ArticleBMJ open2013
Ulcer healing time and antibiotic treatment before and after the introduction of the Registry of Ulcer Treatment: an improvement project in a national quality registry in Sweden.
Article in BMJ open, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Beds, overlays and mattresses for treating pressure ulcers.The Cochrane database of systematic reviews · 2021Pooled it
- Impact of clinical registries on quality of patient care and clinical outcomes: A systematic review.PloS one · 2017Pooled it
- Evidence and practice in spine registries.Acta orthopaedica · 2015Pooled it
- Antibiotics and antiseptics for venous leg ulcers.The Cochrane database of systematic reviews · 2014Pooled it
- Invisible Agency in the Search for Healing: Patient and Family Roles in the Care of Hard-to-Heal Wounds in Primary Healthcare.International wound journal · 2026Article
- How clinical structures shape diagnostic practices in Swedish hard-to-heal ulcer care: a grounded theory study.BMJ open · 2025Article
- Healthcare Professionals' Perceptions of Person-Centred Care in Wound Management in Swedish Primary Care Services: A Qualitative Study.Scandinavian journal of caring sciences · 2025Article
- Exploring Self-Perceived Competence and Challenges in Wound Management Among Primary Healthcare Physicians-A Survey Study.International wound journal · 2025Article
- The Impact of Diagnostic Delay on Wound Healing-A Cohort Study in a Primary Care Setting.International wound journal · 2025Article
- Article
- Quality registry improves the data of chronic ulcers: Validation of Tampere Wound Registry.International wound journal · 2023Article
- Evaluating the Use of PROMs in Paediatric Orthopaedic Registries.Children (Basel, Switzerland) · 2023Review
- Experiences of undergoing venous leg ulcer management: A reflective lifeworld research study.International wound journal · 2023Article
- Engineered bacteria to accelerate wound healing: an adaptive, randomised, double-blind, placebo-controlled, first-in-human phase 1 trial.EClinicalMedicine · 2023Article
- Antibiotic Misuse in Wound Care: Can Bacterial Localization through Fluorescence Imaging Help?Diagnostics (Basel, Switzerland) · 2022Article
- Daily life after healing of a venous leg ulcer: A lifeworld phenomenological study.International journal of qualitative studies on health and well-being · 2022Article
- Cohort study of diagnostic delay in the clinical pathway of patients with chronic wounds in the primary care setting.BMJ open · 2022Article
- Antibiotic prescription using a digital decision support system: a register-based study of patients with hard-to-heal ulcers in Sweden.BMJ open · 2022Article
- Use of fluorescence imaging to optimize location of tissue sampling in hard-to-heal wounds.Frontiers in cellular and infection microbiology · 2022Article
- Virulence and Drug-Resistance ofInternational journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate changes in ulcer healing time and antibiotic treatment in Sweden following the introduction of the Registry of Ulcer Treatment (RUT), a national quality registry, in 2009.
designA statistical analysis of RUT data concerning the healing time and antibiotic treatment for patients with hard-to-heal ulcers in Sweden between 2009 and 2012.
settingRUT is a national web-based quality registry used to capture areas of improvement in ulcer care and to structure wound management by registering patients with hard-to-heal leg, foot and pressure ulcers. Registration includes variables such as gender, age, diagnosis, healing time, antibiotic treatment, and ulcer duration and size. POPULATION: Every patient with a hard-to-heal ulcer registered with RUT between 2009 and 2012 (n=1417) was included.
main outcome measuresStatistical analyses were performed using Stata V.12.1. Healing time was assessed with the Kaplan-Meier analysis and adjustment was made for ulcer size. A log-rank test was used for equality of survivor functions.
resultsAccording to the adjusted registry in December 2012, patients' median age was 80 years (mean 77.5 years, range 11-103 years). The median healing time for all ulcers, adjusted for ulcer size, was 146 days (21 weeks) in 2009 and 63 days (9 weeks) in 2012 (p=0.001). Considering all years between 2009 and 2012, antibiotic treatment for patients with hard-to-heal ulcers was reduced from 71% before registration to 29% after registration of ulcer healing (p=0.001).
conclusionsHealing time and antibiotic treatment decreased significantly during 3 years after launch of RUT.
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