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Hyperbaric oxygen therapy in diabetic foot ulceration : Useless or useful? A battle

Löndahl, Magnus LU and Boulton, Andrew J.M. (2020) In Diabetes/Metabolism Research and Reviews 36(S1).
Abstract

The use of hyperbaric oxygen therapy (HBO) in the treatment of certain types of diabetic foot ulcers (DFU) has been the topic of much debate and disagreement over the last several decades. In this review, the evidence for its use is presented and discussed by two experts in DFU management. Whereas some randomized controlled trials suggest that HBO may speed the healing of certain ischaemic or neuroischaemic ulcers after the failure of standard of care, most recent trials have been negative. No RCT is perfect, and the weaknesses of RCTs in this therapeutic area are discussed. It can be concluded that the indications for the use of HBO remain unclear, and that large, rigorously designed and executed RCTs are required to clarify the use of... (More)

The use of hyperbaric oxygen therapy (HBO) in the treatment of certain types of diabetic foot ulcers (DFU) has been the topic of much debate and disagreement over the last several decades. In this review, the evidence for its use is presented and discussed by two experts in DFU management. Whereas some randomized controlled trials suggest that HBO may speed the healing of certain ischaemic or neuroischaemic ulcers after the failure of standard of care, most recent trials have been negative. No RCT is perfect, and the weaknesses of RCTs in this therapeutic area are discussed. It can be concluded that the indications for the use of HBO remain unclear, and that large, rigorously designed and executed RCTs are required to clarify the use of HBO in DFU treatment.

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Please use this url to cite or link to this publication:
author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
diabetic foot ulcer, hyperbaric oxygen, therapies
in
Diabetes/Metabolism Research and Reviews
volume
36
issue
S1
article number
e3233
publisher
John Wiley & Sons Inc.
external identifiers
  • scopus:85077842729
  • pmid:31927787
ISSN
1520-7552
DOI
10.1002/dmrr.3233
language
English
LU publication?
yes
id
6483766d-f436-4e39-a1ac-fedc3f9fecf4
date added to LUP
2021-01-05 11:22:04
date last changed
2024-07-11 05:05:53
@article{6483766d-f436-4e39-a1ac-fedc3f9fecf4,
  abstract     = {{<p>The use of hyperbaric oxygen therapy (HBO) in the treatment of certain types of diabetic foot ulcers (DFU) has been the topic of much debate and disagreement over the last several decades. In this review, the evidence for its use is presented and discussed by two experts in DFU management. Whereas some randomized controlled trials suggest that HBO may speed the healing of certain ischaemic or neuroischaemic ulcers after the failure of standard of care, most recent trials have been negative. No RCT is perfect, and the weaknesses of RCTs in this therapeutic area are discussed. It can be concluded that the indications for the use of HBO remain unclear, and that large, rigorously designed and executed RCTs are required to clarify the use of HBO in DFU treatment.</p>}},
  author       = {{Löndahl, Magnus and Boulton, Andrew J.M.}},
  issn         = {{1520-7552}},
  keywords     = {{diabetic foot ulcer; hyperbaric oxygen; therapies}},
  language     = {{eng}},
  number       = {{S1}},
  publisher    = {{John Wiley & Sons Inc.}},
  series       = {{Diabetes/Metabolism Research and Reviews}},
  title        = {{Hyperbaric oxygen therapy in diabetic foot ulceration : Useless or useful? A battle}},
  url          = {{http://dx.doi.org/10.1002/dmrr.3233}},
  doi          = {{10.1002/dmrr.3233}},
  volume       = {{36}},
  year         = {{2020}},
}