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Evidence-based recommendations for the use of negative pressure wound therapy in chronic wounds: Steps towards an international consensus

Vig, S.; Dowsett, C.; Berg, L.; Caravaggi, C.; Rome, P.; Birke-Sorensen, H.; Bruhin, A.; Chariker, M.; Depoorter, M. and Dunn, R., et al. (2011) In Journal of Tissue Viability 20. p.1-18
Abstract
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... (More)
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. (c) 2011 Published by Elsevier Ltd on behalf of Tissue Viability Society. (Less)
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keywords
Negative Pressure Wound Therapy (NPWT), Consensus, Recommendations, Systematic review, Chronic wounds, Pressure ulcers, Diabetic foot, ulcers, Ischaemic ulcers
in
Journal of Tissue Viability
volume
20
pages
1 - 18
publisher
Elsevier
external identifiers
  • wos:000306306000001
  • scopus:84855195021
ISSN
1876-4746
DOI
10.1016/j.jtv.2011.07.002
language
English
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yes
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4a0dc579-61aa-4b41-8d75-76a568ff5dac (old id 4361211)
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2014-03-20 14:34:42
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2017-10-22 03:08:38
@article{4a0dc579-61aa-4b41-8d75-76a568ff5dac,
  abstract     = {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. (c) 2011 Published by Elsevier Ltd on behalf of Tissue Viability Society.},
  author       = {Vig, S. and Dowsett, C. and Berg, L. and Caravaggi, C. and Rome, P. and Birke-Sorensen, H. and Bruhin, A. and Chariker, M. and Depoorter, M. and Dunn, R. and Duteille, F. and Ferreira, F. and Francos Martinez, J. M. and Grudzien, G. and Hudson, D. and Ichioka, S. and Ingemansson, Richard and Jeffery, S. and Krug, E. and Lee, C. and Malmsjö, Malin and Runkel, N. and Martin, R. and Smith, J.},
  issn         = {1876-4746},
  keyword      = {Negative Pressure Wound Therapy (NPWT),Consensus,Recommendations,Systematic review,Chronic wounds,Pressure ulcers,Diabetic foot,ulcers,Ischaemic ulcers},
  language     = {eng},
  pages        = {1--18},
  publisher    = {Elsevier},
  series       = {Journal of Tissue Viability},
  title        = {Evidence-based recommendations for the use of negative pressure wound therapy in chronic wounds: Steps towards an international consensus},
  url          = {http://dx.doi.org/10.1016/j.jtv.2011.07.002},
  volume       = {20},
  year         = {2011},
}