@article{ab59c2675bbc41d4b12368a5827bd036,
title = "Chronic wounds: Treatment consensus",
abstract = "The Wound Healing Foundation (WHF) recognised a need for an unbiased consensus on the best treatment of chronic wounds. A panel of 13 experts were invited to a virtual meeting which took place on 27 March 2021. The proceedings were organised in the sub-sections diagnosis, debridement, infection control, dressings, grafting, pain management, oxygen treatment, outcomes and future needs. Eighty percent or better concurrence among the panellists was considered a consensus. A large number of critical questions were discussed and agreed upon. Important takeaways included that wound care needs to be simplified to a point that it can be delivered by the patient or the patient's family. Another one was that telemonitoring, which has proved very useful during the COVID-19 pandemic, can help reduce the frequency of interventions by a visiting nurse or a wound care center. Defining patient expectations is critical to designing a successful treatment. Patient outcomes might include wound specific outcomes such as time to heal, wound size reduction, as well as improvement in quality of life. For those patients with expectations of healing, an aggressive approach to achieve that goal is recommended. When healing is not an expectation, such as in patients receiving palliative wound care, outcomes might include pain reduction, exudate management, odour management and/or other quality of life benefits to wound care.",
keywords = "arterial, chronic, pressure, treatment consensus, venous, wounds",
author = "Elof Eriksson and Liu, {Paul Y.} and Schultz, {Gregory S.} and Martins-Green, {Manuela M.} and Rica Tanaka and Dot Weir and Gould, {Lisa J.} and Armstrong, {David G.} and Gibbons, {Gary W.} and Randy Wolcott and Olutoye, {Oluyinka O.} and Kirsner, {Robert S.} and Gurtner, {Geoffrey C.}",
note = "Funding Information: A group of five members of the WHF (the editors/five first listed authors) defined the topic and outlined its various parts. The participants to be invited were then selected. Selection criteria included: nationally recognised expertise in chronic wound care and research, specialty diversity (seven clinical and two research specialties were represented) (dermatology, general surgery, vascular surgery, paediatric surgery, plastic surgery, podiatry, nursing and wound healing research), practice setting diversity (academic hospital, private hospital, wound care clinic) and geographic diversity. Even if 12 of the 13 panel members were based in the United States, many foreign publications were reviewed and most panel members participate frequently in international meetings. The conclusions of the panel should therefore be of interest to wound care practitioners outside the United States. A very large number of topics and issues were raised to the panel members before and during the proceedings. These were discussed and statements were formulated. The group unanimously agreed on the vast majority of statements. If there was any dissent, a formal vote took place. Consensus on each statement was defined as 80% or better concurrence among the panel members. In a few cases, the statements were reformulated to reach consensus. Each part of the topic was presented by one of the three people who had been assigned to this part. All presentations were recorded, transcribed and edited into a draft manuscript. The expenses (personnel, IT, recording, transcription and outside editor) were covered by unrestricted donations (from Medline, Convatec, David Zamierowski, MD and Chromologic). No editor or panel member received any payment for their participation. Publisher Copyright: {\textcopyright} 2022 The Authors. Wound Repair and Regeneration published by Wiley Periodicals LLC on behalf of The Wound Healing Society.",
year = "2022",
month = mar,
day = "1",
doi = "10.1111/wrr.12994",
language = "English (US)",
volume = "30",
pages = "156--171",
journal = "Wound Repair and Regeneration",
issn = "1067-1927",
publisher = "Wiley-Blackwell",
number = "2",
}