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Thomas Serena's picture
The Importance of Clinical Trials

By Thomas E. Serena MD, FACS, FACHM, FAPWCA

I do not know the origin of the phrase "...a gift from the devil's grandmother." I first read it in Einstein's letters to Schrödinger. Einstein employed the phrase to describe his fear of failing to find a unified theory of relativity and quantum physics. The problem appeared unsolvable. A similar gift in the field of clinical trial research in wound healing appeared on my doorstep recently. I started my research career conducting double-blinded pharmaceutical trials. After a string of failures, I convinced myself that advanced therapy in chronic wounds was doomed; however, cellular- and/or tissue-based products (CTPs) entered the market with encouraging results, brightening my spirits. To date, our cooperative group of investigators has published more than a dozen trials demonstrating the efficacy of CTPs in the treatment of diabetic and venous ulcers.

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Marcia Nusgart's picture
Cost associated with chronic wounds

by Marcia Nusgart, Executive Director, Alliance of Wound Care Stakeholders

The true burden of wound care to Medicare has been relatively obscured. Traditionally, wound care procedures were performed in the hospital setting. When the Centers for Medicare & Medicaid Services (CMS) created the hospital-based outpatient payment system in 2000 with the goal of providing care in complex cases when patients did not require hospitalization, management of nonhealing wounds shifted to the outpatient setting. Today, approximately 1,500 specialized hospital-based outpatient “wound centers” across the United States provide standard wound care treatment, as well as numerous therapeutic treatments. Wound care is also provided in patients’ homes by home health services and in skilled nursing facilities.

Martha Kelso's picture
Reduction in Antibiotics Image

by Martha Kelso, RN, HBOT

Numerous brands of hypochlorous acid have emerged in the last few years and have been marketed as "ideal" products for use in wound cleansing. These statements, of course, should draw speculation because it is rare for a single product to be used on all wounds, all clients, in all care settings, all the time, thus making it "ideal." Let's explore the role of hypochlorous acid in wound management and wound healing and see how it assists with reduction in antibiotic usage.

Nancy Munoz's picture
malnutrition and pressure injuries

by Nancy Munoz, DCN, MHA, RDN, FAND

Nutrition is a major determinant of health status. Food, as a vital source of nutrition, not only is essential to physiological well-being, but also impacts one's quality of life culturally, socially and psychologically.