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Published on: March 9, 2019
[Compression Therapy in Patients with Leg Ulcers - which Costs do Really Occur?]
Joachim Dissemond1, Kerstin Protz2, Maurice Moelleken1
1Klinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Essen.
Compression therapy for leg ulcers, while crucial for edema management, faces challenges with traditional bandages. Newer systems offer fewer errors and varying daily costs in both inpatient and outpatient settings.
Area of Science:
- Vascular Medicine
- Wound Care Management
- Health Economics
Background:
- Leg ulcers frequently present with severe lower extremity edema, necessitating comprehensive treatment.
- Current standard compression therapy in Germany often relies on error-prone short-stretch bandages.
- Limited knowledge and cost concerns hinder the adoption of advanced compression systems.
Purpose of the Study:
- To investigate and compare the costs of different compression therapy options for leg ulcers.
- To differentiate economic analyses between inpatient and outpatient treatment settings.
- To evaluate the economic viability of modern compression systems versus traditional methods.
Main Methods:
- Economic evaluation incorporating material and personnel costs.
- Scenario-based cost analysis for various compression therapy approaches.
- Comparative assessment of costs in inpatient and outpatient healthcare environments.
Main Results:
- Daily costs for continuous compression therapy in inpatients range from 5.29 to 18.50 Euros.
- Daily costs for outpatient compression therapy range from 2.29 to 34.29 Euros.
- Economic factors support the implementation of diverse compression therapy constellations.
Conclusions:
- Therapists require comprehensive knowledge of compression systems and their economic implications for leg ulcer patients.
- Prescription and application of compression therapy should be individualized based on patient needs and capabilities.
- Economic considerations alongside medical benefits should guide the choice of compression therapy for leg ulcers.
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