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How do venous stasis ulcers affect Quality of Life indicators ?
Friday, November 30, 2012


Venous stasis ulcers are not only debilitating but costly. In one U.S. study, the cost per year per patient with a venous stasis ulcer exceeds $ 40,000. The total impact on the healthcare system is over 1 billion dollars per year. I have evaluated patients who have lived with a venous stasis ulcer for 20 years! Although this is not a common occurence, typically patients come to see us after they have failed to get adequate treatments by their primary care physicians or by wound care centers. A large number of hospital based wound centers espouse expertise in wound care and in most cases, lack an understanding of venous disease.


Very rarely are patients able to work as these open wounds require constant care and cause significant disability. Over 80 % of patients with venous stasis ulcers have limited mobility. According to studies reported in the medical literature, in terms of quality of life, the open wounds cause more concern for patients than symptoms of pain, itching, anxiety, social isolation and reduced ability to perform their daily routine. At least, these wounds require daily or twice daily wound dressing changes. In advanced healthcare environments and systems, patients with venous stasis ulcers are seen by home health care nurses at least once weekly. Physicians who are specialized in wound care also supervise the evolution of these healing wounds once monthly and more frequently when they are infected or have significant necrotic tissue. Dr. Karamanoukian has the experience to recognize and treat infections that are contributing to poorly healing or non-healing venous stasis ulcers.


Dr. hratch Karamanoukian is a member of the American College of Phlebology AND a Diplomate of the American Board of Phlebology. He can be contacted by calling 716-839-3638 or 



Dr. Raffy Karamanoukian is a member of the American College of Phlebology AND a Diplomate of the American Board of Phlebology. He can be contacted by calling 310-998-5535 or 


Drs. Raffy and Hratch Karamanoukian have authored 6 books about venous disease. The books are available on Amazon Kindle and Nook books for download.


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