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Human acellular dermal wound matrix for treatment of DFU: literature review and analysis
Abstract
Diabetic foot ulcers (DFUs) affect a significant number of people and the treatment is challenging and costly. Since only a small portion of patients respond to standard care, the majority require more advanced wound healing interventions. Human acellular dermal matrices—regenerative tissue matrices derived from human tissue and processed from screened donated skin—can aid wound closure by restoring the missing physiological factors to the microenvironment. A literature review of the clinical literature was performed to estimate the comparative effectiveness of one specific human acellular dermal wound matrix (HADWM; Graftjacket regenerative tissue matrix) versus standard care in healing DFUs. Outcomes from three prospective, controlled clinical trials, which included 154 patients with DFUs, were pooled. A comparative analysis revealed a statistically significant reduction in mean wound healing time, 1.7 weeks, as well as a nearly four-fold improvement in the chance of healing ulcers treated with HADWM versus moist wound-care. These pooled results suggest that HADWM may improve healing outcomes for these difficult-to-heal lower extremity wounds. Declaration of interest: Alexander Reyzelman is a consultant for KCI, an Acelity company.
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“Many studies have demonstrated that these dermal matrices are effective when applied as adjuvant treatment to enhance DFUs healing [17–19].”
From Effectiveness and safety of dermal matrix used for diabetic foot ulcer: a systematic review and meta-analysis of randomized controlled trials (2024) · cites this paper as [17]
In the citing paper
“Reyzelman A.M. et al. [34] conducted a literature review and analysis of one specific human acellular dermal wound matrix(-Graftjacket) in 2015, three studies containing 154 DFUs were included.”
From Efficacy and safety of acellular dermal matrix in diabetic foot ulcer treatment: A systematic review and meta-analysis (2017) · cites this paper as [34]
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Citations
Cites
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Cited by
Guo, X., Mu, D., & Gao, F. (2017) · International Journal of Surgery · doi:10.1016/j.ijsu.2017.02.008 · Cited by 80
Jiang, F.-H., Liu, X.-M., Yu, H.-R., Qian, Y., & Chen, H.-L. (2022) · The International Journal of Lower Extremity Wounds · doi:10.1177/1534734620929892 · Cited by 65
Sui, L., Xie, Q., Jiang, H.-T., & Li, X.-D. (2024) · BMC Endocrine Disorders · doi:10.1186/s12902-024-01550-3 · Cited by 14
Metadata
- Authors
- Reyzelman, A. M.
- Affiliations
- California School of Podiatric Medicine, San Francisco, CA, USA
- Venue
- Journal of Wound Care
- Publisher
- Mark Allen Group
- Published
- 2015-03-02
- Volume
- 24
- Issue
- 3
- Pages
- 128-134
- ISSN
- 0969-0700
- 2052-2916
- Cited by
- 26
- References
- 2
- Language
- en
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- Reyzelman, A. M. (2015). Human acellular dermal wound matrix for treatment of DFU: literature review and analysis. Journal of Wound Care. https://doi.org/10.12968/jowc.2015.24.3.128
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.