EWMA 2013 - Ep547 - European wound-registry (EWR) -characteristics and methodology
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EWMA 2013 - Ep547 - European wound-registry (EWR) -characteristics and methodology

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Heyer K1, Blome C1 Storck M2, Schmidt M2, Herberger K1, Imkamp U3, Wild T4, Debus S5, Augustin M1 ...

Heyer K1, Blome C1 Storck M2, Schmidt M2, Herberger K1, Imkamp U3, Wild T4, Debus S5, Augustin M1

1) Institute for Health Services Research in Dermatology and Nursing, University Medical Center, Hamburg-Eppendorf
2) Clinic for Vascular and Thoracic surgery, Karlsruhe,
3) Mamedicon GmbH, Magdeburg,
4) German Wound Academy,
5) Clinic for Vascular Surgery, University Medical Center, Hamburg-Eppendorf

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EWMA 2013 - Ep547 - European wound-registry (EWR) -characteristics and methodology EWMA 2013 - Ep547 - European wound-registry (EWR) -characteristics and methodology Presentation Transcript

  • European wound-registry (EWR) - characteristics and methodology European Wound Management Association (EWMA) Conference Heyer K1, Blome C1 Storck M2, Schmidt M2, Herberger K1, Imkamp U3, Wild T4, Debus S5, Augustin M1 1) Institute for Health Services Research in Dermatology and Nursing, University Medical Center, Hamburg-Eppendorf 2) Clinic for Vascular and Thoracic surgery, Karlsruhe, 3) Mamedicon GmbH, Magdeburg, 4) German Wound Academy, 5) Clinic for Vascular Surgery, University Medical Center, Hamburg-Eppendorf
  • Introduction and objective The European wound-registry (EWR) was initiated to gather prospective data and outcomes from routine care of chronic wounds in the community. Patients with chronic wounds of any origin, regardless of treatment are included. The common data set involves patient baseline data, wound characteristics, and outcomes.
  • EWR: Wound networks involved Methods I *standards according to Bundeskonferenz 2013, EWMA, DNVF, guidance on registry research
  • Participating Participation started Recruiting wound centres EWR: Wound networks involved Methods II Wound network Mittlerer Oberrhein GmbH WHAT Austria Wound network Rheinland-Pflalz Wound network Magdeburg Wound network Niedersachsen Bremen IVDP / CWC Wound network HH Ostwestfalen-Lippe Passau/Regensburg Erlangen/Würzburg Osthessen/Fulda Erfurt/LeipzigDuisburg/Dortmund Wound network Stuttgart München Allgäu Augsburg
  • Results Patient characteristics 2013: Four active networks with 74 wound centers n=679 patients Ø age 68,6 years 48% female  First outcome analyses planned by Aug. 2013 Classification n % Leg ulcers 409 60.2 Ischemic foot ulcers 69 10.2 Diabetic foot ulcers 44 6.5 Pressure ulcers 51 7.5 Post-surgical wounds 85 12.5 Others 21 3.1 Characteristics MW SD Min Max Duration ulcer disease (yrs.) 6.5 5.1 0 64 Wound not healed since (yrs.) 2.1 6.2 0 51
  • Conclusions Benefit:  The European wound-registry (EWR) is a feasible and well-performing patient registry supported by a broad range of centers and wound networks.  It will support the collection of data on long-term outcomes of chronic wound treatments to improve wound care in daily practice. Methodology challenges:  Hierarchical data structure  Procedures of choice for data aggregation and pooling  Control for regional differences and subsettings (e.g. direct SHI contracts)  Adjustments for structural inhomogenities Conclusion