Cost of the treatment for venous ulcers in an outpatient clinic and in the household: a descriptive study
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Keywords

Direct Costs
Venous Ulcers
Nursing. Costos Directos
Úlceras venosas
Ermería Custos Diretos
Úlceras Venosas
Enfermagem

PlumX Metrics

Abstract

Aim: To compare the direct costs of treatment of venous ulcers involving the use of carboxymethylcellulose gel in domiciliary and outpatient environments. Method: This is a descriptive study, in which 96 consultations were performed in the Wound Healing Clinic of a university hospital between April and December 2013. Cost categories were identified, monetary values were defined and calculations were based on the consumption of materials used in the clinic and later released to the patients' homes. The study was approved by the Research Ethics Committee of the hospital under the number 196/08. Results: After 84 days of follow-up, outpatient treatment costs were higher than the home care costs, and the main reason for this difference was nursing manpower. Conclusion: It is necessary to define strategies for conducting effective nursing consultations and these strategies should include guidelines for home care and the dispensing of the material for patients.
https://doi.org/10.17665/1676-4285.20154842
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References

Ipoema E, Costa MM. Úlceras vasculogênicas. In: Silva RCL, Figueiredo NMA, Meireles IB. Feridas: Fundamentos e atualizações de enfermagem. São Caetano do Sul, SP: Yendis Editora; 2007.

Rodrigues LM. Avaliação do custo e da efetividade do hidrogel a 2% no tratamento de úlceras de perna. Dissertação [Mestrado em Enfermagem] – Escola de Enfermagem Aurora de Afonso Costa; 2010.

Abreu AM, Oliveira BGRB, Manarte JJ. Treatment of venous ulcers with an unna boot: a case study. Online braz j nurs [Internet]. 2013 March; 12 (1). Available from:

http://www.objnursing.uff.br/index.php/nursing/article/view/3845.

Leite AP, Oliveira BGRB, Soares MF, Barrocas DLR. Uso e efetividade da papaína no processo de cicatrização de feridas: uma revisão sistemática. Rev. Gaúcha Enferm. 2012 Sep; 33 (3).

Leite AP. A efetividade de um protocolo de uso do Gel de Papaína a 2% e 4% na cicatrização de úlceras venosas. Dissertação [Mestrado em Enfermagem] – Escola de Enfermagem Aurora de Afonso Costa; 2012.

Oliveira AP. Custo dos géis de papaína e de carboximetilcelulose a 2% no tratamento de úlceras venosas: avaliação comparativa. Dissertação [Mestrado em Enfermagem] – Escola de Enfermagem Aurora de Afonso Costa; 2014.

Secoli SR. Farmacoeconomia da terapia analgésica utilizada na dor pós operatória. Tese [Doutorado em enfermagem] – Escola de Enfermagem da Universidade de São Paulo; 2002.

Soares MO, et al. Cost effectiveness analysis of larval therapy for leg ulcers. BMJ. 2009 Mar; 19 (338).

Pham B, Harrison MB, Chen MH, Carley ME. Cost-effectiveness of compression technologies for evidence-informed leg ulcer care: results from the Canadian Bandaging Trial. BMC Health Services Research. 2012 Out; 12 (346).

Michaels JA, Campbell B, King B, Palfreyman SJ, Shackley P, Stevenson M. Randomized controlled trial and cost-effectiveness analysis of silver-donating antimicrobial dressings for venous leg ulcers (VULCAN trial). Br J Surg. 2009 Out; 97 (3).

Purwins S, et al. Cost-of-illness of chronic leg ulcers in Germany. Int Wound J. 2010 Abr; 7 (2).

Baptista CMC, Castilho V. Cost survey of procedure with Unna boot in patients with venous ulcer. Rev. Latino-Am. Enfermagem. 2006 Dec; 14(6).

Hankin C.S, Knispel J, Lopes M, Bronstone, A, Maus, E. Clinical and cost efficacy of advanced wound care matrices for venous ulcers. J Manag Care Pharm. 2012 Jun; 18(5).

Chuang L.-H., et al. Economic evaluation of a randomized controlled trial of ultrasound therapy for hard-to-heal venous leg ulcers. Br J Surg. 2011 Ago; 98 (8).