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dc.contributor.authorFinlayson, Kathleen J-
dc.contributor.authorParker, Christina N-
dc.contributor.authorMiller, Charne-
dc.contributor.authorGibb, Michelle-
dc.contributor.authorKapp, Suzanne-
dc.contributor.authorOgrin, Rajna-
dc.contributor.authorAnderson, Jacinta-
dc.contributor.authorColeman, Kerrie-
dc.contributor.authorSmith, Dianne-
dc.contributor.authorEdwards, Helen E-
dc.identifier.citationInternational wound journal 2018; 15(5): 686-694-
dc.description.abstractThe 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.-
dc.subjectrisk assessment-
dc.subjectvenous leg ulcers-
dc.titlePredicting the likelihood of venous leg ulcer recurrence: The diagnostic accuracy of a newly developed risk assessment tool.-
dc.typeJournal Article-
dc.identifier.journaltitleInternational wound journal-
dc.identifier.affiliationLa Trobe University, Melbourne, Victoria, Australia-
dc.identifier.affiliationAlfred Health Clinical School, The Alfred Centre, Prahran, Victoria 3181, Australia-
dc.identifier.affiliationWound Management Innovation Cooperative Research Centre, Queensland, Australia-
dc.identifier.affiliationSchool of Health Sciences, Department of Nursing, The University of Melbourne, Carlton, Victoria, Australia-
dc.identifier.affiliationAustin Health, Heidelberg, Victoria, Australia-
dc.identifier.affiliationBolton Clarke, St Kilda, Victoria, Australia-
dc.identifier.affiliationBolton Clarke, Bundoora, Victoria, Australia-
dc.identifier.affiliationMultidisciplinary Skin Integrity Service, Royal Brisbane & Women's Hospital, St. Herston, Queensland, Australia-
dc.identifier.affiliationFaculty of Health, Queensland University of Technology, Kelvin Grove, Queensland, Australia-
dc.identifier.affiliationInstitute of Health & Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Queensland, Australia-
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