Curación asistida por presión negativa comparada con curación convencional en el tratamiento del pie diabético amputado. Ensayo clínico aleatorio

Sepúlveda, Gustavo; Espíndola, Manuel; Maureira, Mauricio; Sepúlveda, Eduardo; Fernández, José Ignacio Fernández; Oliva, Claudia; Sanhueza, Antonio; Vial, Manuel; Manterola, Carlos

doi:10.1016/j.ciresp.2009.03.020

Cited by 30 publications

(14 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We evaluated the quality of the included RCTs according to the Cochrane reviewers’ handbook 12. For the included studies, seven of the eleven published articles13–15,17,18,22,23 (63.6%) described specific randomized methods and processes; we judged one report21 to be at high risk of bias for this domain because of randomization based on the date of admission. Three articles13,14,18 (27%) reported allocation concealment methods.…”

Section: Resultsmentioning

confidence: 99%

“…For the included studies, seven of the eleven published articles13–15,17,18,22,23 (63.6%) described specific randomized methods and processes; we judged one report21 to be at high risk of bias for this domain because of randomization based on the date of admission. Three articles13,14,18 (27%) reported allocation concealment methods. Two articles17,21 employed different treatments according to the odevity of case number and date of admission, so we judged them as being at high risk of bias for the allocation concealment domain.…”

Section: Resultsmentioning

confidence: 99%

“…Other studies did not contain enough details for us to make a judgment for this domain, so we also judged their risk as unclear. We classified only one study18 as having a low risk of bias, because a group independent from the research team, masked the assigned treatment and evaluated the percentage of granulation tissue formation. Five articles13,17–19,23 provided information on the loss of cases and the reasons why participants withdrew; another article also provided that information, but the number of cases lost from the experimental and control groups was not clear.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of negative-pressure wound therapy for patients with diabetic foot ulcers: systematic review and meta-analysis

Liu¹,

He²,

Cai³

et al. 2017

TCRM

101

View full text Add to dashboard Cite

ObjectivesThe aim of this study was to perform an updated systematic review and meta-analysis to assess the clinical efficacy, safety, and cost-effectiveness of negative-pressure wound therapy (NPWT) in the treatment of diabetic foot ulcers (DFUs).MethodsWe searched the Cochrane Library, MEDLINE, EMBASE, Ovid, and Chinese Biological Medicine databases up to June 30, 2016. We also manually searched the articles from reference lists of the retrieved articles, which used the NPWT system in studies of vacuum-assisted closure therapy. Studies were identified and selected, and two independent reviewers extracted data from the studies.ResultsA total of eleven randomized controlled trials, which included a total of 1,044 patients, were selected from 691 identified studies. Compared with standard dressing changes, NPWT had a higher rate of complete healing of ulcers (relative risk, 1.48; 95% confidence interval [CI]: 1.24–1.76; P<0.001), shorter healing time (mean difference, −8.07; 95% CI: −13.70– −2.45; P=0.005), greater reduction in ulcer area (mean difference, 12.18; 95% CI: 8.50–15.86; P<0.00001), greater reduction in ulcer depth (mean difference, 40.82; 95% CI: 35.97–45.67; P<0.00001), fewer amputations (relative risk, 0.31; 95% CI: 0.15–0.62; P=0.001), and no effect on the incidence of treatment-related adverse effects (relative risk, 1.12; 95% CI: 0.66–1.89; P=0.68). Meanwhile, many analyses showed that the NPWT was more cost-effective than standard dressing changes.ConclusionThese results indicate that NPWT is efficacious, safe, and cost-effective in treating DFUs.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of negative-pressure wound therapy for patients with diabetic foot ulcers: systematic review and meta-analysis

Liu¹,

He²,

Cai³

et al. 2017

TCRM

101

View full text Add to dashboard Cite

show abstract

“…DAİ'lerde negatif basınçlı yara kapama tedavisiyle yapı-lan randomize kontrollü çalışmalarda, iyileşme oranının daha yüksek olduğu, iyileşmenin daha hızlı olduğu, ampütasyon oranının azaldığı, ampütasyon güdüklerinin hızlı kapandığı gösterilmiştir (137)(138)(139)(140). Bununla birlikte, negatif basınçlı yara kapamanın DAİ'lerde yara iyileşmesine olumlu bir etkisinin olmadığı da ileri sürülmüştür (141,142).…”

Section: Diğer Tedavilerunclassified

Diagnosis, Treatment and Prevention of Diabetic Foot Wounds and Infections: Turkish Consensus Report

Saltoğlu¹,

Kılıçoğlu²,

Baktiroğlu³

et al. 2016

Klimik Dergisi

View full text Add to dashboard Cite

Study Group for Diabetic Foot Infections of the Turkish Society of Clinical Microbiology and Infectious Diseases has called for collaboration of the relevant specialist societies and the Ministry of Health to issue a national consensus report on the diagnosis, treatment and prevention of diabetic foot (DF) wounds and diabetic foot infections (DFIs) in Turkey. In the periodical meetings of the assigned representatives from all the parties, various questions as to pathogenesis, microbiology, assessment and grading, treatment, prevention and control of diabetic foot were identified. Upon reviewing related literature and international guidelines, these questions were provided

show abstract

“…La mayoría de los estudios [18][19][20][21][22] , analizó la eficacia de la TPN en términos de tiempo frente a la cura húmeda convencional, a excepción del estudio de Yang et al 21 , más orientado al componente fisiológico provocado en el lecho de la herida tras el uso de la TPN. Junto a éste, Karatepe et al 20 abordó la efectividad de la TPN en términos de confort y calidad de vida, diferenciándola de la cura húmeda tradicional.…”

Section: Tiempo Hasta La Granulaciónunclassified

Negative Pressure Wound Therapy and Other New Therapies for Diabetic Foot Ulceration

Isaac

Armstrong

2013

Medical Clinics of North America

View full text Add to dashboard Cite

Curación asistida por presión negativa comparada con curación convencional en el tratamiento del pie diabético amputado. Ensayo clínico aleatorio

Cited by 30 publications

References 37 publications

Evaluation of negative-pressure wound therapy for patients with diabetic foot ulcers: systematic review and meta-analysis

Evaluation of negative-pressure wound therapy for patients with diabetic foot ulcers: systematic review and meta-analysis

Diagnosis, Treatment and Prevention of Diabetic Foot Wounds and Infections: Turkish Consensus Report

Negative Pressure Wound Therapy and Other New Therapies for Diabetic Foot Ulceration

Contact Info

Product

Resources

About