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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Evidence-based recommendations for the use of negative pressure wound therapy in chronic wounds: Steps towards an international consensus
Journal of Tissue Viability, Volume 20, No. SUPPL. 1, Year 2011
Notification
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Description
Aim: Negative Pressure Wound Therapy (NPWT) has become widely adopted over the last 15 years and over 1000 peer-reviewed publications are available describing its use. Despite this, there remains uncertainty regarding several aspects of usage. In order to respond to this gap a global expert panel was convened to develop evidence-based recommendations describing the use of NPWT. In this communication the results of the study of evidence in chronic wounds including pressure ulcers, diabetic foot ulcers (DFU), venous leg ulcers (VLU), and ischaemic lower limb wounds are reported. Methods: Evidence-based recommendations were obtained by a systematic review of the literature, grading of evidence, drafting of the recommendations by a global expert panel followed by a formal consultative consensus development program in which 422 independent healthcare professionals were able to agree or disagree with the recommendations. The criteria for agreement were set at 80% agreement. Evidence and recommendations were graded according to the SIGN (Scottish Intercollegiate Guidelines Network) classification system. Results: The primary treatment goal of NPWT in most chronic wounds is to achieve wound closure (either by secondary intention or preparing the wound for surgical closure). Secondary goals commonly include: to reduce wound dimensions, and to improve the quality of the wound bed. Thirteen evidence based recommendations were developed in total to address these treatment goals; 4 for pressure ulcers, 4 for DFU, 3 for ischaemic lower limb wounds and 2 for VLU. Conclusion: The present evidence base is strongest for the use of NPWT in non-ischaemic DFU and weakest in VLU. The development of evidence-based recommendations for NPWT with direct validation from a large group of practicing clinicians offers a broader basis for consensus than work by an expert panel alone. © 2011 Published by Elsevier Ltd on behalf of Tissue Viability Society.
Authors & Co-Authors
Vig, S.
Unknown Affiliation
Dowsett, Caroline
Unknown Affiliation
Berg, L.
Unknown Affiliation
Caravaggi, C.
Unknown Affiliation
Rome, P.
Unknown Affiliation
Birke-Sorensen, H.
Unknown Affiliation
Bruhin, A.
Unknown Affiliation
Chariker, M.
Unknown Affiliation
Depoorter, M.
Unknown Affiliation
Dunn, R.
Unknown Affiliation
Duteille, Franck
Unknown Affiliation
Ferreira, F.
Unknown Affiliation
Francos Martínez, J. M.
Unknown Affiliation
Grudzien, G.
Unknown Affiliation
Hudson, Donald Anthony
Unknown Affiliation
Ichioka, S.
Unknown Affiliation
Ingemansson, Richard
Unknown Affiliation
Jeffery, S.
Unknown Affiliation
Krug, E.
Unknown Affiliation
Lee, C.
Unknown Affiliation
Malmsjo, M.
Unknown Affiliation
Runkel, N.
Unknown Affiliation
Martin, R.
Unknown Affiliation
Smith, J.
Unknown Affiliation
Statistics
Citations: 127
Authors: 24
Affiliations: 22
Identifiers
Doi:
10.1016/j.jtv.2011.07.002
ISSN:
0965206X
e-ISSN:
18764746
Research Areas
Health System And Policy
Study Approach
Systematic review