Optimal care of chronic, non-healing, lower extremity wounds: a review of clinical evidence and guidelines
CADTH
Record ID 32014000854
English
Authors' recommendations:
Evidence from one uncontrolled non-randomized study suggests that specialist-lead advanced care for chronic, non-healing, non-pressure related wounds may result in positive outcomes such as healing and that mixed arterial and venous ulcerations are a complex wound presentation for which there is little consensus regarding optimal management. Evidence regarding specialist care compared to healing in the absence of specialist-led advanced care is lacking. Evidence-based guidelines highlight the need for multidisciplinary care that includes participation from at-home caregivers and the patient. Indications for specialist-lead advanced care include evidence of ischemia, inability to comply with wound-care regimens, suspected malignancy, and peripheral arterial disease.
Details
Project Status:
Completed
Year Published:
2013
URL for published report:
http://www.cadth.ca/media/pdf/htis/feb-2014/RC0507%20Extremity%20Wound%20Management%20Final.pdf
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Canada
MeSH Terms
- Humans
- Wound Healing
- Wounds and Injuries
- Lower Extremity
- Chronic Disease
Contact
Organisation Name:
Canadian Agency for Drugs and Technologies in Health
Contact Address:
600-865 Carling Avenue, Ottawa, ON K1S 5S8 Canada. Tel: +1 613 226 2553; Fax: +1 613 226 5392;
Contact Name:
requests@cadth.ca
Contact Email:
requests@cadth.ca
Copyright:
Canadian Agency for Drugs and Technologies in Health (CADTH)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.