Effectiveness of special dressings in the treatment of pressure and leg ulcers. IPE-01/28 (Public report)

Bouza Alvarez C, Sanz de Leon O M, Amate Blanco J M
Record ID 32002000379
Authors' objectives:

To evaluate the effectiveness and cost-effectiveness of modern dressings in the treatment of pressure ulcers and leg ulcers of vascular origin considering the scientific evidence available.

Authors' recomendations: Chronic wounds such as pressure ulcers and leg ulcers are common and cause considerable morbidity in both acute and community healthcare settings. Dressing therapy of these wounds remains empirical and to date there is little evidence to indicate which dressings are the most effective in their care. In the treatment of pressure ulcers some data indicate that hydrocolloid dressings seem to increase the proportion of healed ulcers compared with traditional saline-gauze dressings. There is no evidence that modern dressings are more effective than simple dressings (knitted viscose dressings or saline gauze) for the treatment of leg ulcers. Among modern dressings there is no evidence that any particular dressing type is more effective in healing pressure ulcers or leg ulcers. However, it should be emphasized that the level of certainty with which we can draw firm conclusions from the studies detailed in this review is greatly tempered by the methodological flaws and poor quality of many of the trials.
Authors' methods: Systematic review
Project Status: Completed
URL for project: http://www.isciii.es/aets/
Year Published: 2001
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Spain
MeSH Terms
  • Bandages
  • Leg Ulcer
  • Pressure Ulcer
  • Wound Healing
Organisation Name: Agencia de Evaluacion de Tecnologias Sanitarias
Contact Address: Jose Luis de Sancho Martin, Instituto de Salud "Carlos III", Calle Sinesio Delgado 6, Pabellon 4, 28029 Madrid, Spain. Tel: +34 9 1 822 2005; Fax: +34 9 1 387 7841;
Contact Name: jsancho@isciii.es
Contact Email: jsancho@isciii.es
Copyright: Agencia de Evaluacion de Tecnologias Sanitarias
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.