Prevention, Management, and Access

IJLEW is devoted to improving wound healing. The greater proportion of problem wounds present in the lower extrem-ity and are the result of unrelieved high venous pressures or diabetes. Over the past 30 years, there have been unremit-ting dedicated efforts, some even high profile, to improve our understanding and management of these problems. Where are these leading us? In 2088, Forssgren et al1 reported a decrease in point prevalence of leg ulcers to 2.4 per 1000 from 3.1 per 1000 over a 20-year period in Skaraborg County in Sweden. The reason given for this welcome news is the introduction of change in management strategy. In absolute terms, this is excellent and such information from different areas popula-tions would be of overall benefit indeed. But as the saying goes “the devil is in the detail ” and we need to look at ou