Skip to main content

Chronic wounds of the lower extremity: a preliminary performance measurement set.

Publication ,  Journal Article
Harlin, SL; Willard, LA; Rush, KJ; Ghisletta, LC; Meyers, WC
Published in: Plast Reconstr Surg
January 2008

BACKGROUND: Chronic wounds of the lower extremity, a well-known condition with a high prevalence, high cost, variable practice pattern, and poor clinical outcome, are often managed by a nonintegrated health care system. The authors formed a multispecialty expert work group to draft a preliminary performance measurement set for the care of chronic wounds of the lower extremity. METHODS: The authors conducted a systematic review of existing scientific literature addressing the assessment and treatment of chronic wounds of the lower extremity. Admissible studies were screened using explicit threshold criteria and appraised for methodologic rigor against criteria promulgated by the Agency for Healthcare Research and Quality. Nine candidate performance measures emerged from the research synthesis. To estimate work group consensus and negate bias, the authors used latent class analysis. RESULTS: A total of 55 clinical practice guidelines, 45 systematic reviews, three specialty society consensus statements, and seven health care technology assessments were reviewed. Only 46 were found to be of sufficient quality for use in measure development. Detailed specifications are reported for each performance measure, including period of assessment, method of reporting, sources of data, rationale, corresponding guidelines, and challenges to implementation. CONCLUSIONS: The authors conclude that the peer-reviewed literature, imperfect as it is, well characterizes the core processes of care entailed in the assessment and treatment of chronic wounds of the lower extremity. The authors found ample support for the creation of an initial performance measurement set. Devoid of consensus among relevant specialty associations and key public and private stakeholder groups, however, this work is primitive.

Duke Scholars

Published In

Plast Reconstr Surg

DOI

EISSN

1529-4242

Publication Date

January 2008

Volume

121

Issue

1

Start / End Page

142 / 174

Location

United States

Related Subject Headings

  • Wounds and Injuries
  • Wound Healing
  • Treatment Outcome
  • Surgery
  • Quality Indicators, Health Care
  • Quality Assurance, Health Care
  • Practice Guidelines as Topic
  • Patient Care Team
  • Lower Extremity
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Harlin, S. L., Willard, L. A., Rush, K. J., Ghisletta, L. C., & Meyers, W. C. (2008). Chronic wounds of the lower extremity: a preliminary performance measurement set. Plast Reconstr Surg, 121(1), 142–174. https://doi.org/10.1097/01.prs.0000294969.68930.06
Harlin, Stephen L., Lauren A. Willard, Kelsey J. Rush, Leslie C. Ghisletta, and William C. Meyers. “Chronic wounds of the lower extremity: a preliminary performance measurement set.Plast Reconstr Surg 121, no. 1 (January 2008): 142–74. https://doi.org/10.1097/01.prs.0000294969.68930.06.
Harlin SL, Willard LA, Rush KJ, Ghisletta LC, Meyers WC. Chronic wounds of the lower extremity: a preliminary performance measurement set. Plast Reconstr Surg. 2008 Jan;121(1):142–74.
Harlin, Stephen L., et al. “Chronic wounds of the lower extremity: a preliminary performance measurement set.Plast Reconstr Surg, vol. 121, no. 1, Jan. 2008, pp. 142–74. Pubmed, doi:10.1097/01.prs.0000294969.68930.06.
Harlin SL, Willard LA, Rush KJ, Ghisletta LC, Meyers WC. Chronic wounds of the lower extremity: a preliminary performance measurement set. Plast Reconstr Surg. 2008 Jan;121(1):142–174.

Published In

Plast Reconstr Surg

DOI

EISSN

1529-4242

Publication Date

January 2008

Volume

121

Issue

1

Start / End Page

142 / 174

Location

United States

Related Subject Headings

  • Wounds and Injuries
  • Wound Healing
  • Treatment Outcome
  • Surgery
  • Quality Indicators, Health Care
  • Quality Assurance, Health Care
  • Practice Guidelines as Topic
  • Patient Care Team
  • Lower Extremity
  • Humans