Here - EWMA 2013

EP 544
E-POSTER PRESENTATIONS
E-Poster: Wound Assessment
E-POSTER: WOUND ASSESSMENT
EP 545
E-Poster: Wound Assessment
Evidence Based Comparison of Three Advanced Adjunctive Wound
Care Therapies in the Treatment of Diabetic and Venous Ulcers
Michael Griffiths 1
1 AOTI (Oceanside, United States).
Aim: Advanced Adjunctive Wound Care Treatment Modalities such as Negative
Pressure Wound Therapy (NPWT), Full Body Hyperbaric Oxygen Therapy (HBOT) and
Topical Wound Oxygen Therapy (TWOT), are commonly used to help heal recalcitrant
chronic wounds. This study compares their relative application and the published
evidence as to their effectiveness and costs.
Methods: A thorough literature review was conducted for each modality when utilized in
the treatment of Diabetic and Venous ulcers. Functional and ease of application
comparisons between the modalities, as well as their relative clinical and cost
effectiveness in healing chronic diabetic and venous ulcers was evaluated.
Results: Both HBOT and TWOT appear more effective than NPWT in healing chronic
Diabetic ulcers. TWOT appears more effective than both HBOT and NPWT in healing
chronic Venous ulcers. NPWT and TWO2 offer the additional benefit of being deliverable
in non-institutional settings where healthcare delivery costs are lower and thereby
appear more cost effective.
Conclusion/Discussion: As has been pointed out in many published reviews, the
quantity and quality of Randomized Controlled Studies for each of the modalities is
limited. This being said, the entire body of published evidence for all three modalities is
significant, allowing for meaningful comparisons. With the ever increasing global
incidence and resultant costs associated with treating chronic diabetic and venous
ulcers, it is critical that both the clinical effectiveness and cost effectiveness of different
modalities be considered when making treatment decisions.
WITHDRAWN
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