Source:http://linkedlifedata.com/resource/pubmed/id/17651226
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2007-7-26
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pubmed:abstractText |
Diabetic foot ulcers (DFUs) are a leading cause of morbidity and hospitalisation among patients with diabetes. We analysed claims data for Medicare part B diabetic foot ulcer patients treated with Negative Pressure Wound Therapy at home (N = 1135) and diabetic foot ulcer patients from a published meta-analysis of randomised controlled wet-to-moist therapy. The expected costs of care for the two treatments were also compared. A significantly greater proportion of wounds treated with NPWT achieved a successful treatment endpoint compared with wet-to-moist therapy at both 12 weeks (39.5% versus 23.9%; P < 0.001) and 20 weeks (46.3% versus 32.8%; P < 0.001). NPWT-treated patients reached a successful wound treatment endpoint more rapidly, and the benefit was apparent in all wound sizes. Expected 20-week treatment costs for NPWT were similar to those for wet-to-moist therapy if one nursing visit per day for the latter is assumed but 42% less if two nursing visits per day are made. Thus, NPWT may improve the proportion of DFUs that attain a successful wound treatment endpoint and decrease resource utilisation by a given health care system compared with standard wet-to-moist therapy.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
1742-4801
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
4
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
103-13
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pubmed:meshHeading |
pubmed-meshheading:17651226-Aged,
pubmed-meshheading:17651226-Cost-Benefit Analysis,
pubmed-meshheading:17651226-Diabetic Foot,
pubmed-meshheading:17651226-Female,
pubmed-meshheading:17651226-Follow-Up Studies,
pubmed-meshheading:17651226-Home Care Services,
pubmed-meshheading:17651226-Humans,
pubmed-meshheading:17651226-Male,
pubmed-meshheading:17651226-Middle Aged,
pubmed-meshheading:17651226-Negative-Pressure Wound Therapy,
pubmed-meshheading:17651226-Retrospective Studies,
pubmed-meshheading:17651226-Time Factors,
pubmed-meshheading:17651226-Treatment Outcome,
pubmed-meshheading:17651226-Wound Healing
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pubmed:year |
2007
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pubmed:articleTitle |
A comparison of diabetic foot ulcer outcomes using negative pressure wound therapy versus historical standard of care.
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pubmed:affiliation |
Texas A&M Health Science Center College of Medicine, Department of Surgery, Scott and White Hospital, Temple, TX 78628, USA. llavery@swmail.sw.org
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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