Prevalence and incidence of chronic wounds and related complications: a protocol for a systematic review

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Title: Prevalence and incidence of chronic wounds and related complications: a protocol for a systematic review
Authors: Järbrink, K
Ni, G
Sönnergren, H
Schmidtchen, A
Pang, C
Bajpai, R
Car, J
Item Type: Journal Article
Abstract: Background Chronic wounds impose a significant and often underappreciated burden to the individual, the healthcare system and the society as a whole. Preliminary literature search suggests that there are at present no reliable estimates on the total prevalence of chronic wounds for different settings and categories of chronic wounds. Such information is essential for policy and planning purposes as the increasing number of elderly and the prevalence of lifestyle diseases point in the direction of an increased burden. Knowledge about the prevalence and incidence of chronic wounds in relation to population characteristics is important for informing healthcare planning and resource allocation. The objective is to present a transparent process for how to review the existing literature on the prevalence and incidence rates of chronic wounds and resulting implications. Methods/design We will search electronic bibliographic databases (MEDLINE, EMBASE, the EBM Reviews and Cochrane, Cumulative Index to Nursing and allied Health Literature (CINAHL), PsycINFO, Global Health) and reference lists of included articles. Two investigators will independently screen titles and abstracts and select studies involving adults with chronic wounds. These investigators will also independently extract data using a pre-designed data extraction form that will cover information on demographics, diagnostics including disease prevalence, medical history, hospital and community-based management and outcomes. Subgroup analysis and sensitivity analysis will be performed to address the heterogeneity across studies. Meta-analysis will also be performed if homogeneous group of studies will be found. The collective evidence will be further stratified according to the important background variables if allowed. Discussion This study will describe the available epidemiological evidence and summarise prevalence and incidence rates of chronic wounds and related complications. A better understanding of the relationship between population profile and the prevalence of chronic wounds and related complications will be helpful in the development of guidelines for patient management.
Issue Date: 8-Sep-2016
Date of Acceptance: 30-Aug-2016
ISSN: 2046-4053
Publisher: BioMed Central
Journal / Book Title: Systematic Reviews
Volume: 5
Copyright Statement: This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.
Keywords: Amputation
Chronic wounds
Diabetic foot
Hard-to-heal ulcers
Wound healing
Wound infection
Publication Status: Published
Article Number: 152
Appears in Collections:Faculty of Medicine
Epidemiology, Public Health and Primary Care

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