Trial reportDeutsches Arzteblatt international2026
Treating Venous Leg Ulcers in Primary Care: The Cluster-Randomized Ulcus Cruris Care Trial.
Trial report in Deutsches Arzteblatt international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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.
Who cites it
3 citing papers in PubMed.
- Implementing a primary care disease management concept for venous leg ulceration: findings of a mixed-methods process evaluation in the Ulcus Cruris Care trial.BMC health services research · 2026Trial
- Underprovision of Medical Compression Therapy: Retrospective Analysis Based on Statutory Health Insurance Data on Venous Leg Ulcers, Chronic Venous Disease and Comorbidities.International wound journal · 2026Article
- The Vicious Cycle of Biofilm, Host Inflammation and Microvascular Insufficiency in Venous Leg Ulcers.Medical sciences (Basel, Switzerland) · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVenous leg ulcers (VLUs) markedly restrict patients' everyday activities and impair their quality of life. Compression is the most important treatment measure but is often not consistently implemented in practice. The aim of the Ulcus Cruris Care (UCC) project was to develop a primary care approach for the systematic support of evidence-based, patient-centered treatment.
methodsUCC consists of online training for care teams, software-supported case management, and patient training. Block randomization (1:1) was performed at the level of individual primary care practices. The practices recruited patients with UCV. Each patient was followed up for 12 months. The primary endpoint was wound healing, as confirmed by two independent blinded investigators. The secondary endpoints were guideline-compliant compression, health-related quality of life (EQ-5D-5L), depression (PHQ-9), and case-related treatment costs.
results59 patients were included. For the primary endpoint of time to wound healing, the intervention yielded a hazard ratio of 2.71 [0.66; 11.06] (p = 0.16). The odds ratio for complete wound healing was 3.60 [0.97; 13.36] (p = 0.049). Guideline-compliant compression was more common in the intervention group (72% versus 33%; p = 0.010). Depression (5.3 ± 6.1 versus 10.0 ± 6.9; p = 0.019) and outpatient treatment costs (€1457 ± 917 versus €3153 ± 1843; p = 0.016) were lower in the intervention group.
conclusionThis multicenter RCT suggests a potential benefit of the UCC intervention but does not confirm its efficacy. The UCC approach can specifically target deficits in outpatient care for chronic wounds at the primary care level.
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Registered trials
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