Br Med J (Clin Res Ed)  1985;290:1855-1856 (22 June), doi:10.1136/bmj.290.6485.1855

Chronic ulceration of the leg: extent of the problem and provision of care.

M J Callam, C V Ruckley, D R Harper, J J Dale

A postal survey in two health board areas in Scotland, encompassing a population of about one million, identified 1477 patients with chronic ulcers of the leg. Women outnumbered men by a ratio of 2.8:1. The median age of the women was 74 and of the men 67. Seventy two (5%) were hospital inpatients, 174 (12%) were managed jointly by the primary care team and outpatient departments, and 1201 (83%) were managed entirely in the community. Efforts to improve the management of chronic ulcers of the leg should focus on primary health care.


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to StumbleUpon StumbleUpon   Add to Technorati Technorati    What's this?

Relevant Article

Cost effectiveness analysis of larval therapy for leg ulcers
Marta O Soares, Cynthia P Iglesias, J Martin Bland, Nicky Cullum, Jo C Dumville, E Andrea Nelson, David J Torgerson, Gill Worthy on behalf of the VenUS II team
BMJ 2009 338: b825. [Abstract] [Full Text] [PDF]

This article has been cited by other articles:

  • Bachoo, P (2009). Interventions for uncomplicated varicose veins. Phlebology 24: 3-12 [Abstract] [Full text]  
  • Soares, M. O, Iglesias, C. P, Bland, J M., Cullum, N., Dumville, J. C, Nelson, E A., Torgerson, D. J, Worthy, G., on behalf of the VenUS II team, (2009). Cost effectiveness analysis of larval therapy for leg ulcers. BMJ 338: b825-b825 [Abstract] [Full text]  
  • Lazarides, M.K., Giannoukas, A.D. (2007). The Role of Hemodynamic Measurements in the Management of Venous and Ischemic Ulcers. INT J LOW EXTREM WOUNDS 6: 254-261 [Abstract]  
  • Labropoulos, N., Patel, P. J., Tiongson, J. E., Pryor, L., Leon, L. R. Jr, Tassiopoulos, A. K. (2007). Patterns of Venous Reflux and Obstruction in Patients With Skin Damage Due to Chronic Venous Disease. VASC ENDOVASCULAR SURG 41: 33-40 [Abstract]  
  • Smith, P. C. (2006). The Causes of Skin Damage and Leg Ulceration in Chronic Venous Disease. INT J LOW EXTREM WOUNDS 5: 160-168 [Abstract]  
  • Kloth, L. C. (2005). Electrical Stimulation for Wound Healing: A Review of Evidence From In Vitro Studies, Animal Experiments, and Clinical Trials. INT J LOW EXTREM WOUNDS 4: 23-44 [Abstract]  
  • Howell-Jones, R. S., Wilson, M. J., Hill, K. E., Howard, A. J., Price, P. E., Thomas, D. W. (2005). A review of the microbiology, antibiotic usage and resistance in chronic skin wounds. J Antimicrob Chemother 55: 143-149 [Abstract] [Full text]  
  • Moffatt, C.J., Franks, P.J., Doherty, D.C., Martin, R., Blewett, R., Ross, F. (2004). Prevalence of leg ulceration in a London population. QJM 97: 431-437 [Abstract] [Full text]  
  • Margolis, D. J. (2004). The Swings and Roundabouts of Randomized Controlled Studies in Wound Healing. INT J LOW EXTREM WOUNDS 3: 4-6  
  • de Araujo, T., Valencia, I., Federman, D. G., Kirsner, R. S. (2003). Managing the Patient with Venous Ulcers. ANN INTERN MED 138: 326-334 [Abstract] [Full text]  
  • Houghton, P. E, Kincaid, C. B, Lovell, M., Campbell, K. E, Keast, D. H, Woodbury, M G., Harris, K. A (2003). Effect of Electrical Stimulation on Chronic Leg Ulcer Size and Appearance. ptjournal 83: 17-28 [Abstract] [Full text]  
  • Herrick, S. E., Treharne, L. J., deGiorgio-Miller, A. M. (2002). Dermal Changes in the Lower Leg Skin of Patients With Venous Hypertension. INT J LOW EXTREM WOUNDS 1: 80-86 [Abstract]  
  • Gupta, S. K., Shukla, V. K. (2002). Leg Ulcers in the Tropics. INT J LOW EXTREM WOUNDS 1: 58-61 [Abstract]  
  • Fowkes, F.G.R., Evans, C.J., Lee, A.J. (2001). Prevalence and Risk Factors of Chronic Venous Insufficiency. ANGIOLOGY 52: S5-S15 [Abstract]  
  • Labs, K.-H., Tschoepl, M., Gamba, G., Aschwanden, M., Jaeger, K. A (2000). The reliability of leg circumference assessment: a comparison of spring tape measurements and optoelectronic volumetry. Vasc Med 5: 69-74 [Abstract]  
  • Labropoulos, N., Tassiopoulos, A. K. (2000). Etiology and Anatomic Distribution of Venous Disease in Patients with Venous Ulcers. PERSPECT VASC SURG ENDOVASC THER 12: 117-126 [Abstract]  
  • Wilkinson, E. A. J., Hawke, C. I. (1998). Does Oral Zinc Aid the Healing of Chronic Leg Ulcers?: A Systematic Literature Review. Arch Dermatol 134: 1556-1560 [Abstract] [Full text]  
  • Palfreyman, S. J, Lochiel, R., Michaels, J. A (1998). A systematic review of compression therapy for venous leg ulcers. Vasc Med 3: 301-313 [Abstract]  
  • Ruckley, C. V. (1995). Surgery for Venous Ulcers. PERSPECT VASC SURG ENDOVASC THER 8: 101-108  
  • Flett, R., Harcourt, B., Alpass, F. (1994). Psychosocial Aspects of Chronic Lower Leg Ulceration in the Elderly. West J Nurs Res 16: 183-192 [Abstract]  
  • Nelzen, O., Bergqvist, D. (1994). Chronic Venous Insufficiency and Leg Ulcers: How Big Is the Problem?. PERSPECT VASC SURG ENDOVASC THER 7: 33-42  
  • Colgan, M.-P., Moore, D. J., Shanik, D. G. (1993). New Approaches in the Medical Management of Venous Ulceration. ANGIOLOGY 44: 138-142 [Abstract]  
  • Luca, M. D., Albanese, E., Cancedda, R., Viacava, A., Faggioni, A., Zambruno, G., Giannetti, A. (1992). Treatment of Leg Ulcers With Cryopreserved Allogeneic Cultured Epithelium: A Multicenter Study. Arch Dermatol 128: 633-638 [Abstract]  
  • Smith, P. C. (1990). Noninvasive venous investigation. Vasc Med 1: 139-166  



Access jobs at BMJ Careers
Whats new online at Student 

BMJ