, Lower limb, Skin disease, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0267571
Code Inist : 002B12B03. Création : 11/09/1998.