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      Epidemiology of chronic wounds in Germany: Analysis of statutory health insurance data.

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          Abstract

          Epidemiologic analyses in routine care of chronic wounds are scarce, and published studies show wide variations. This study analyzes the population-based prevalence and incidence of chronic wounds in Germany. Secondary analyses of data from a German statutory health insurance with about 9 million insured persons were examined (2010 to 2012). Internal diagnostic validations were used to control for different inclusion criteria. In 2012, 1.04% (95% CI 1.03-1.05) of insured patients had a wound diagnosis, including 0.70% with leg ulcers and 0.27% with diabetic ulcers. Wound treatment was received by 0.43% (0.43-0.44) of patients. Prevalence and incidence increased over 3 years. Extrapolated to the German population, there were 786,407 prevalent and 196,602 incident chronic wounds, including 326,334/172,026 patients who underwent wound-relevant treatment in 2012. There is an annually increasing frequency of chronic wounds in Germany. Chronic wound epidemiology is sensitive to wound treatment as a filter criterion.

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          Author and article information

          Journal
          Wound Repair Regen
          Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
          Wiley-Blackwell
          1524-475X
          1067-1927
          Mar 2016
          : 24
          : 2
          Affiliations
          [1 ] Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
          [2 ] Center for Social Policy Research, University of Bremen, Bremen, Germany.
          Article
          10.1111/wrr.12387
          26609788
          64d137ca-40a0-4917-bea8-4c55e08cc03e

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