Evidence map›Paper›PMID 29536629›Full record

ArticleInternational wound journal2018

Predicting the likelihood of venous leg ulcer recurrence: The diagnostic accuracy of a newly developed risk assessment tool.

Kathleen J Finlayson, Christina N Parker, Charne Miller, Michelle Gibb, Suzanne Kapp, Rajna Ogrin, Jacinta Anderson, Kerrie Coleman, Dianne Smith, Helen E Edwards

Abstract readMulticenter StudyValidation Study
In one paragraph

Article in International wound journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Skin graft bolstered by negative pressure therapy in chronic wounds: A systematic review.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Pooled it
  2. Prognostic models for clinical outcomes in patients with venous leg ulcers: A systematic review.Journal of vascular surgery. Venous and lymphatic disorders · 2024
    Pooled it
  3. Topically administered purified clinoptilolite-tuff for the treatment of cutaneous wounds: A prospective, randomised phase I clinical trial.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society · 2022
    Trial
  4. Planning self-care with patients with venous leg ulcers: a reflective lifeworld study of healthcare professionals.International journal of qualitative studies on health and well-being · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
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  12. Review
  13. No More Venous Ulcers-What More Can We Do?Journal of clinical medicine · 2023
    Review
  14. Article
  15. Review
  16. Article
  17. Daily life after healing of a venous leg ulcer: A lifeworld phenomenological study.International journal of qualitative studies on health and well-being · 2022
    Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Kathleen J FinlaysonFaculty of Health, Queensland University of Technology, Kelvin Grove, Queensland, Australia.ORCID http://orcid.org/0000-0002-5743-2731
Christina N ParkerFaculty of Health, Queensland University of Technology, Kelvin Grove, Queensland, Australia.
Charne MillerLa Trobe University, Melbourne, Victoria, Australia.
Michelle GibbWound Management Innovation Cooperative Research Centre, Queensland, Australia.
Suzanne KappSchool of Health Sciences, Department of Nursing, The University of Melbourne, Carlton, Victoria, Australia.
Rajna OgrinBolton Clarke, St Kilda, Victoria, Australia.
Jacinta AndersonBolton Clarke, Bundoora, Victoria, Australia.
Kerrie ColemanMultidisciplinary Skin Integrity Service, Royal Brisbane & Women's Hospital, St. Herston, Queensland, Australia.
Dianne SmithMultidisciplinary Skin Integrity Service, Royal Brisbane & Women's Hospital, St. Herston, Queensland, Australia.
Helen E EdwardsFaculty of Health, Queensland University of Technology, Kelvin Grove, Queensland, Australia.

Funding

Wound Management Innovation Cooperative Research Centre 3.05
6 · The paper itself

Abstract

The aim of this study was to validate a newly developed tool for predicting the risk of recurrence within 12 months of a venous leg ulcer healing. Performance of the tool to predict recurrence within a 12-month period was assessed using Area Under the Receiver Operating Characteristic Curve (AUC) analysis. Multi-site retrospective and prospective longitudinal studies were undertaken to validate a risk assessment tool for the recurrence of venous leg ulcers within 12 months. In the retrospective study (n = 250), 55% of venous leg ulcers recurred within 12 months, and the risk assessment total score had excellent discrimination and goodness of fit with an AUC of 0.83 (95% CI, 0.76-0.90, P < .001). The prospective study (n = 143) observed that 50.4% (n = 63) of venous leg ulcers recurred within 12 months of healing. Participants were classified using the risk assessment tool as being at low risk (28%), moderate risk (59%), and high risk (13%); the proportion of wounds recurring at 12 months was 15%, 61%, and 67% for each group, respectively. Validation results indicated good discrimination and goodness of fit, with an AUC of 0.73 (95% CI, 0.64-0.82, P < .001). Validation of this risk assessment tool for the recurrence of venous leg ulcers provides clinicians with a resource to identify high-risk patients and to guide decisions on adjunctive, tailored interventions to address the specific risk factors to decrease the risk of recurrence.

Indexed as

Predictive Value of TestsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedProspective StudiesRecurrenceRetrospective StudiesRisk AssessmentVaricose Ulcerrecurrencerisk assessmentvalidationvenous leg ulcers

Identifiers

PMID29536629
PMCPMC7949606

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.