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Therapeutics
Systematic review and meta-analysis
Advanced wound care therapies in non-healing lower extremity ulcers: high expectations, low evidence
  1. Katherine Leslie Baquerizo Nole,
  2. Robert S Kirsner
  1. Department of Dermatology and Cutaneous Surgery, University of Miami, Miami, Florida, USA
  1. Correspondence to : Dr Robert S Kirsner, Department of Dermatology and Cutaneous Surgery, University of Miami, 1321 NW 14th St, West Building Room 504, Miami, FL 33136, USA; rkirsner{at}med.miami.edu

http://dx.doi.org/10.1136/eb-2013-101650

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    Commentary on: Greer N, Foman NA, Macdonald R, et al. Advanced wound care therapies for nonhealing diabetic, venous, and arterial ulcers: a systematic review. Ann Intern Med 2013;159:532–42.OpenUrlCrossRefPubMedWeb of Science

    Context

    Chronic lower extremity (LE) ulcers represent a major challenge to healthcare systems worldwide. In the USA, they affect an estimated 2.5–4.5 million people. The most common chronic LE wounds are venous leg ulcers (VLU), diabetic foot ulcers (DFU) and arterial ulcers (AU).1 Since standard care (SC) heals only between 30% and 75% of VLUs and between 24% and 31% of DFUs,2 ,3 additional therapies for non-healing ulcers are needed.

    Methods

    This was a systematic review of randomized controlled trials (RCTs) of approved advanced care therapies in healing of DFUs, VLUs and AUs. …

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