AustralieFrV1, PascalFrancis, Curation, bibRecord, 003F64

Evidence-based recommendations for the use of Negative Pressure Wound Therapy in traumatic wounds and reconstructive surgery: Steps towards an international consensus

Identifieur interne : 003F64 ( PascalFrancis/Curation ); précédent : 003F63; suivant : 003F65

Evidence-based recommendations for the use of Negative Pressure Wound Therapy in traumatic wounds and reconstructive surgery: Steps towards an international consensus

Auteurs : N. Runkel [Allemagne] ; E. Krug [Pays-Bas] ; L. Berg [Finlande] ; C. Lee [États-Unis] ; D. Hudson [Afrique du Sud] ; H. Birke-Sorensen [Danemark] ; M. Depoorter [Belgique] ; R. Dunn [États-Unis] ; S. Jeffery [Royaume-Uni] ; F. Duteille [France] ; A. Bruhin [Suisse] ; C. Caravaggi [Italie] ; M. Chariker [États-Unis] ; C. Dowsett [Royaume-Uni] ; F. Ferreira [Portugal] ; J. M. Francos Martinez [Espagne] ; G. Grudzien [Pologne] ; S. Ichioka [Japon] ; R. Ingemansson [Suède] ; M. Malmsjo [Suède] ; P. Rome [Australie] ; S. Vig [Royaume-Uni] ; R. Martin [Royaume-Uni] ; J. Smith [Royaume-Uni]

Source :

Injury [ 0020-1383 ] ; 2011.

RBID : Pascal:11-0130584

Descripteurs français

Pascal (Inist)
- Recommandation, Pression négative, Plaie, Traitement, Traumatisme, Article synthèse, Revue bibliographique, Fermeture, Orthopédie, Chirurgie réparatrice.
Wicri :
- topic : Recommandation, Traumatisme.

English descriptors

KwdEn :
- Bibliographic review, Closure, Negative pressure, Orthopedics, Recommendation, Review, Trauma, Treatment, Wound.

Abstract

Negative pressure wound therapy (NPWT) has become widely adopted over the last 15 years and over 1000 peer reviewed publications are available describing its use. Despite this, there remains uncertainty regarding several aspects of usage. In order to respond to this gap a global expert panel was convened to develop evidence-based recommendations describing the use of NPWT. In this paper the results of the study of evidence in traumatic wounds (including soft tissue defects, open fractures and burns) and reconstructive procedures (including flaps and grafts) are reported. Evidence-based recommendations were obtained by a systematic review of the literature, grading of evidence, drafting of the recommendations by a global expert panel, followed by a formal consultative consensus development program in which 422 independent healthcare professionals were able to agree or disagree with the recommendations. The criteria for agreement were set at 80% approval. Evidence and recommendations were graded according to the SIGN (Scottish Intercollegiate Guidelines Network) classification system. Twelve recommendations were developed in total; 4 for soft tissue trauma and open fracture injuries, 1 for burn injuries, 3 for flaps and 4 for skin grafts. The present evidence base is strongest for the use of NPWT on skin grafts and weakest as a primary treatment for burns. In the consultative process, 11/12 of the proposed recommendations reached the 80% agreement threshold. The development of evidence-based recommendations for NPWT with direct validation from a large group of practicing clinicians offers a broader basis for consensus than work by an expert panel alone.

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C01	`01`		`ENG`	@0 Negative pressure wound therapy (NPWT) has become widely adopted over the last 15 years and over 1000 peer reviewed publications are available describing its use. Despite this, there remains uncertainty regarding several aspects of usage. In order to respond to this gap a global expert panel was convened to develop evidence-based recommendations describing the use of NPWT. In this paper the results of the study of evidence in traumatic wounds (including soft tissue defects, open fractures and burns) and reconstructive procedures (including flaps and grafts) are reported. Evidence-based recommendations were obtained by a systematic review of the literature, grading of evidence, drafting of the recommendations by a global expert panel, followed by a formal consultative consensus development program in which 422 independent healthcare professionals were able to agree or disagree with the recommendations. The criteria for agreement were set at 80% approval. Evidence and recommendations were graded according to the SIGN (Scottish Intercollegiate Guidelines Network) classification system. Twelve recommendations were developed in total; 4 for soft tissue trauma and open fracture injuries, 1 for burn injuries, 3 for flaps and 4 for skin grafts. The present evidence base is strongest for the use of NPWT on skin grafts and weakest as a primary treatment for burns. In the consultative process, 11/12 of the proposed recommendations reached the 80% agreement threshold. The development of evidence-based recommendations for NPWT with direct validation from a large group of practicing clinicians offers a broader basis for consensus than work by an expert panel alone.
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Le document en format XML

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<author><name sortKey="Martinez, J M Francos" sort="Martinez, J M Francos" uniqKey="Martinez J" first="J. M. Francos" last="Martinez">J. M. Francos Martinez</name>
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<author><name sortKey="Malmsjo, M" sort="Malmsjo, M" uniqKey="Malmsjo M" first="M." last="Malmsjo">M. Malmsjo</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Evidence-based recommendations for the use of Negative Pressure Wound Therapy in traumatic wounds and reconstructive surgery: Steps towards an international consensus</title>
<author><name sortKey="Runkel, N" sort="Runkel, N" uniqKey="Runkel N" first="N." last="Runkel">N. Runkel</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of General Surgery, Black Forest Hospital</s1>
<s2>Villingen</s2>
<s3>DEU</s3>
<sZ>1 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>University of Freiburg</s1>
<s3>DEU</s3>
<sZ>1 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
</affiliation>
</author>
<author><name sortKey="Krug, E" sort="Krug, E" uniqKey="Krug E" first="E." last="Krug">E. Krug</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Trauma Surgeon, Leiden University Medical Centre</s1>
<s3>NLD</s3>
<sZ>2 aut.</sZ>
</inist:fA14>
<country>Pays-Bas</country>
</affiliation>
</author>
<author><name sortKey="Berg, L" sort="Berg, L" uniqKey="Berg L" first="L." last="Berg">L. Berg</name>
<affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Kuopio University Hospital</s1>
<s3>FIN</s3>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>Finlande</country>
</affiliation>
</author>
<author><name sortKey="Lee, C" sort="Lee, C" uniqKey="Lee C" first="C." last="Lee">C. Lee</name>
<affiliation wicri:level="1"><inist:fA14 i1="05"><s1>University of California-San Francisco (UCSF) and Microsurgery and Wound Care at St. Mary's Medical Center</s1>
<s2>San Francisco, CA</s2>
<s3>USA</s3>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Hudson, D" sort="Hudson, D" uniqKey="Hudson D" first="D." last="Hudson">D. Hudson</name>
<affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Department of Plastic and Reconstructive Surgery, Groote Schuur Hospital</s1>
<s2>Cape Town</s2>
<s3>ZAF</s3>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Afrique du Sud</country>
</affiliation>
</author>
<author><name sortKey="Birke Sorensen, H" sort="Birke Sorensen, H" uniqKey="Birke Sorensen H" first="H." last="Birke-Sorensen">H. Birke-Sorensen</name>
<affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Hamlet Hospital</s1>
<s2>Aarhus</s2>
<s3>DNK</s3>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>Danemark</country>
</affiliation>
</author>
<author><name sortKey="Depoorter, M" sort="Depoorter, M" uniqKey="Depoorter M" first="M." last="Depoorter">M. Depoorter</name>
<affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Department of Plastic and Reconstructive Surgery, AZ Sint-Jan AV</s1>
<s2>Bruges</s2>
<s3>BEL</s3>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Belgique</country>
</affiliation>
</author>
<author><name sortKey="Dunn, R" sort="Dunn, R" uniqKey="Dunn R" first="R." last="Dunn">R. Dunn</name>
<affiliation wicri:level="1"><inist:fA14 i1="09"><s1>Division of Plastic Surgery, University of Massachusetts Medical School and Memorial Health Care</s1>
<s2>Worcester, MA</s2>
<s3>USA</s3>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Jeffery, S" sort="Jeffery, S" uniqKey="Jeffery S" first="S." last="Jeffery">S. Jeffery</name>
<affiliation wicri:level="1"><inist:fA14 i1="10"><s1>The Royal Centre for Defence Medicine, The Queen Elizabeth Hospital</s1>
<s2>Birmingham</s2>
<s3>GBR</s3>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
</affiliation>
</author>
<author><name sortKey="Duteille, F" sort="Duteille, F" uniqKey="Duteille F" first="F." last="Duteille">F. Duteille</name>
<affiliation wicri:level="1"><inist:fA14 i1="11"><s1>Aesthetic and Reconstructive Surgery - Burn Unit, Hôtel Dieu Hospital</s1>
<s2>Nantes</s2>
<s3>FRA</s3>
<sZ>10 aut.</sZ>
</inist:fA14>
<country>France</country>
</affiliation>
</author>
<author><name sortKey="Bruhin, A" sort="Bruhin, A" uniqKey="Bruhin A" first="A." last="Bruhin">A. Bruhin</name>
<affiliation wicri:level="1"><inist:fA14 i1="12"><s1>Department of Trauma and Visceral Surgery</s1>
<s2>Lucerne</s2>
<s3>CHE</s3>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
</affiliation>
</author>
<author><name sortKey="Caravaggi, C" sort="Caravaggi, C" uniqKey="Caravaggi C" first="C." last="Caravaggi">C. Caravaggi</name>
<affiliation wicri:level="1"><inist:fA14 i1="13"><s1>Center for the Treatment of Diabetic Foot Pathology, Instituto Clinico Citta' Studi</s1>
<s2>Milan</s2>
<s3>ITA</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>Italie</country>
</affiliation>
</author>
<author><name sortKey="Chariker, M" sort="Chariker, M" uniqKey="Chariker M" first="M." last="Chariker">M. Chariker</name>
<affiliation wicri:level="1"><inist:fA14 i1="14"><s1>Aesthetic Plastic Surgery Institute</s1>
<s2>Louisville, KY</s2>
<s3>USA</s3>
<sZ>13 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Dowsett, C" sort="Dowsett, C" uniqKey="Dowsett C" first="C." last="Dowsett">C. Dowsett</name>
<affiliation wicri:level="1"><inist:fA14 i1="15"><s1>Tissue Viability, Newham Community Health and Care Services</s1>
<s2>NHS Newham</s2>
<s3>GBR</s3>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
</affiliation>
</author>
<author><name sortKey="Ferreira, F" sort="Ferreira, F" uniqKey="Ferreira F" first="F." last="Ferreira">F. Ferreira</name>
<affiliation wicri:level="1"><inist:fA14 i1="16"><s1>Hospital Pedro Hispano</s1>
<s2>Matosinhos-Porto</s2>
<s3>PRT</s3>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Portugal</country>
</affiliation>
</author>
<author><name sortKey="Martinez, J M Francos" sort="Martinez, J M Francos" uniqKey="Martinez J" first="J. M. Francos" last="Martinez">J. M. Francos Martinez</name>
<affiliation wicri:level="1"><inist:fA14 i1="17"><s1>General Surgeon, Endocrine Surgery Unit, Hospital Universitari de Bellvitge</s1>
<s2>Barcelona</s2>
<s3>ESP</s3>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
</affiliation>
</author>
<author><name sortKey="Grudzien, G" sort="Grudzien, G" uniqKey="Grudzien G" first="G." last="Grudzien">G. Grudzien</name>
<affiliation wicri:level="1"><inist:fA14 i1="18"><s1>Department of Cardiovascular Surgery and Transplantology, John Paul II Hospital</s1>
<s2>Cracow</s2>
<s3>POL</s3>
<sZ>17 aut.</sZ>
</inist:fA14>
<country>Pologne</country>
</affiliation>
</author>
<author><name sortKey="Ichioka, S" sort="Ichioka, S" uniqKey="Ichioka S" first="S." last="Ichioka">S. Ichioka</name>
<affiliation wicri:level="1"><inist:fA14 i1="19"><s1>Department of Plastic and Reconstructive Surgery, Saitama Medical University</s1>
<s3>JPN</s3>
<sZ>18 aut.</sZ>
</inist:fA14>
<country>Japon</country>
</affiliation>
</author>
<author><name sortKey="Ingemansson, R" sort="Ingemansson, R" uniqKey="Ingemansson R" first="R." last="Ingemansson">R. Ingemansson</name>
<affiliation wicri:level="1"><inist:fA14 i1="20"><s1>Cardiothoracic Surgery, Department of Cardiothoracic Surgery, Heart and Lung Division, University Hospital of Lund</s1>
<s3>SWE</s3>
<sZ>19 aut.</sZ>
</inist:fA14>
<country>Suède</country>
</affiliation>
</author>
<author><name sortKey="Malmsjo, M" sort="Malmsjo, M" uniqKey="Malmsjo M" first="M." last="Malmsjo">M. Malmsjo</name>
<affiliation wicri:level="1"><inist:fA14 i1="21"><s1>Department of Ophthalmology, Lund University and Skåne University Hospital</s1>
<s2>Lund</s2>
<s3>SWE</s3>
<sZ>20 aut.</sZ>
</inist:fA14>
<country>Suède</country>
</affiliation>
</author>
<author><name sortKey="Rome, P" sort="Rome, P" uniqKey="Rome P" first="P." last="Rome">P. Rome</name>
<affiliation wicri:level="1"><inist:fA14 i1="22"><s1>Royal Prince Alfred and Concord Hospitals</s1>
<s2>Sydney</s2>
<s3>AUS</s3>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Australie</country>
</affiliation>
</author>
<author><name sortKey="Vig, S" sort="Vig, S" uniqKey="Vig S" first="S." last="Vig">S. Vig</name>
<affiliation wicri:level="1"><inist:fA14 i1="23"><s1>Mayday University Hospital</s1>
<s2>London</s2>
<s3>GBR</s3>
<sZ>22 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
</affiliation>
</author>
<author><name sortKey="Martin, R" sort="Martin, R" uniqKey="Martin R" first="R." last="Martin">R. Martin</name>
<affiliation wicri:level="1"><inist:fA14 i1="24"><s1>Smith & Nephew</s1>
<s2>Hull</s2>
<s3>GBR</s3>
<sZ>23 aut.</sZ>
<sZ>24 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
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<author><name sortKey="Smith, J" sort="Smith, J" uniqKey="Smith J" first="J." last="Smith">J. Smith</name>
<affiliation wicri:level="1"><inist:fA14 i1="24"><s1>Smith & Nephew</s1>
<s2>Hull</s2>
<s3>GBR</s3>
<sZ>23 aut.</sZ>
<sZ>24 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
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<series><title level="j" type="main">Injury</title>
<title level="j" type="abbreviated">Injury</title>
<idno type="ISSN">0020-1383</idno>
<imprint><date when="2011">2011</date>
</imprint>
</series>
</biblStruct>
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<seriesStmt><title level="j" type="main">Injury</title>
<title level="j" type="abbreviated">Injury</title>
<idno type="ISSN">0020-1383</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bibliographic review</term>
<term>Closure</term>
<term>Negative pressure</term>
<term>Orthopedics</term>
<term>Recommendation</term>
<term>Review</term>
<term>Trauma</term>
<term>Treatment</term>
<term>Wound</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Recommandation</term>
<term>Pression négative</term>
<term>Plaie</term>
<term>Traitement</term>
<term>Traumatisme</term>
<term>Article synthèse</term>
<term>Revue bibliographique</term>
<term>Fermeture</term>
<term>Orthopédie</term>
<term>Chirurgie réparatrice</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Recommandation</term>
<term>Traumatisme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Negative pressure wound therapy (NPWT) has become widely adopted over the last 15 years and over 1000 peer reviewed publications are available describing its use. Despite this, there remains uncertainty regarding several aspects of usage. In order to respond to this gap a global expert panel was convened to develop evidence-based recommendations describing the use of NPWT. In this paper the results of the study of evidence in traumatic wounds (including soft tissue defects, open fractures and burns) and reconstructive procedures (including flaps and grafts) are reported. Evidence-based recommendations were obtained by a systematic review of the literature, grading of evidence, drafting of the recommendations by a global expert panel, followed by a formal consultative consensus development program in which 422 independent healthcare professionals were able to agree or disagree with the recommendations. The criteria for agreement were set at 80% approval. Evidence and recommendations were graded according to the SIGN (Scottish Intercollegiate Guidelines Network) classification system. Twelve recommendations were developed in total; 4 for soft tissue trauma and open fracture injuries, 1 for burn injuries, 3 for flaps and 4 for skin grafts. The present evidence base is strongest for the use of NPWT on skin grafts and weakest as a primary treatment for burns. In the consultative process, 11/12 of the proposed recommendations reached the 80% agreement threshold. The development of evidence-based recommendations for NPWT with direct validation from a large group of practicing clinicians offers a broader basis for consensus than work by an expert panel alone.</div>
</front>
</TEI>
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</fA11>
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</fA11>
<fA14 i1="01"><s1>Department of General Surgery, Black Forest Hospital</s1>
<s2>Villingen</s2>
<s3>DEU</s3>
<sZ>1 aut.</sZ>
</fA14>
<fA14 i1="02"><s1>University of Freiburg</s1>
<s3>DEU</s3>
<sZ>1 aut.</sZ>
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<fA14 i1="03"><s1>Trauma Surgeon, Leiden University Medical Centre</s1>
<s3>NLD</s3>
<sZ>2 aut.</sZ>
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<fA14 i1="04"><s1>Kuopio University Hospital</s1>
<s3>FIN</s3>
<sZ>3 aut.</sZ>
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<fA14 i1="05"><s1>University of California-San Francisco (UCSF) and Microsurgery and Wound Care at St. Mary's Medical Center</s1>
<s2>San Francisco, CA</s2>
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<sZ>4 aut.</sZ>
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<fA14 i1="06"><s1>Department of Plastic and Reconstructive Surgery, Groote Schuur Hospital</s1>
<s2>Cape Town</s2>
<s3>ZAF</s3>
<sZ>5 aut.</sZ>
</fA14>
<fA14 i1="07"><s1>Hamlet Hospital</s1>
<s2>Aarhus</s2>
<s3>DNK</s3>
<sZ>6 aut.</sZ>
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<fA14 i1="08"><s1>Department of Plastic and Reconstructive Surgery, AZ Sint-Jan AV</s1>
<s2>Bruges</s2>
<s3>BEL</s3>
<sZ>7 aut.</sZ>
</fA14>
<fA14 i1="09"><s1>Division of Plastic Surgery, University of Massachusetts Medical School and Memorial Health Care</s1>
<s2>Worcester, MA</s2>
<s3>USA</s3>
<sZ>8 aut.</sZ>
</fA14>
<fA14 i1="10"><s1>The Royal Centre for Defence Medicine, The Queen Elizabeth Hospital</s1>
<s2>Birmingham</s2>
<s3>GBR</s3>
<sZ>9 aut.</sZ>
</fA14>
<fA14 i1="11"><s1>Aesthetic and Reconstructive Surgery - Burn Unit, Hôtel Dieu Hospital</s1>
<s2>Nantes</s2>
<s3>FRA</s3>
<sZ>10 aut.</sZ>
</fA14>
<fA14 i1="12"><s1>Department of Trauma and Visceral Surgery</s1>
<s2>Lucerne</s2>
<s3>CHE</s3>
<sZ>11 aut.</sZ>
</fA14>
<fA14 i1="13"><s1>Center for the Treatment of Diabetic Foot Pathology, Instituto Clinico Citta' Studi</s1>
<s2>Milan</s2>
<s3>ITA</s3>
<sZ>12 aut.</sZ>
</fA14>
<fA14 i1="14"><s1>Aesthetic Plastic Surgery Institute</s1>
<s2>Louisville, KY</s2>
<s3>USA</s3>
<sZ>13 aut.</sZ>
</fA14>
<fA14 i1="15"><s1>Tissue Viability, Newham Community Health and Care Services</s1>
<s2>NHS Newham</s2>
<s3>GBR</s3>
<sZ>14 aut.</sZ>
</fA14>
<fA14 i1="16"><s1>Hospital Pedro Hispano</s1>
<s2>Matosinhos-Porto</s2>
<s3>PRT</s3>
<sZ>15 aut.</sZ>
</fA14>
<fA14 i1="17"><s1>General Surgeon, Endocrine Surgery Unit, Hospital Universitari de Bellvitge</s1>
<s2>Barcelona</s2>
<s3>ESP</s3>
<sZ>16 aut.</sZ>
</fA14>
<fA14 i1="18"><s1>Department of Cardiovascular Surgery and Transplantology, John Paul II Hospital</s1>
<s2>Cracow</s2>
<s3>POL</s3>
<sZ>17 aut.</sZ>
</fA14>
<fA14 i1="19"><s1>Department of Plastic and Reconstructive Surgery, Saitama Medical University</s1>
<s3>JPN</s3>
<sZ>18 aut.</sZ>
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<fA14 i1="20"><s1>Cardiothoracic Surgery, Department of Cardiothoracic Surgery, Heart and Lung Division, University Hospital of Lund</s1>
<s3>SWE</s3>
<sZ>19 aut.</sZ>
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<fA14 i1="21"><s1>Department of Ophthalmology, Lund University and Skåne University Hospital</s1>
<s2>Lund</s2>
<s3>SWE</s3>
<sZ>20 aut.</sZ>
</fA14>
<fA14 i1="22"><s1>Royal Prince Alfred and Concord Hospitals</s1>
<s2>Sydney</s2>
<s3>AUS</s3>
<sZ>21 aut.</sZ>
</fA14>
<fA14 i1="23"><s1>Mayday University Hospital</s1>
<s2>London</s2>
<s3>GBR</s3>
<sZ>22 aut.</sZ>
</fA14>
<fA14 i1="24"><s1>Smith & Nephew</s1>
<s2>Hull</s2>
<s3>GBR</s3>
<sZ>23 aut.</sZ>
<sZ>24 aut.</sZ>
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<fA66 i1="01"><s0>GBR</s0>
</fA66>
<fC01 i1="01" l="ENG"><s0>Negative pressure wound therapy (NPWT) has become widely adopted over the last 15 years and over 1000 peer reviewed publications are available describing its use. Despite this, there remains uncertainty regarding several aspects of usage. In order to respond to this gap a global expert panel was convened to develop evidence-based recommendations describing the use of NPWT. In this paper the results of the study of evidence in traumatic wounds (including soft tissue defects, open fractures and burns) and reconstructive procedures (including flaps and grafts) are reported. Evidence-based recommendations were obtained by a systematic review of the literature, grading of evidence, drafting of the recommendations by a global expert panel, followed by a formal consultative consensus development program in which 422 independent healthcare professionals were able to agree or disagree with the recommendations. The criteria for agreement were set at 80% approval. Evidence and recommendations were graded according to the SIGN (Scottish Intercollegiate Guidelines Network) classification system. Twelve recommendations were developed in total; 4 for soft tissue trauma and open fracture injuries, 1 for burn injuries, 3 for flaps and 4 for skin grafts. The present evidence base is strongest for the use of NPWT on skin grafts and weakest as a primary treatment for burns. In the consultative process, 11/12 of the proposed recommendations reached the 80% agreement threshold. The development of evidence-based recommendations for NPWT with direct validation from a large group of practicing clinicians offers a broader basis for consensus than work by an expert panel alone.</s0>
</fC01>
<fC02 i1="01" i2="X"><s0>002B15</s0>
</fC02>
<fC02 i1="02" i2="X"><s0>002B16H</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE"><s0>Recommandation</s0>
<s5>07</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG"><s0>Recommendation</s0>
<s5>07</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA"><s0>Recomendación</s0>
<s5>07</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE"><s0>Pression négative</s0>
<s5>08</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG"><s0>Negative pressure</s0>
<s5>08</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Presión negativa</s0>
<s5>08</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Plaie</s0>
<s5>09</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Wound</s0>
<s5>09</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Herida</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Traitement</s0>
<s5>13</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Treatment</s0>
<s5>13</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Tratamiento</s0>
<s5>13</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Traumatisme</s0>
<s5>14</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Trauma</s0>
<s5>14</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Traumatismo</s0>
<s5>14</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Article synthèse</s0>
<s5>15</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Review</s0>
<s5>15</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Artículo síntesis</s0>
<s5>15</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Revue bibliographique</s0>
<s5>16</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Bibliographic review</s0>
<s5>16</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Revista bibliográfica</s0>
<s5>16</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Fermeture</s0>
<s5>17</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Closure</s0>
<s5>17</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Cerradura</s0>
<s5>17</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Orthopédie</s0>
<s5>18</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Orthopedics</s0>
<s5>18</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Ortopedia</s0>
<s5>18</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE"><s0>Chirurgie réparatrice</s0>
<s4>INC</s4>
<s5>86</s5>
</fC03>
<fN21><s1>087</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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Evidence-based recommendations for the use of Negative Pressure Wound Therapy in traumatic wounds and reconstructive surgery: Steps towards an international consensus

Evidence-based recommendations for the use of Negative Pressure Wound Therapy in traumatic wounds and reconstructive surgery: Steps towards an international consensus

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