From: Cost-effectiveness analysis of guideline-based optimal care for venous leg ulcers in Australia
 | Usual care | Optimal care (Option 1) | Optimal care (Option 2) |
---|---|---|---|
Healed VLU | No additional care | • Clinic assessment by nurse practitioner every 3 months • Compression stocking every 3 months | • Clinic assessment by GP every 3 months • Compression stocking every 3 months |
Unhealed VLU | • One-off assessment by GP • Clinic visits to GP or community nurse or outpatient clinic twice a week • Dressings change twice a week • High compression therapy prescribed to 50% of patients If infected • Pathology test every week • systemic antibiotics | • One-off ABPI or vascular assessment and assessment by nurse practitioner and vascular surgeon • Clinic visits to nurse practitioner once a week • Dressings change every week • High compression therapy prescribed to everyone If infected • One-off pathology test • Debridement once a week • Systemic antibiotics | • One-off ABPI and GP assessment • Clinic visits to GP or community nurse or outpatient clinic once a week • Dressings change every week • High compression therapy prescribed to everyone If infected • One-off pathology test • Debridement once a week • Systemic antibiotics |