Prevalence of leg ulceration in a London population.
Identifieur interne : 003A55 ( PubMed/Checkpoint ); précédent : 003A54; suivant : 003A56Prevalence of leg ulceration in a London population.
Auteurs : C J Moffatt [Royaume-Uni] ; P J Franks ; D C Doherty ; R. Martin ; R. Blewett ; F. RossSource :
- QJM : monthly journal of the Association of Physicians [ 1460-2725 ] ; 2004.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Femelle, Humains, Londres (épidémiologie), Maladie chronique, Mâle, Prévalence, Répartition par sexe, Répartition par âge, Sujet âgé, Sujet âgé de 80 ans ou plus, Ulcère de la jambe (anatomopathologie), Ulcère de la jambe (épidémiologie), Ulcère de la jambe (étiologie), Études prospectives.
- MESH :
- anatomopathologie : Ulcère de la jambe.
- épidémiologie : Londres, Ulcère de la jambe.
- étiologie : Ulcère de la jambe.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Maladie chronique, Mâle, Prévalence, Répartition par sexe, Répartition par âge, Sujet âgé, Sujet âgé de 80 ans ou plus, Études prospectives.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : London.
- epidemiology : Leg Ulcer.
- etiology : Leg Ulcer.
- pathology : Leg Ulcer.
- Adult, Age Distribution, Aged, Aged, 80 and over, Chronic Disease, Female, Humans, Male, Middle Aged, Prevalence, Prospective Studies, Sex Distribution.
Abstract
Current prevalence estimates of chronic leg ulceration are frequently based on studies from the 1980s. During the last decade, major changes have occurred in the application of evidence-based practice to this condition.
PubMed: 15208431
Affiliations:
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Links to Exploration step
pubmed:15208431Le document en format XML
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<author><name sortKey="Moffatt, C J" sort="Moffatt, C J" uniqKey="Moffatt C" first="C J" last="Moffatt">C J Moffatt</name>
<affiliation wicri:level="3"><nlm:affiliation>Centre for Research and Implementation of Clinical Practice, Thames Valley University, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for Research and Implementation of Clinical Practice, Thames Valley University, London</wicri:regionArea>
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<author><name sortKey="Franks, P J" sort="Franks, P J" uniqKey="Franks P" first="P J" last="Franks">P J Franks</name>
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<term>Age Distribution</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Chronic Disease</term>
<term>Female</term>
<term>Humans</term>
<term>Leg Ulcer (epidemiology)</term>
<term>Leg Ulcer (etiology)</term>
<term>Leg Ulcer (pathology)</term>
<term>London (epidemiology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prevalence</term>
<term>Prospective Studies</term>
<term>Sex Distribution</term>
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<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Londres (épidémiologie)</term>
<term>Maladie chronique</term>
<term>Mâle</term>
<term>Prévalence</term>
<term>Répartition par sexe</term>
<term>Répartition par âge</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Ulcère de la jambe (anatomopathologie)</term>
<term>Ulcère de la jambe (épidémiologie)</term>
<term>Ulcère de la jambe (étiologie)</term>
<term>Études prospectives</term>
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<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>London</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Ulcère de la jambe</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Leg Ulcer</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Leg Ulcer</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Leg Ulcer</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Londres</term>
<term>Ulcère de la jambe</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Ulcère de la jambe</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Age Distribution</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Chronic Disease</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prevalence</term>
<term>Prospective Studies</term>
<term>Sex Distribution</term>
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<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladie chronique</term>
<term>Mâle</term>
<term>Prévalence</term>
<term>Répartition par sexe</term>
<term>Répartition par âge</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études prospectives</term>
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<front><div type="abstract" xml:lang="en">Current prevalence estimates of chronic leg ulceration are frequently based on studies from the 1980s. During the last decade, major changes have occurred in the application of evidence-based practice to this condition.</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">15208431</PMID>
<DateCreated><Year>2004</Year>
<Month>06</Month>
<Day>21</Day>
</DateCreated>
<DateCompleted><Year>2004</Year>
<Month>10</Month>
<Day>14</Day>
</DateCompleted>
<DateRevised><Year>2014</Year>
<Month>07</Month>
<Day>28</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">1460-2725</ISSN>
<JournalIssue CitedMedium="Print"><Volume>97</Volume>
<Issue>7</Issue>
<PubDate><Year>2004</Year>
<Month>Jul</Month>
</PubDate>
</JournalIssue>
<Title>QJM : monthly journal of the Association of Physicians</Title>
<ISOAbbreviation>QJM</ISOAbbreviation>
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<ArticleTitle>Prevalence of leg ulceration in a London population.</ArticleTitle>
<Pagination><MedlinePgn>431-7</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Current prevalence estimates of chronic leg ulceration are frequently based on studies from the 1980s. During the last decade, major changes have occurred in the application of evidence-based practice to this condition.</AbstractText>
<AbstractText Label="AIM" NlmCategory="OBJECTIVE">To determine the prevalence and cause of leg ulceration in a defined geographical population after 8 years of providing standardized evidence based protocols of care.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Prospective survey.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Patients with leg ulceration of >4 weeks duration) within an integrated acute and community leg ulcer service were ascertained, interviewed and clinically assessed, using a standardized questionnaire on medical history, ulcer details and non-invasive vascular investigation to describe causes. Ulcers were classified by aetiology.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">We identified 113 patients in a population of 252 000, giving a crude prevalence of 0.45/1000 (95%CI 0.37-0.54/1000): 0.34/1000 in men, 0.54/1000 in women. Rates were highly dependent on age, increasing to 8.29 (men) and 8.06/1000 (women) in those aged >85 years. Of the responders, 62/113 (55%) had their ulcer for >1 year. Uncomplicated venous ulceration was observed in only 59/138 (43%) ulcerated limbs; a further 21 had ulceration primarily due to arterial disease. Complex causes were present in 48 (35%) limbs, mostly venous disease in combination with diabetes (35%), lymphoedema (42%) and rheumatoid arthritis (26%).</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Our prevalence of chronic leg ulceration is approximately one-third of that predicted by previous studies using similar methodologies in the 1980s. Patients with ulceration have more complex aetiologies than previously recognized, which may be a consequence of both increasing ulcer chronicity and age.</AbstractText>
</Abstract>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<MeshHeading><DescriptorName UI="D017677" MajorTopicYN="N">Age Distribution</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D007871" MajorTopicYN="N">Leg Ulcer</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
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<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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