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Chronic wounds: Treatment consensus
Elof Eriksson1, Paul Y Liu2, Gregory S Schultz3
1Harvard Medical School, Boston, MA, USA.
Summary
The Wound Healing Foundation (WHF) established consensus on chronic wound care, emphasizing simplified patient-delivered treatments and telemonitoring. Defining patient expectations is crucial for successful wound management and improved quality of life.
Area of Science:
- Wound Healing
- Medical Consensus
- Healthcare Management
Background:
- The Wound Healing Foundation (WHF) identified a need for expert consensus on chronic wound treatment.
- Current chronic wound management lacks standardized, unbiased guidelines.
- Expert consensus is vital for advancing best practices in wound care.
Purpose of the Study:
- To achieve an unbiased expert consensus on the optimal treatment of chronic wounds.
- To simplify wound care protocols for patient and family delivery.
- To explore the role of telemonitoring in reducing healthcare interventions.
Main Methods:
- A virtual meeting of 13 experts was convened on March 27, 2021.
- Proceedings covered diagnosis, debridement, infection control, dressings, grafting, pain management, oxygen treatment, outcomes, and future needs.
- Consensus was defined as 80% or greater agreement among panellists.
Main Results:
- Key takeaways include the need for simplified, patient-deliverable wound care.
- Telemonitoring can reduce the frequency of nurse or wound care center visits.
- Defining patient expectations is critical for successful treatment planning.
- Patient outcomes should encompass wound healing metrics and quality of life improvements.
Conclusions:
- Consensus was reached on critical aspects of chronic wound management.
- Simplified, patient-centered approaches and telemonitoring are recommended.
- Treatment goals, including healing or palliative care, should align with patient expectations for optimal outcomes.
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