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Negative pressure wound therapy for treating foot wounds in people with diabetes mellitus (Review)

By Jo C. Dumville, Robert J. Hinchliffe, Nicky Cullum, Fran Game, Nikki Stubbs, Michael Sweeting and Frank Peinemann


Diabetes mellitus is a common condition that leads to high blood glucose concentrations, with around 2.8 million people affected in the UK (approximately 4.3% of the population). Some people with diabetes can develop ulcers on their feet. These wounds can take a long time to heal, be painful and become infected. Ulceration of the foot in people with diabetes can also lead to a higher risk of amputation of parts of the foot or leg. Generally, people with diabetes are at a higher risk of lower-limb amputation than people without diabetes. Negative pressure wound therapy is a wound treatment which involves applying suction to a wound; it is used increasingly around the world but it is not clear how effective it is. It also expensive compared with treatments such as dressings. We found five randomised controlled trials that compared negative pressure wound therapy with other treatments. We found some preliminary evidence that negative pressure wound therapy increases the healing of foot wounds on people with diabetes compared with other treatments. However, the findings are not conclusive and more, better quality randomised controlled trials are required

Publisher: John Wiley & Sons
Year: 2013
DOI identifier: 10.1002/14651858.CD010318.pub2
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