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Evidence-Based Approach to Advanced Wound Care Products

Jeffrey M. Robbins Podiatry Service, Veterans Affairs Central Office, Podiatry Section, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH.

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Jeremiah Dillon Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH.

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There is increasing pressure from industry to use advanced wound care products and technologies. Many are very expensive but promise to reduce overall costs associated with wound care. Compelling anecdotal evidence is provided that inevitably shows wounds that failed all other treatments but responded positively to the subject product. Evidence-based medicine is the standard by which physician-scientists must make their clinical care decisions. In an attempt to provide policy makers with the most current evidence on advanced wound care products, the Department of Veteran Affairs conducted an Evidence-based Synthesis Program review of advanced wound care products. This paper suggests how to take this information and apply it to policy to drive evidence-based care to improve outcomes and fiduciary responsibility.

Corresponding author: Jeffrey M. Robbins, DPM, Podiatry Service, VACO, Podiatry Section, Louis Stokes Cleveland Veterans Affairs Medical Center, 10701 E Blvd, Cleveland, OH 44107. (E-mail: Jeffrey.robbins@va.gov)