Comparative Study on the Costs of Treating Diabetic Foot, Necrotizing Fasciitis, and Stage IV Pressure Ulcers

  • Linxuan Zou First Affiliated Hospital of Dalian Medical University
  • Xingkai Wang First Affiliated Hospital of Dalian Medical University
  • Zhe Zhang First Affiliated Hospital of Dalian Medical University
  • Tianke Yang First Affiliated Hospital of Dalian Medical University
  • Junwei Zong First Affiliated Hospital of Dalian Medical University
Keywords: Chronic Wound; Socio-Economic Factors; Treatment Costs

Abstract

Objective: To compare the total treatment costs for patients with diabetic foot with osteomyelitis, necrotizing fasciitis, and stage IV pressure ulcers in Dalian city, to explore the economic burden of diferent types of chronic wounds. Methods: Aretrospective analysis design was used, collecting data from 18 patients (6 of each wound type) from the electronic medical record system of a large hospital in Dalian. One-way ANOVAand Tukey’s HSD post-hoc tests were applied to compare the treatment costs of diferent wound types. Results: The treat-ment costs for the necrotizing fasciitis group were signifcantly higher than those for the stage IV pressure ulcer group, while the costs for the diabetic foot group did not show signifcant diferences from the other two groups. This fnding highlights the impact of chronic wound types on treatment costs and the importance of early intervention. Conclusion: The results provide data support for the optimized allocation of med-ical resources, especially in a context of limited resources. They emphasize the necessity of early identifcation and management of chronic wounds and provide a basis for establishing cost-efective treatment strategies.

References

[1] Adeyemi, A. & Waycaster, C. Cost-minimization Analysis of Negative Pressure Wound Therapy in Long-term Care Facilities.

Wounds : a compendium of clinical research and practice 30, E13-e15 (2018).

[2] Brain, D. et al. Cost-effectiveness analysis of an innovative model of care for chronic wounds patients. PloS one 14, e0212366,

doi:10.1371/journal.pone.0212366 (2019).

[3] Carter, M. J. et al. Chronic wound prevalence and the associated cost of treatment in Medicare beneficiaries: changes between 2014

and 2019. Journal of medical economics 26, 894-901, doi:10.1080/13696998.2023.2232256 (2023).

[4] Chan, B. et al. Cost-of-illness studies in chronic ulcers: a systematic review. Journal of wound care 26, S4-s14, doi:10.12968/

jowc.2017.26.Sup4.S4 (2017).

[5] Gethin, G., Probst, S., Stryja, J., Christiansen, N. & Price, P. Evidence for person-centred care in chronic wound care: A systematic

review and recommendations for practice. Journal of wound care 29, S1-s22, doi:10.12968/jowc.2020.29.Sup9b.S1 (2020).

[6] Graves, N., Phillips, C.J. & Harding, K. A narrative review of the epidemiology and economics of chronic wounds. The British

journal of dermatology 187, 141-148, doi:10.1111/bjd.20692 (2022).

[7] Kapp, S. & Santamaria, N. The financial and quality-of-life cost to patients living with a chronic wound in the community. Interna_x005ftional wound journal 14, 1108-1119, doi:10.1111/iwj. 12767(2017).

[8] Samsell, B. et al. Health economics for treatment of diabetic foot ulcers: a cost-effectiveness analysis of eight skin substitutes. Journal of wound care 28, S14-s26, doi:10.12968/jowc.2019.28. Sup9.S14 (2019).

[9] Sen, C. K. Human Wound and Its Burden: Updated 2020 Compendium of Estimates. Advances in wound care 10, 281-292,

doi:10.1089/wound.2021.0026 (2021).

[10] Sibbald, R.G. et al. Wound Bed Preparation 2021. Advances in skin & wound care 34, 183-195, doi:10.1097/01.

ASW.0000733724.87630.d6 (2021).

[11] Wilkins, R.G. & Unverdorben, M. Wound cleaning and wound healing: a concise review. Advances in skin & wound care 26, 160-

163, doi:10.1097/01.Asw.0000428861.26671.41 (2013).

Published
2023-12-27
Section
Review Article