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Human acellular dermal wound matrix for treatment of DFU: literature review and analysis

Reyzelman, A. M.·2015·Journal of Wound Care

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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Metadata

Authors
Reyzelman, A. M.
Affiliations
California School of Podiatric Medicine, San Francisco, CA, USA
Venue
Journal of Wound Care
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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