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Table 2 Summary of resource use in usual care group and optimal care group

From: Cost-effectiveness analysis of guideline-based optimal care for venous leg ulcers in Australia

 

Usual care

Optimal care (Option 1)

Optimal care (Option 2)

Healed VLU

No additional care

• Clinic assessment by nurse practitioner every 3 months

• Compression stocking every 3 months

• Clinic assessment by GP every 3 months

• Compression stocking every 3 months

Unhealed VLU

• One-off assessment by GP

• Clinic visits to GP or community nurse or outpatient clinic twice a week

• Dressings change twice a week

• High compression therapy prescribed to 50% of patients

If infected

• Pathology test every week

• systemic antibiotics

• One-off ABPI or vascular assessment and assessment by nurse practitioner and vascular surgeon

• Clinic visits to nurse practitioner once a week

• Dressings change every week

• High compression therapy prescribed to everyone

If infected

• One-off pathology test

• Debridement once a week

• Systemic antibiotics

• One-off ABPI and GP assessment

• Clinic visits to GP or community nurse or outpatient clinic once a week

• Dressings change every week

• High compression therapy prescribed to everyone

If infected

• One-off pathology test

• Debridement once a week

• Systemic antibiotics