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Evaluating the cost of managing patients with cellulitis in Wales, UK: A 20‐year population‐scale study

Ioan Humphreys Orcid Logo, Ashley Akbari Orcid Logo, Rowena Griffiths, Dave Graham-Woollard, Karen Morgan, Rhian Noble‐Jones, Marie Gabe‐Walters, Melanie Thomas

International Wound Journal, Volume: 20, Issue: 6, Pages: 2129 - 2140

Swansea University Authors: Ioan Humphreys Orcid Logo, Ashley Akbari Orcid Logo, Rowena Griffiths, Dave Graham-Woollard

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DOI (Published version): 10.1111/iwj.14088

Abstract

This study aimed to estimate costs associated with managing patients with cellulitis from the UK National Health Service (NHS) perspective. The analysis was undertaken through the Secure Anonymised Information Linkage Databank, which brings together population-scale, individual-level anonymised link...

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Published in: International Wound Journal
ISSN: 1742-4801 1742-481X
Published: Wiley 2023
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URI: https://cronfa.swan.ac.uk/Record/cronfa62361
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In-Patient events and length of stay costs are the main cost drivers, with annual Welsh NHS estimates of £19 664 126 with primary care events costing £8 890 212. Initiatives to support patients and healthcare professionals in identifying early signs/risks of cellulitis, improve the accuracy of initial diagnosis, prevent cellulitis recurrence, and improve evidence-based treatment pathways would result in major financial savings, to both the Welsh and UK NHS. 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spelling v2 62361 2023-01-18 Evaluating the cost of managing patients with cellulitis in Wales, UK: A 20‐year population‐scale study 399e932224d259fca801505dc92cebf7 0000-0001-7993-0179 Ioan Humphreys Ioan Humphreys true false aa1b025ec0243f708bb5eb0a93d6fb52 0000-0003-0814-0801 Ashley Akbari Ashley Akbari true false 381464f639f98bd388c29326ca7f862c Rowena Griffiths Rowena Griffiths true false 08355523472f83415c680f820316791c Dave Graham-Woollard Dave Graham-Woollard true false 2023-01-18 THER This study aimed to estimate costs associated with managing patients with cellulitis from the UK National Health Service (NHS) perspective. The analysis was undertaken through the Secure Anonymised Information Linkage Databank, which brings together population-scale, individual-level anonymised linked data from a wide range of sources, including 80% of primary care general practices within Wales (population coverage ~3.2 million). The data covered a 20-year period from 1999 to 2019. All patients linked to the relevant codes were tracked through primary care settings, recording the number of general practice visits (number of days with an event recorded) and number of in-patient stays. Resources were valued in monetary terms (£ sterling), with costs determined from national published sources of unit costs. These resources were then extrapolated out to reflect UK NHS costs. This is the first attempt to estimate the financial burden of cellulitis using routine data sources on a national scale. The estimated direct annual costs to the Welsh NHS (£28 554 338) are considerable. In-Patient events and length of stay costs are the main cost drivers, with annual Welsh NHS estimates of £19 664 126 with primary care events costing £8 890 212. Initiatives to support patients and healthcare professionals in identifying early signs/risks of cellulitis, improve the accuracy of initial diagnosis, prevent cellulitis recurrence, and improve evidence-based treatment pathways would result in major financial savings, to both the Welsh and UK NHS. In light of these findings, Wales has developed the innovative National Lymphoedema cellulitis Improvement Programme to address these burdens; providing a proactive model of cellulitis care. Journal Article International Wound Journal 20 6 2129 2140 Wiley 1742-4801 1742-481X Cellulitis, economic burden, longitudinal data, lymphoedema, SAIL databank 31 8 2023 2023-08-31 10.1111/iwj.14088 http://dx.doi.org/10.1111/iwj.14088 COLLEGE NANME Therapies COLLEGE CODE THER Swansea University Another institution paid the OA fee HDR UK Ltd, Grant/Award Number:HDR-9006; UK Medical Research Council; Engineering and Physical Sciences Research Council; Economic and Social Research Council; Department of Health and Social Care (England); Chief Scientist Office of the Scottish Government Health and Social Care Directorates; Health and Social Care Research and Development Division (Welsh Government); Public Health Agency (Northern Ireland); British Heart Foundation (BHF); Wellcome Trust; ADR Wales programme of work; ADRUK, Grant/Award Number: ES/S007393/1. 2023-09-04T17:31:10.7996151 2023-01-18T12:35:49.5324633 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Ioan Humphreys 0000-0001-7993-0179 1 Ashley Akbari 0000-0003-0814-0801 2 Rowena Griffiths 3 Dave Graham-Woollard 4 Karen Morgan 5 Rhian Noble‐Jones 6 Marie Gabe‐Walters 7 Melanie Thomas 8 62361__26607__8a57deda3f334dc7828bdf1b5f2d8468.pdf 62361.pdf 2023-02-17T09:58:18.4705663 Output 1406965 application/pdf Version of Record true © 2023 The Authors. Distributed under the terms of a Creative Commons Attribution Non Commercial 4.0 License (CC BY-NC 4.0). true eng http://creativecommons.org/licenses/by-nc/4.0/
title Evaluating the cost of managing patients with cellulitis in Wales, UK: A 20‐year population‐scale study
spellingShingle Evaluating the cost of managing patients with cellulitis in Wales, UK: A 20‐year population‐scale study
Ioan Humphreys
Ashley Akbari
Rowena Griffiths
Dave Graham-Woollard
title_short Evaluating the cost of managing patients with cellulitis in Wales, UK: A 20‐year population‐scale study
title_full Evaluating the cost of managing patients with cellulitis in Wales, UK: A 20‐year population‐scale study
title_fullStr Evaluating the cost of managing patients with cellulitis in Wales, UK: A 20‐year population‐scale study
title_full_unstemmed Evaluating the cost of managing patients with cellulitis in Wales, UK: A 20‐year population‐scale study
title_sort Evaluating the cost of managing patients with cellulitis in Wales, UK: A 20‐year population‐scale study
author_id_str_mv 399e932224d259fca801505dc92cebf7
aa1b025ec0243f708bb5eb0a93d6fb52
381464f639f98bd388c29326ca7f862c
08355523472f83415c680f820316791c
author_id_fullname_str_mv 399e932224d259fca801505dc92cebf7_***_Ioan Humphreys
aa1b025ec0243f708bb5eb0a93d6fb52_***_Ashley Akbari
381464f639f98bd388c29326ca7f862c_***_Rowena Griffiths
08355523472f83415c680f820316791c_***_Dave Graham-Woollard
author Ioan Humphreys
Ashley Akbari
Rowena Griffiths
Dave Graham-Woollard
author2 Ioan Humphreys
Ashley Akbari
Rowena Griffiths
Dave Graham-Woollard
Karen Morgan
Rhian Noble‐Jones
Marie Gabe‐Walters
Melanie Thomas
format Journal article
container_title International Wound Journal
container_volume 20
container_issue 6
container_start_page 2129
publishDate 2023
institution Swansea University
issn 1742-4801
1742-481X
doi_str_mv 10.1111/iwj.14088
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
url http://dx.doi.org/10.1111/iwj.14088
document_store_str 1
active_str 0
description This study aimed to estimate costs associated with managing patients with cellulitis from the UK National Health Service (NHS) perspective. The analysis was undertaken through the Secure Anonymised Information Linkage Databank, which brings together population-scale, individual-level anonymised linked data from a wide range of sources, including 80% of primary care general practices within Wales (population coverage ~3.2 million). The data covered a 20-year period from 1999 to 2019. All patients linked to the relevant codes were tracked through primary care settings, recording the number of general practice visits (number of days with an event recorded) and number of in-patient stays. Resources were valued in monetary terms (£ sterling), with costs determined from national published sources of unit costs. These resources were then extrapolated out to reflect UK NHS costs. This is the first attempt to estimate the financial burden of cellulitis using routine data sources on a national scale. The estimated direct annual costs to the Welsh NHS (£28 554 338) are considerable. In-Patient events and length of stay costs are the main cost drivers, with annual Welsh NHS estimates of £19 664 126 with primary care events costing £8 890 212. Initiatives to support patients and healthcare professionals in identifying early signs/risks of cellulitis, improve the accuracy of initial diagnosis, prevent cellulitis recurrence, and improve evidence-based treatment pathways would result in major financial savings, to both the Welsh and UK NHS. In light of these findings, Wales has developed the innovative National Lymphoedema cellulitis Improvement Programme to address these burdens; providing a proactive model of cellulitis care.
published_date 2023-08-31T17:31:12Z
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