Newsletter: May 2008 V3, Issue 1

May 1, 2008

Contents

  1. Guest Editorial — By: Prof. Finn Gottrup
  2. Regional Reports
    1. Midlands Branch
  3. Notices from WMAI Office

Guest Editorial

Prof. Finn Gottrup

Professor Finn Gottrup

Professor Finn Gottrup

Almost 1-1.5% of the population constantly has a problem wound, which counts for 2-4% of the health care budget[1]. However, evidence for which type of intervention, technology and dressing materials to use is still weak. Recent reviews have shown little or no difference in time to healing or percent healing between patients treated with traditional and modern dressings[1][2]. Consequently traditional products like gauze may be reimbursed, while not the modern dressings. Why has wound care research not been able to establish evidence on level IA of the Cochrane system, 25 years after the first modern wound product was introduced? The main problem has been the comparability of the patients, because most are old, fragile and suffering from several competing diseases. This results in inadequate sample size, short follow up, non-random allocation to treatment arms, non-blinded assessment of outcomes, poor description of control and concurrent intervention etc. This has raised a discussion on level of evidence and perhaps evidence-based medicine may not only be restricted to randomised trials and meta-analysis as pointed out by Sackett et al[4]

REFERENCES
  1. Gottrup, F. A specialized wound-healing center concepts: importance of a multidisciplinary department structure and surgical treatment facilities in the treatment of chronic wounds. Am J Surg. 187 (suppl May 2004): 38S-43S, 2004
  2. Gottrup, F. Evidence controversy in wound management. Rapid response. BMJ 2008; March. 3.
  3. Gottrup, F. Evidence is a challenge in wound management. Editorial, Lower Extremity Wounds. 2006; 5: 74-65.
  4. Sackett DL, Rosenberg WMC, Gray JAM, Haynes RB, Richardson WS. Evidence-based medicine: what is and what isn"t. BMJ 1996: 312: 71-72.

Regional Reports

Reports from the WMAI Regions

Midlands Branch Report

Brian Downey

The Midlands Branch recently ran a very successful short course in wound care titled, Wound Care—Your Responsibility. It was held on four Tuesday evenings throughout September 2007. Each evening was very well attended and we obtained Category 1 An Bord Altranais approval. Zena Moore opened the first night with an excellent talk DAn Introduction to Wound Care.

The second night was facilitated by Catherine Benn who spoke on DLeg Ulcers—Assessment and Management, which was followed with a very popular bandage workshop with a profore and proguide demonstration. All were invited to participate. Mary Stokes a podiatrist spoke on the third night on Diabetic Foot”, followed by a demonstration on vac therapy.

Finishing the course, Georgina Gethin gave an excellent talk on DPressure Ulcers. A demonstration on pressure relieving devices followed. Acting Director of Nursing, Midland Regional Hospital.

Notices

Messages from WMAI Office

Writing for the newsletter

Would you like to write a short paper for the WMAI newsletter or share your experiences or expertise with others? We would like to invite short papers for inclusion in future issues of the newsletter. Please send your submissions via email or post to the Office.


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