The Financial Burden of Chronic Wounds in Primary Care: A Real-World Cost Analysis
A 2025 study published in the *International Wound Journal* offers one of the most comprehensive real-world analyses of the cost and prevalence of chronic wounds in primary care settings. Drawing on extensive electronic medical records from Italy, the study sheds light on the significant economic and clinical impact of treating chronic wounds such as diabetic foot ulcers (DFUs), pressure injuries (PIs), venous leg ulcers (VLUs), and arterial ulcers (AUs).
Key Highlights:
- Study Scope: Over 7,400 patients with chronic wounds were identified across 1.6 million+ medical records. Wound types included DFUs (27.6%), VLUs (25.4%), PIs (23.7%), AUs (7.8%), and others (15.4%).
- Economic Impact: The average annual cost per patient ranged from €3,468 (VLUs) to €5,748 (DFUs). Medication and home care were the main cost drivers, with wound dressings accounting for over 50% of costs.
- Comorbidity Patterns: High rates of comorbidities were observed, including diabetes, hypertension, and cardiovascular disease—highlighting the complex medical management required for this population.
- Age and Gender Trends: Chronic wounds were more prevalent in older adults, with women representing a slight majority overall. However, DFUs were more common in men, especially over age 70.
- Policy Implications: The authors urge more proactive prevention, earlier intervention, and better resource allocation to address the growing burden of chronic wounds in aging populations.
This real-world study emphasizes the financial strain chronic wounds place on healthcare systems and reinforces the need for early, multidisciplinary intervention—particularly in primary care settings.
Based on findings published in the *International Wound Journal* (May 2025).
Keywords: chronic wounds, primary care, wound costs, diabetic foot ulcers, wound prevalence