MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'NeLM - Wound Management' source. Tue, 24 Nov 2009 14:01:39 +0100 http://www.medworm.com/index.php?rid=2829607&cid=s_38924_9_f&fid=38924&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FNews%2F2009---September%2F25%2FSIGN-consults-on-update-of-guideline-on-care-of-patients-with-chronic-venous-ulcers%2F Source: SIGN Area: News SIGN is consulting on an update of its guideline on care of patients with chronic venous ulcers. The consultation closes on 16th October. (Source: NeLM - Wound Management) NeLM - Wound Management organizations http://www.medworm.com/rss/comments.php?id=2829607 Thu, 24 Sep 2009 23:00:00 +0100 2829607 http://www.medworm.com/index.php?rid=2748855&cid=s_38924_9_f&fid=38924&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FDisease-Focused-Reviews%2FA-systematic-review-of-silver-releasing-dressings-in-the-management-of-infected-chronic-wounds%2F Source: DARE Area: Evidence > Disease Focused Reviews CRD Summary: The authors concluded that silver-releasing dressings had an overall positive effect on the management of chronic infected wounds. However, the quality of evidence was limited and more research was needed. In view of methodological problems and poor reporting in the review, as well as the questionable quality and heterogeneity of the primary studies, the conclusions may not be reliable.   CRD Commentary: The review objectives and inclusion criteria were clear, although many of the included trials did not comply with these criteria (for example, the restriction to controlled trials was not applied and silver dressings were not always the sole treatment). Relevant sources were searched for studies without restrictio... NeLM - Wound Management organizations http://www.medworm.com/rss/comments.php?id=2748855 Sun, 23 Aug 2009 23:00:00 +0100 2748855 http://www.medworm.com/index.php?rid=2748856&cid=s_38924_9_f&fid=38924&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FDisease-Focused-Reviews%2FA-systematic-review-of-the-use-of-hydrocolloids-in-the-treatment-of-pressure-ulcers%2F Source: DARE Area: Evidence > Disease Focused Reviews CRD Summary: This review included randomised trials comparing hydrocolloid dressings with other types of dressing or one another. The review was largely descriptive, but reported that hydrocolloids were more effective than gauze dressings and less effective than other types for various outcomes. The conclusions were based on one or two small trials of uncertain validity and should be treated with caution. CRD Commentary: Inclusion criteria for participants, intervention and study design were clear. A wide range of comparators and outcomes were included. The authors searched a range of relevant sources, but some language restrictions were imposed and unpublished studies were not specifically sought, so the review could be at risk of l... NeLM - Wound Management organizations http://www.medworm.com/rss/comments.php?id=2748856 Tue, 07 Jul 2009 23:00:00 +0100 2748856 http://www.medworm.com/index.php?rid=2748857&cid=s_38924_9_f&fid=38924&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FDisease-Focused-Reviews%2FFour-layer-bandage-compared-with-short-stretch-bandage-for-venous-leg-ulcers-systematic-review-and-meta-analysis-of-randomised-controlled-trials-with-data-from-individual-patients%2F Source: DARE Area: Evidence > Disease Focused Reviews CRD Summary; The authors of this review of individual patient data concluded that the four layer bandage increases the chance of healing by approximately 30%, when independent prognostic characteristics are taken into account, and benefits are consistent across different prognostic profiles. This was a well-conducted and reported review and the conclusions are likely to be reliable. CRD Commentary; This review addressed a clear research question and was supported by detailed inclusion criteria for study design, participants, interventions and outcomes. The search strategy included several sources which appeared to be relevant to this topic area and attempts were made to minimise publication and language biases. The processes of stud... NeLM - Wound Management organizations http://www.medworm.com/rss/comments.php?id=2748857 Sun, 14 Jun 2009 23:00:00 +0100 2748857 http://www.medworm.com/index.php?rid=2748858&cid=s_38924_9_f&fid=38924&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FDisease-Focused-Reviews%2FTopical-agents-and-dressings-for-fungating-wounds%2F Source: Cochrane Database of Systematic Reviews Area: Evidence > Disease Focused Reviews Background Fungating wounds arise from primary, secondary or recurrent malignant disease and are associated with advanced cancer. A small proportion of patients may achieve healing following surgical excision, but treatment is usually palliative. Fungating wound management usually aims to slow disease progression and optimise quality of life by alleviating physical symptoms, such as copious exudate, malodour, pain and the risk of haemorrhage, through selection of appropriate dressings and topical agents. Objectives To conduct a systematic review of the evidence of the effects of dressings and topical agents on quality of life, and symptoms that impact on quality of life, in people with fungating... NeLM - Wound Management organizations http://www.medworm.com/rss/comments.php?id=2748858 Sun, 17 May 2009 23:00:00 +0100 2748858 http://www.medworm.com/index.php?rid=2748859&cid=s_38924_9_f&fid=38924&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FDrug-Specific-Reviews%2FOral-zinc-for-arterial-and-venous-leg-ulcers%2F Source: Cochrane Database of Systematic Reviews Area: Evidence > Drug Specific Reviews Background Leg ulcers affect up to one percent of people at some time in their life. Leg ulceration is chronic in nature with ulcers being present for months and in some cases years without healing, and with a high risk of recurrence. Management approaches include dressings and the treatment of underlying medical problems such as malnutrition, lack of minerals and vitamins, poor blood supply or infection. Objectives To assess the effectiveness of oral zinc in healing arterial or venous leg ulcers. Search strategy For this update we searched the Wounds Group Specialised Register (November 2008), the Cochrane Central Register of Controlled Trials (CENTRAL) ( Issue 4, 2008), Ovid MEDLINE (2007 to... NeLM - Wound Management organizations http://www.medworm.com/rss/comments.php?id=2748859 Wed, 13 May 2009 23:00:00 +0100 2748859