TY - JOUR
T1 - Oxidized regenerated cellulose/collagen dressings
T2 - Review of evidence and recommendations
AU - Wu, Stephanie
AU - Applewhite, Andrew J.
AU - Niezgoda, Jeffrey
AU - Snyder, Robert
AU - Shah, Jayesh
AU - Cullen, Breda
AU - Schultz, Gregory
AU - Harrison, Janis
AU - Hill, Rosemary
AU - Howell, Melania
AU - Speyrer, Marcus
AU - Utra, Howard
AU - de Leon, Jean
AU - Lee, Wayne
AU - Treadwell, Terry
N1 - Publisher Copyright:
© 2017 Lippincott Williams and Wilkins. All Rights Reserved.
PY - 2017
Y1 - 2017
N2 - OBJECTIVE: Healthcare systems are being challenged to manage increasing numbers of nonhealing wounds. Wound dressings are one of the first lines of defense in wound management, and numerous options exist. The oxidized regenerated cellulose (ORC)/collagen dressing may offer healthcare providers a robust and cost-effective tool for use in a variety of wounds. DESIGN: A multidisciplinary panel meeting was convened to discuss the use of ORC/collagen dressings in wound care and provide practice recommendations. A literature search was conducted to provide a brief review of the peer-reviewed studies published between January 2000 and March 2016 to inform the meeting. SETTING: A 2-day panel meeting convened in February 2017. PARTICIPANTS: Healthcare providers with experience using ORC/ collagen dressings. This multidisciplinary panel of 15 experts in wound healing included podiatrists, wound care specialists (doctors, certified wound care nurses, and research scientists), and an orthopedist. RESULTS: The literature search identified 58 articles, a majority of which were low levels of evidence (69.3% were level 3 or lower). Panel members identified wound types, such as abrasions, burns, stalled wounds, diabetic foot ulcers, and pressure injuries, where ORC/collagen dressing use could be beneficial. Panel members then provided recommendations and technical pearls for the use of ORC/collagen dressings in practice. Barriers to ORC/collagen dressing use were discussed, and potential resolutions were offered. CONCLUSIONS: An ORC/collagen dressing can be a critical tool for clinicians to help manage a variety of wounds. Clinical and economic studies comparing standard-of-care dressings and plain collagen dressings to ORC/collagen dressings are needed.
AB - OBJECTIVE: Healthcare systems are being challenged to manage increasing numbers of nonhealing wounds. Wound dressings are one of the first lines of defense in wound management, and numerous options exist. The oxidized regenerated cellulose (ORC)/collagen dressing may offer healthcare providers a robust and cost-effective tool for use in a variety of wounds. DESIGN: A multidisciplinary panel meeting was convened to discuss the use of ORC/collagen dressings in wound care and provide practice recommendations. A literature search was conducted to provide a brief review of the peer-reviewed studies published between January 2000 and March 2016 to inform the meeting. SETTING: A 2-day panel meeting convened in February 2017. PARTICIPANTS: Healthcare providers with experience using ORC/ collagen dressings. This multidisciplinary panel of 15 experts in wound healing included podiatrists, wound care specialists (doctors, certified wound care nurses, and research scientists), and an orthopedist. RESULTS: The literature search identified 58 articles, a majority of which were low levels of evidence (69.3% were level 3 or lower). Panel members identified wound types, such as abrasions, burns, stalled wounds, diabetic foot ulcers, and pressure injuries, where ORC/collagen dressing use could be beneficial. Panel members then provided recommendations and technical pearls for the use of ORC/collagen dressings in practice. Barriers to ORC/collagen dressing use were discussed, and potential resolutions were offered. CONCLUSIONS: An ORC/collagen dressing can be a critical tool for clinicians to help manage a variety of wounds. Clinical and economic studies comparing standard-of-care dressings and plain collagen dressings to ORC/collagen dressings are needed.
KW - Collagen
KW - Complex wounds
KW - Dressings
KW - Oxidized regenerated cellulose
KW - Wound care
KW - Wound healing
UR - http://www.scopus.com/inward/record.url?scp=85049886129&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85049886129&partnerID=8YFLogxK
U2 - 10.1097/01.ASW.0000525951.20270.6c
DO - 10.1097/01.ASW.0000525951.20270.6c
M3 - Article
C2 - 29049055
AN - SCOPUS:85049886129
SN - 1527-7941
VL - 30
SP - S1-S18
JO - Advances in Skin and Wound Care
JF - Advances in Skin and Wound Care
IS - 11
ER -