Dressings and Topical Agents for Chronic Wounds - NIHR Health ...

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Appendix 11TABLE 28 Differences in dressing frequency betweenhydrocolloid and gauze dressingsDressing type Difference Significance(95% CI)Hydrocolloid GauzeAverage no. of 0.43 2.58 2.15 p = 0.01dressing changes (0.93, 3.37)per day aSummary statisticsNumber of studies b 5 5Mean 0.34 2.42Median 0.31 2.5Minimum 0.24 0.7Maximum 0.42 4.1aAfter adjusting for length of studybFive studies not common to both groupsTABLE 29 Incremental variable costs of hydrocolloid dressingscompared with gauzeStudy Incremental variable 1997 £UK acost per patientMilward, 1991 102 –£14 (1990) 17.49Ohlssen, et al., 1994 72 45 SEK (1994) 3.19Meridith & Gray, 1988 100 –£19 (1988) 27.99Xakellis & Chrischilles, $12 (1990) 9.021992 55Colwell, et al., 1993 54 $0.65 (1993) 0.46aConverted using GNP purchasing power parities and inflated using retailprices index126
Health Technology Assessment 1999; Vol. 3: No. 17 (Pt 2)Health Technology Assessmentpanel membershipThis report was identified as a priority by the Pharmaceutical Panel.Current membersChair:Professor Francis H CreedUniversity of ManchesterProfessor Clifford BaileyUniversity of LeedsMs Tracy BuryChartered Societyof PhysiotherapyProfessor Collette CliffordUniversity of BirminghamDr Katherine DartonM.I.N.D.Mr John DunningPapworth Hospital, CambridgeMr Jonathan EarnshawGloucester Royal HospitalMr Leonard FenwickFreeman Groupof Hospitals,Newcastle-upon-TyneProfessor David FieldLeicester Royal InfirmaryMs Grace GibbsWest Middlesex UniversityHospital NHS TrustAcute Sector PanelDr Neville GoodmanSouthmead HospitalServices Trust,BristolProfessor Mark HaggardMRC Institute ofHearing Research,University of NottinghamProfessor Robert HawkinsUniversity of ManchesterDr Duncan KeeleyGeneral Practitioner, ThameDr Rajan MadhokEast Riding Health AuthorityDr John PounsfordFrenchay Hospital,BristolDr Mark SculpherUniversity of YorkDr Iqbal SramNHS Executive,North West RegionMrs Joan WebsterConsumer memberPast membersProfessor John Farndon *University of BristolProfessor Senga BondUniversity of Newcastleupon-TyneProfessor Ian CameronSoutheast Thames RegionalHealth AuthorityMs Lynne ClemenceMid-Kent Health Care TrustProfessor Cam DonaldsonUniversity of AberdeenProfessor Richard EllisSt James’s University Hospital,LeedsMr Ian HammondBedford & Shires Health& Care NHS TrustProfessor Adrian HarrisChurchill Hospital, OxfordDr Gwyneth LewisDepartment of HealthMrs Wilma MacPhersonSt Thomas’s & Guy’s Hospitals,LondonDr Chris McCallGeneral Practitioner,DorsetProfessor Alan McGregorSt Thomas’s Hospital,LondonProfessor Jon NichollUniversity of SheffieldProfessor John NormanUniversity of SouthamptonProfessor Michael SheppardQueen Elizabeth Hospital,BirminghamProfessor Gordon StirratSt Michael’s Hospital,BristolDr William Tarnow-MordiUniversity of DundeeProfessor Kenneth TaylorHammersmith Hospital,London*Previous Chaircontinued131
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Health Technology Assessment 1999;
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Systematic reviews of wound careman
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Executive summarythan either an alg
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Introduction2sores) or due to under
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Introduction4healing rates are low
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ResultsMacfie & McMahon, 1980 34Com
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ResultsLe Vasseur & Helme, 1991 40C
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ResultsMustoe et al., 1994 43Compar
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ResultsSayag et al., 1996 49Compari
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ResultsOleske et al., 1986 57Compar
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ResultsBrod et al., 1990 66Comparis
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ResultsMoffatt et al., 1992 88Compa
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ResultsArnold et al., 1994 99Compar
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Results28healed under a lyophilised
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ResultsZuccarelli, 1993 113Comparis
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ResultsHolzinger et al., 1994 70Com
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ResultsWerner-Schlenzka & Kuhlmann,
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ResultsTosti & Veronesi, 1983 132Co
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ResultsSix trials evaluated cost-ef
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Discussion40Several trials evaluate
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Discussionmay also exist for other
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Conclusionssupport, promote collabo
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Appendix 6TABLE 7 contd Dressings c
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