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Prevalence of leg ulceration in a London population.

Identifieur interne : 003A55 ( PubMed/Checkpoint ); précédent : 003A54; suivant : 003A56

Prevalence of leg ulceration in a London population.

Auteurs : C J Moffatt [Royaume-Uni] ; P J Franks ; D C Doherty ; R. Martin ; R. Blewett ; F. Ross

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RBID : pubmed:15208431

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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


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pubmed:15208431

Le document en format XML

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<name sortKey="Moffatt, C J" sort="Moffatt, C J" uniqKey="Moffatt C" first="C J" last="Moffatt">C J Moffatt</name>
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<nlm:affiliation>Centre for Research and Implementation of Clinical Practice, Thames Valley University, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
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<settlement type="city">Londres</settlement>
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<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>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>Maladie chronique</term>
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<term>Prévalence</term>
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<term>Répartition par âge</term>
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<term>Sujet âgé de 80 ans ou plus</term>
<term>Ulcère de la jambe (anatomopathologie)</term>
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<term>Ulcère de la jambe</term>
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<term>Leg Ulcer</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Leg Ulcer</term>
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<term>Leg Ulcer</term>
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<term>Age Distribution</term>
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<term>Chronic Disease</term>
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<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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<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>
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<Month>06</Month>
<Day>21</Day>
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<DateCompleted>
<Year>2004</Year>
<Month>10</Month>
<Day>14</Day>
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<DateRevised>
<Year>2014</Year>
<Month>07</Month>
<Day>28</Day>
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<Year>2004</Year>
<Month>Jul</Month>
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<Title>QJM : monthly journal of the Association of Physicians</Title>
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<ArticleTitle>Prevalence of leg ulceration in a London population.</ArticleTitle>
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<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>
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