Chronic wounds: Treatment consensus
The Wound Healing Foundation (WHF) recognised a need for an unbiased consensus on the best treatment of chronic wounds. A panel of 13 experts were invited to a virtual meeting which took place on 27 March 2021. The proceedings were organised in the sub‐sections diagnosis, debridement, infection cont...
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| Published in | Wound repair and regeneration Vol. 30; no. 2; pp. 156 - 171 |
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| Main Authors | , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Hoboken, USA
John Wiley & Sons, Inc
01.03.2022
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| Subjects | |
| Online Access | Get full text |
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| Abstract | The Wound Healing Foundation (WHF) recognised a need for an unbiased consensus on the best treatment of chronic wounds. A panel of 13 experts were invited to a virtual meeting which took place on 27 March 2021. The proceedings were organised in the sub‐sections diagnosis, debridement, infection control, dressings, grafting, pain management, oxygen treatment, outcomes and future needs. Eighty percent or better concurrence among the panellists was considered a consensus. A large number of critical questions were discussed and agreed upon. Important takeaways included that wound care needs to be simplified to a point that it can be delivered by the patient or the patient's family. Another one was that telemonitoring, which has proved very useful during the COVID‐19 pandemic, can help reduce the frequency of interventions by a visiting nurse or a wound care center. Defining patient expectations is critical to designing a successful treatment. Patient outcomes might include wound specific outcomes such as time to heal, wound size reduction, as well as improvement in quality of life. For those patients with expectations of healing, an aggressive approach to achieve that goal is recommended. When healing is not an expectation, such as in patients receiving palliative wound care, outcomes might include pain reduction, exudate management, odour management and/or other quality of life benefits to wound care. |
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| AbstractList | The Wound Healing Foundation (WHF) recognised a need for an unbiased consensus on the best treatment of chronic wounds. A panel of 13 experts were invited to a virtual meeting which took place on 27 March 2021. The proceedings were organised in the sub‐sections diagnosis, debridement, infection control, dressings, grafting, pain management, oxygen treatment, outcomes and future needs. Eighty percent or better concurrence among the panellists was considered a consensus. A large number of critical questions were discussed and agreed upon. Important takeaways included that wound care needs to be simplified to a point that it can be delivered by the patient or the patient's family. Another one was that telemonitoring, which has proved very useful during the COVID‐19 pandemic, can help reduce the frequency of interventions by a visiting nurse or a wound care center. Defining patient expectations is critical to designing a successful treatment. Patient outcomes might include wound specific outcomes such as time to heal, wound size reduction, as well as improvement in quality of life. For those patients with expectations of healing, an aggressive approach to achieve that goal is recommended. When healing is not an expectation, such as in patients receiving palliative wound care, outcomes might include pain reduction, exudate management, odour management and/or other quality of life benefits to wound care. |
| Author | Kirsner, Robert S. Gibbons, Gary W. Martins‐Green, Manuela M. Armstrong, David G. Olutoye, Oluyinka O. Wolcott, Randy Weir, Dot Gurtner, Geoffrey C. Schultz, Gregory S. Eriksson, Elof Tanaka, Rica Liu, Paul Y. Gould, Lisa J. |
| AuthorAffiliation | 1 Harvard Medical School Boston MA USA 10 Southwest Regional WCC Lubbock Texas USA 7 Department of Surgery South Shore Hospital South Weymouth Massachusetts USA 5 Juntendo University School of Medicine Tokyo Japan 9 Boston University School of Medicine, Center for Wound Healing South Shore Health Weymouth MA USA 11 Center for Regenerative Medicine Abigail Wexner Research Institute, Nationwide Children's Hospital Columbus OH USA 12 Department of Surgery The Ohio State University Columbus OH USA 3 Department of Obstetrics and Gynecology and Institute for Wound Research University of Florida Gainesville FA USA 4 Department of Molecular, Cell and Systems Biology Laboratory of Wound Healing Biology, University of California Riverside CA USA 2 Department of Plastic Surgery, Rhode Island Hospital Alpert Medical School of Brown University Providence RI USA 14 Stanford University School of Medicine Palo Alto CA USA 13 Dr Philip Frost Department of Dermatology and Cutaneous Surgery University of Miami Mill |
| AuthorAffiliation_xml | – name: 3 Department of Obstetrics and Gynecology and Institute for Wound Research University of Florida Gainesville FA USA – name: 10 Southwest Regional WCC Lubbock Texas USA – name: 9 Boston University School of Medicine, Center for Wound Healing South Shore Health Weymouth MA USA – name: 2 Department of Plastic Surgery, Rhode Island Hospital Alpert Medical School of Brown University Providence RI USA – name: 5 Juntendo University School of Medicine Tokyo Japan – name: 7 Department of Surgery South Shore Hospital South Weymouth Massachusetts USA – name: 13 Dr Philip Frost Department of Dermatology and Cutaneous Surgery University of Miami Miller School of Medicine Miami FA USA – name: 4 Department of Molecular, Cell and Systems Biology Laboratory of Wound Healing Biology, University of California Riverside CA USA – name: 12 Department of Surgery The Ohio State University Columbus OH USA – name: 14 Stanford University School of Medicine Palo Alto CA USA – name: 6 Saratoga Hospital Center for Wound Healing and Hyperbaric Medicine Saratoga Springs New York USA – name: 8 Keck School of Medicine of University of Southern California Los Angeles CA USA – name: 1 Harvard Medical School Boston MA USA – name: 11 Center for Regenerative Medicine Abigail Wexner Research Institute, Nationwide Children's Hospital Columbus OH USA |
| Author_xml | – sequence: 1 givenname: Elof orcidid: 0000-0003-2514-1646 surname: Eriksson fullname: Eriksson, Elof email: elof@comcast.net organization: Harvard Medical School – sequence: 2 givenname: Paul Y. surname: Liu fullname: Liu, Paul Y. organization: Alpert Medical School of Brown University – sequence: 3 givenname: Gregory S. surname: Schultz fullname: Schultz, Gregory S. organization: University of Florida – sequence: 4 givenname: Manuela M. orcidid: 0000-0001-8485-326X surname: Martins‐Green fullname: Martins‐Green, Manuela M. organization: Laboratory of Wound Healing Biology, University of California – sequence: 5 givenname: Rica surname: Tanaka fullname: Tanaka, Rica organization: Juntendo University School of Medicine – sequence: 6 givenname: Dot surname: Weir fullname: Weir, Dot organization: Saratoga Hospital Center for Wound Healing and Hyperbaric Medicine – sequence: 7 givenname: Lisa J. orcidid: 0000-0001-5167-4679 surname: Gould fullname: Gould, Lisa J. organization: South Shore Hospital – sequence: 8 givenname: David G. surname: Armstrong fullname: Armstrong, David G. organization: Keck School of Medicine of University of Southern California – sequence: 9 givenname: Gary W. surname: Gibbons fullname: Gibbons, Gary W. organization: Boston University School of Medicine, Center for Wound Healing South Shore Health – sequence: 10 givenname: Randy surname: Wolcott fullname: Wolcott, Randy organization: Southwest Regional WCC – sequence: 11 givenname: Oluyinka O. surname: Olutoye fullname: Olutoye, Oluyinka O. organization: The Ohio State University – sequence: 12 givenname: Robert S. surname: Kirsner fullname: Kirsner, Robert S. organization: University of Miami Miller School of Medicine – sequence: 13 givenname: Geoffrey C. orcidid: 0000-0001-6118-7161 surname: Gurtner fullname: Gurtner, Geoffrey C. organization: Stanford University School of Medicine |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35130362$$D View this record in MEDLINE/PubMed |
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| Publisher | John Wiley & Sons, Inc |
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| Title | Chronic wounds: Treatment consensus |
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