An observational study of a superabsorbent polymer dressing evaluated by clinicians and patients

Barrett, Simon; Callaghan, Rosie; Chadwick, Paul; Haycocks, Samantha; Rippon, Mark; Stephen-Haynes, Jackie; Simm, S

doi:10.12968/jowc.2018.27.2.91

Cited by 8 publications

(25 citation statements)

References 33 publications

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“…Simultaneously, the cost of care is reduced compared with a mix of other dressings. In a cost‐description analysis from the UK, Barrett 2018, found that treating 10 patients for 2 weeks with a superabsorbent dressing led to cost savings of £1179, compared with patients' total costs in the 2 weeks before the start of the study 34 …”

Section: Resultsmentioning

confidence: 99%

“…Of the 14 publications identified in the clinical SLR, the majority were case series ( n = 11), 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 with one RCT, 43 one retrospective matched observational cohort study, 44 and one retrospective cohort study 45 (Table 1 ). The most common country of origin was the United Kingdom (UK) ( n = 8).…”

Section: Resultsmentioning

confidence: 99%

“…In a costdescription analysis from the UK, Barrett 2018, found that treating 10 patients for 2 weeks with a superabsorbent dressing led to cost savings of £1179, compared with patients' total costs in the 2 weeks before the start of the study. 34 Similarly, a cost-utility analysis for Germany demonstrated that when compared with a mix of dressings for moderate to high exuding leg ulcers, treatment with superabsorbent dressings leads to more favourable health outcomes and reduced cost of care. 47 In a cost-utility analysis investigating patients with VLUs in a French setting, a superabsorbent dressing was compared with foam dressings and demonstrated dominance (better health outcomes with reduced cost of care).…”

Section: Economic Outcomesmentioning

confidence: 99%

“…44,46,47,49 The cost-description and cost-comparison analyses were primary studies, which used their own efficacy data. 34,45 One study 46 sourced efficacy data from Atkin et al 33 two studies sourced efficacy data 47,49 from merged cohorts from Atkin et al 33 and Barrett et al 35 and three studies 44,46,49 sourced utility data from Clegg et al 50 All five of the cost-utility studies performed sensitivity analyses. 44,[46][47][48][49] Four studies completed both deterministic and probabilistic sensitivity analyses (PSA).…”

Section: Cost-effectiveness Studiesmentioning

confidence: 99%

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Systematic review and quality assessment of clinical and economic evidence for superabsorbent wound dressings in a population with chronic ulcers

M. Veličković,

Macmillan,

Lones

et al. 2024

International Wound Journal

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Effective exudate management is key for optimal ulcer healing. Superabsorbent dressings are designed to have high fluid handling capacity, reduced risk of exudate leakage, fluid retention under compression, and to sequester harmful exudate components. This study aimed to systematically identify existing evidence for the clinical efficacy and cost‐effectiveness of superabsorbent dressings for the treatment of moderate‐to‐highly exudating chronic ulcers of various etiologies. The aim is focused on examining the ‘class’ effect of all superabsorbers, not any particular dressing. Clinical and cost effectiveness systematic reviews were conducted, searching Embase, MEDLINE, the Cochrane Library, and the Cumulative Index to Nursing and Allied Health Literature. The Cost Effectiveness Analysis Registry and Econ papers were also searched for the economic review. Outcomes of interest included ulcer closure, dressing properties, hospital‐ and infection‐related outcomes, safety, and economic outcomes. Fourteen studies were included in the clinical systematic review. Eleven were case series, with one randomised controlled trial, one retrospective matched observational study, and one retrospective cohort study. The studies investigated eight superabsorbent dressings and were heterogeneous in their patient population and outcomes. Superabsorbent dressings may result in favourable outcomes, including reductions in frequency of dressing change and pain scores. As most studies were case series, drawing firm conclusions was difficult due to absence of a comparator arm. The economic systematic review identified seven studies, five of which were cost‐utility analyses. These suggested superabsorbent dressings are a more cost‐effective option for the treatment of chronic ulcers compared with standard dressings. However, the small number and low quality of studies identified in both reviews highlights the need for future research.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Economic Outcomesmentioning

confidence: 99%

Section: Cost-effectiveness Studiesmentioning

confidence: 99%

See 2 more Smart Citations

Systematic review and quality assessment of clinical and economic evidence for superabsorbent wound dressings in a population with chronic ulcers

M. Veličković,

Macmillan,

Lones

et al. 2024

International Wound Journal

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“…Other studies have highlighted the varied ways in which healthcare professionals seek to measure and minimise patients’ pain 7–12. For example, an Irish study investigated nurses’ knowledge of wound management in relation to dressing change and pain (n=100) 12.…”

Section: Introductionmentioning

confidence: 99%

Strategies for reducing pain at dressing change in chronic wounds: protocol for a mapping review

Kirkcaldy,

Wilson,

Cooper

et al. 2023

BMJ Open

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IntroductionAlthough pain experienced at dressing change has been reported as the worst aspect of living with chronic wounds, UK guidance for their management is primarily tailored to wound healing and only attends to pain as a secondary consideration. Consequently, there is little up-to-date guidance that specifically addresses how patients, carers and healthcare professionals should manage wound-related pain at dressing change. This mapping review will identify, describe and appraise the existing research evidence for strategies used to assess pain intensity and prevent or alleviate pain at dressing change in chronic wounds. In addition, it will highlight areas for future research and inform the development of up-to-date guidance for healthcare professionals.Methods and analysisWe will search MEDLINE and Epub Ahead of Print, In-Process & Other Non-Indexed Citations and Daily (via Ovid SP), Embase (via Ovid SP), Cochrane Central Register of Controlled Trials (via Wiley Cochrane Library), Cumulative Index of Nursing and Allied Health Literature (via EBSCO) and the Web of Science Citation Index Expanded and Social Sciences Citation Index (via Clarivate Analytics). Screening will be undertaken independently by two reviewers, with any disagreements resolved through discussion. Included studies will be subject to coding, using a tested data extraction tool, by two reviewers working independently. The methodological quality of the studies included will be reviewed using quality assessment instruments appropriate for each study design (Cochrane Risk of Bias tool (RoB 2); Risk of Bias in Non-randomised Studies of interventions tool; Critical Appraisal Skills Programme tool). Data will be described narratively and also presented visually in an interactive web-based evidence and gap map.Ethics and disseminationAs this mapping review does not collect original data, ethical approval is not applicable. Findings will be disseminated via a written report, an interactive online mapping tool and in peer-reviewed journals and conference presentations.PROSPERO registration numberCRD42021260130.

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Clinical evaluation of a superabsorbent polymer dressing in enabling self-care of wounds

Barrett

Welch

Rippon

et al. 2020

Br J Community Nurs

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Patient involvement in their own treatment can enable those with wounds in the community to play an active role in the management of their condition by, for example, completing dressing changes between health professional visits. The original primary study was undertaken to assess the clinical effectiveness of Zetuvit Plus Silicone Border (ZPSB) on exudate management. This retrospective sub-group analysis is aimed to demonstrate the effectiveness of a superabsorbent polymer (SAP) dressing (ZPSB) in enabling patients or their carers to undertake unsupervised dressing changes on their own. ZPSB was found to be clinically effective in this subgroup of patients, while also having additional features that enabled the patient to self-care. Overall, ZPSB enabled the patient to be part of their treatment plan and play an active role in the care of their wounds, thereby promoting self-care. This had a positive effect on nursing time saving and patient satisfaction.

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An observational study of a superabsorbent polymer dressing evaluated by clinicians and patients

Cited by 8 publications

References 33 publications

Systematic review and quality assessment of clinical and economic evidence for superabsorbent wound dressings in a population with chronic ulcers

Systematic review and quality assessment of clinical and economic evidence for superabsorbent wound dressings in a population with chronic ulcers

Strategies for reducing pain at dressing change in chronic wounds: protocol for a mapping review

Clinical evaluation of a superabsorbent polymer dressing in enabling self-care of wounds

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