| dc.contributor.author | Gardner, Sarah | |
| dc.date.accessioned | 2018-10-19T15:15:16Z | |
| dc.date.available | 2018-10-19T15:15:16Z | |
| dc.date.issued | 2018-03-06 | |
| dc.identifier.citation | David Russell, Leanne Atkin, April Betts, Caroline Dowsett, Francis Fatoye, Sarah Gardner, Julie Green, Chris Manu, Tracey McKenzie, Helena Meally, Louise Mitchell, Julie Mullings, Isaac Odeyemi, Andrew Sharpe, Gillian Yeowell, Nancy Devlin.Using a modified Delphi methodology to gain consensus on the use of dressings in chronic wounds management. Journal of Wound Care Vol 27 Iss 3 2018 | en |
| dc.identifier.issn | 09690700 | |
| dc.identifier.uri | https://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/101 | |
| dc.description | Published online at: https://doi.org/10.12968/jowc.2018.27.3.156. Eligible users can access the full text via NHS OpenAthens at [https://www.magonlinelibrary.com/doi/full/10.12968/jowc.2018.27.3.156] (login required). | en |
| dc.description.abstract | Objective:Managing chronic wounds is associated with a burden to patients, caregivers, health services and society and there is a lack of clarity regarding the role of dressings in improving outcomes. This study aimed to provide understanding on a range of topics, including: the definition of chronicity in wounds, the burden of illness, clinical outcomes of reducing healing time and the impact of early interventions on clinical and economic outcomes and the role of matrix metalloproteinases (MMPs) in wound healing.
Method: A systematic review of the literature was carried out on the role of dressings in diabetic foot ulcer (DFU), and venous leg ulcer (VLU) management strategies, their effectiveness, associated resource use/cost, and quality of life (QoL) impact on patients. From this evidence-base statements were written regarding chronicity in wounds, burden of illness, healing time, and the role of MMPs, early interventions and dressings. A modified Delphi methodology involving two iterations of email questionnaires followed by a face-to-face meeting was used to validate the statements, in order to arrive at a consensus for each. Clinical experts were selected, representing nurses, surgeons, podiatrists, academics, and policy experts.
Results: In the first round, 38/47 statements reached or exceeded the consensus threshold of 80% and none were rejected. According to the protocol, any statement not confirmed or rejected had to be modified using the comments from participants and resubmitted. In the second round, 5/9 remaining statements were confirmed and none rejected, leaving 4 to discuss at the meeting. All final statements were confirmed with at least 80% consensus.
Conclusion: This modified Delphi panel sought to gain clarity from clinical experts surrounding the use of dressings in the management of chronic wounds. A full consensus statement was developed to help clinicians and policy makers improve the management of patients with these conditions. | en |
| dc.description.sponsorship | This study was commissioned and sponsored by Urgo Medical UK as part of a data generation initiative with Manchester Metropolitan University (MMU). The project was funded by Urgo Medical UK and undertaken by an independent academic unit. Study design, protocol development, systematic review and other duties were carried out solely by MMU, where the researchers worked independently from Urgo; not in its offices nor under its direction. | en |
| dc.language.iso | en | en |
| dc.subject | Diabetes | en |
| dc.subject | Pressure Damage | en |
| dc.subject | Wound Care | en |
| dc.subject | Venous Leg Ulcer | en |
| dc.title | Using a modified Delphi methodology to gain consensus on the use of dressings in chronic wounds management | en |
| dc.type | Article | en |
| dc.contributor.discipline | Nurse | |