Investigation of the effect of deprivation on the burden and management of venous leg ulcers: a cohort study using the THIN database.

<h4>Background</h4>There has been limited examination of the contribution of socio-economic factors to the development of leg ulcers, despite the social patterning of many underlying risk factors. No previous studies were found that examined social patterns in the quality of treatment re...

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Autores principales:	Emily S Petherick, Nicky A Cullum, Kate E Pickett
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/2c0dd5e3963b44adb34ca6c5a1abc7d2
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spelling	oai:doaj.org-article:2c0dd5e3963b44adb34ca6c5a1abc7d22021-11-18T07:52:56ZInvestigation of the effect of deprivation on the burden and management of venous leg ulcers: a cohort study using the THIN database.1932-620310.1371/journal.pone.0058948https://doaj.org/article/2c0dd5e3963b44adb34ca6c5a1abc7d22013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23527054/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>There has been limited examination of the contribution of socio-economic factors to the development of leg ulcers, despite the social patterning of many underlying risk factors. No previous studies were found that examined social patterns in the quality of treatment received by patients with leg ulcers.<h4>Methods</h4>Using The Health Improvement Network (THIN) database we identified a cohort of over 14000 patients with a diagnosis of venous leg ulceration, prospectively recorded between the years 2001 and 2006, with linked area-level socio-economic information (Townsend deprivation quintile). We assessed socio-economic differences in the incidence and prevalence of leg ulcers using negative binomial regression. Socio-economic differences in two key areas of guideline recommended leg ulcer management, arterial Doppler assessment and compression bandaging, were assessed using multilevel regression.<h4>Results</h4>The risk of incident venous leg ulceration increased for patients living in areas of higher deprivation, even after adjustment for known risk factors age and gender. Overall reported rates of Doppler assessment and provision of compression therapy were low, with less than sixteen per cent of patients having a database record of receiving these recommended diagnostic and treatment options. Patients diagnosed with incident venous leg ulcers living in the most deprived areas were less likely to receive the recommended Doppler-aided assessment for peripheral vascular disease than patients living in the least deprived areas (odds ratio 0.43, 95% confidence interval 0.24-0.78). Documented provision of compression therapy did not vary with deprivation.<h4>Conclusions</h4>A socio-economic gradient in venous leg ulcer disease was observed. The overall rates of people with venous leg ulcers who were documented as receiving guideline recommended care (2001-2006) were low. Reported use of Doppler ultrasound assessment was negatively associated with socio-economic status. These findings suggest that the inequalities experienced by leg ulcer patients may be exacerbated by reduced access to guideline-based management.Emily S PetherickNicky A CullumKate E PickettPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 3, p e58948 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Emily S Petherick Nicky A Cullum Kate E Pickett Investigation of the effect of deprivation on the burden and management of venous leg ulcers: a cohort study using the THIN database.
description	<h4>Background</h4>There has been limited examination of the contribution of socio-economic factors to the development of leg ulcers, despite the social patterning of many underlying risk factors. No previous studies were found that examined social patterns in the quality of treatment received by patients with leg ulcers.<h4>Methods</h4>Using The Health Improvement Network (THIN) database we identified a cohort of over 14000 patients with a diagnosis of venous leg ulceration, prospectively recorded between the years 2001 and 2006, with linked area-level socio-economic information (Townsend deprivation quintile). We assessed socio-economic differences in the incidence and prevalence of leg ulcers using negative binomial regression. Socio-economic differences in two key areas of guideline recommended leg ulcer management, arterial Doppler assessment and compression bandaging, were assessed using multilevel regression.<h4>Results</h4>The risk of incident venous leg ulceration increased for patients living in areas of higher deprivation, even after adjustment for known risk factors age and gender. Overall reported rates of Doppler assessment and provision of compression therapy were low, with less than sixteen per cent of patients having a database record of receiving these recommended diagnostic and treatment options. Patients diagnosed with incident venous leg ulcers living in the most deprived areas were less likely to receive the recommended Doppler-aided assessment for peripheral vascular disease than patients living in the least deprived areas (odds ratio 0.43, 95% confidence interval 0.24-0.78). Documented provision of compression therapy did not vary with deprivation.<h4>Conclusions</h4>A socio-economic gradient in venous leg ulcer disease was observed. The overall rates of people with venous leg ulcers who were documented as receiving guideline recommended care (2001-2006) were low. Reported use of Doppler ultrasound assessment was negatively associated with socio-economic status. These findings suggest that the inequalities experienced by leg ulcer patients may be exacerbated by reduced access to guideline-based management.
format	article
author	Emily S Petherick Nicky A Cullum Kate E Pickett
author_facet	Emily S Petherick Nicky A Cullum Kate E Pickett
author_sort	Emily S Petherick
title	Investigation of the effect of deprivation on the burden and management of venous leg ulcers: a cohort study using the THIN database.
title_short	Investigation of the effect of deprivation on the burden and management of venous leg ulcers: a cohort study using the THIN database.
title_full	Investigation of the effect of deprivation on the burden and management of venous leg ulcers: a cohort study using the THIN database.
title_fullStr	Investigation of the effect of deprivation on the burden and management of venous leg ulcers: a cohort study using the THIN database.
title_full_unstemmed	Investigation of the effect of deprivation on the burden and management of venous leg ulcers: a cohort study using the THIN database.
title_sort	investigation of the effect of deprivation on the burden and management of venous leg ulcers: a cohort study using the thin database.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/2c0dd5e3963b44adb34ca6c5a1abc7d2
work_keys_str_mv	AT emilyspetherick investigationoftheeffectofdeprivationontheburdenandmanagementofvenouslegulcersacohortstudyusingthethindatabase AT nickyacullum investigationoftheeffectofdeprivationontheburdenandmanagementofvenouslegulcersacohortstudyusingthethindatabase AT kateepickett investigationoftheeffectofdeprivationontheburdenandmanagementofvenouslegulcersacohortstudyusingthethindatabase
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Investigation of the effect of deprivation on the burden and management of venous leg ulcers: a cohort study using the THIN database.

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