|
[Negative pressure therapy in chronic wounds] |
Virgilio S, Bardach A, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Ciapponi A |
|
|
Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Virgilio S, Bardach A, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Ciapponi A. [Negative pressure therapy in chronic wounds] Buenos Aires: Institute for Clinical Effectiveness and Health Policy (IECS). Documentos de Evaluación de Tecnologías Sanitarias, Informe de Respuesta Rapida No 537. 2017 Authors' conclusions Moderate-quality evidence shows that negative pressure wound therapy in patients with refractory diabetic foot ulcers shows a slight increase in healing rates, when compared with standard of care, also a slight decrease in healing times and it could decrease the rate of amputations, although this result should be confirmed with studies of good methodological quality. Very low quality evidence on negative pressure wound therapy for vascular ulcers and pressure sores does not allow drawing conclusions on the efficacy and safety of this technology in these indications.
The clinical practice guidelines recommend using negative pressure wound therapy only for diabetic foot ulcers refractory to standard treatment. Most guidelines do not recommend the use of negative pressure for the treatment of vascular ulcers and there is no consensus for pressure sores.
The coverage policies analyzed cover this technology as second-line treatment for diabetic, vascular and pressure ulcers, with restrictions in its indication and under strict follow-up for their progress. Final publication URL www.iecs.org.ar Indexing Status Subject indexing assigned by CRD MeSH Humans; Negative-Pressure Wound Therapy; Pressure Language Published Spanish Country of organisation Argentina English summary There is no English language summary available. Address for correspondence Institute for Clinical Effectiveness and Health Policy, Viamonte 2146 - 3 Piso, C1056ABH Ciudad de Buenos Aires, Argentina Tel: +54 11 49 66 00 82 Fax:+54 11 49 53 40 58 Email: info@iecs.org.ar AccessionNumber 32017000302 Date abstract record published 13/06/2017 |
|
|
|