Evaluation of SurePress Comfort: a new compression system for the management of venous leg ulcers

Abstract

This study was sponsored by ConvaTec.

In search of optimal compression therapy for venous leg ulcers: A meta-analysis of studies comparing divers bandages with specifically designed stockings

“…10 The SurePress Comfort (ConvaTec) stocking kit was compared with a Comprilan (BSN) bandage. Compression in both groups was applied by professionals at intervals that were not reported.…”

“…However, as exemplified by three studies (176 patients) only 6.5% of randomized patients were unable to put on the stockings. 8,10,14 The proportion of patients not fit to handle stockings by themselves or with little help might well be larger in a real world situation. Third, critiques may say that bandages were inferior because materials and application techniques were inadequate.…”

Challenging the Use of Bandage Compression as the Baseline for Evaluating the Healing Outcomes of Venous Leg Ulcer-Related Compression Therapies in the Community and Outpatient Setting: An Integrative Review

“…Thus, the major limitation in the findings of the reviewed studies is the substantial heterogeneity itself among ulcer features (size and commencement duration). The inclusion of large ulcers with long durations in some of the reviewed studies and the inclusion of small ulcers with short durations in others is the most likely cause of the differences in the HT among the reviewed studies [27-36]. This result is in line with the observational study by Escaleira et al [38] who included ulcers varying in size from large to small and of durations from short to long and found that this accounted for a significant variance in HTs in the study.…”

“…In the studies that review the competency of the applicators, the consistency of the applied pressure was confirmed as one of the main factors that underline the variability in the baselines and HTs of bandage studies of strength in most of the reviewed studies [27-36]. Highly competent applicators applied and maintained the most consistent pressure, which in turn shortened HT [27-31, 33, 34].…”

“…Highly competent applicators applied and maintained the most consistent pressure, which in turn shortened HT [27-31, 33, 34]. Conversely, in two studies, low-skilled applicators applied an inappropriate amount of pressure, which in turn caused a lengthy HT [32, 36]. It would be useful if future trials could collect data on the staff’s skill level at baseline, and this information could be included as a covariate in the modelling of treatment effects.…”