S066 - Wounds and Ulcers: The Good, the Bad and the Ugly S066... · [17] Crovetti G, Martinelli G,...
Transcript of S066 - Wounds and Ulcers: The Good, the Bad and the Ugly S066... · [17] Crovetti G, Martinelli G,...
S066 - WOUNDS AND ULCERS: THE GOOD, THE BAD AND THE UGLY02/19/2018, 1:00 PM ROOM 24C
ELIOT MOSTOW, MD, MPH / [email protected]
OVERVIEW / THANKS
1:00 PM
Dr. Mostow / Wound Care: A Call to action for Dermatologists to be Involved
1:20 PM
Dr. Fivenson / The A to Z of Wounds: 'WHAT'S UNDER THE ULCER?'
2:00 PM
Dr. Maderal / Connective Tissue Disease and Wounds
2:40 PM
All faculty / Getting it Right: Improving Diagnostic Accuracy In Wound Care
2:50 PM
Dr. Tang / Acute wound healing pearls
3:20 PM
Dr. Lev-Tov / Preventing Venous Leg Ulcers
COST / EPIDEMIOLOGY
• DISCLOSURE: Not comprehensive
• EPIDEMIOLOGY EASIER THAN COSTS!
• TAKE HOME MESSAGES:
• Wounds are a BIG problem!
• Often “under the radar”
• “Significant” direct and indirect costs
WHAT’S THE DIAGNOSIS?
➢Trauma
➢Infection
➢Venous insufficiency
➢Lymphedema
➢Vasculitis
➢Pyoderma gangrenosum
➢Peripheral vascular disease
➢Inflammatory bowel
disease
➢Cutaneous T-cell
lymphoma
TAKE HOME POINT
•Things are not always as they seem
•More than one diagnosis may be
relevant in etiologies of wound/problem
•Know thyself (know when to “cut bait”)
“In the United States alone, chronic wounds affect 6.5 million patients.[16,17]”
“It is claimed that an excess of US$25 billion is spent annually on treatment of chronic wounds.[19]”
[16] Singer AJ, Clark RA. Cutaneous wound healing. N Engl J Med 1999; 341: 738–46. [17] Crovetti G, Martinelli G, Issi M, Barone M, Guizzardi M, Campanati B, Moroni M, Carabelli A. Platelet gel for healing cutaneous chronic wounds. Transfus Apher Sci 2004; 30: 145– 51. [19] Brem H, Stojadinovic O, Diegelmann RF, Entero H, Lee B, Pastar I, Golinko M, Rosenberg H, Tomic-Canic M. Molecular markers in patients with chronic wounds to guide surgical debridement. Mol Med 2007; 13: 30–9.
Talk over! We’ve known the answer for ~20 years
“6.5 million have chronic skin ulcers caused by pressure, venous stasis, or diabetes mellitus.” Singer AJ, Clark RA. Cutaneous wound healing. N EnglJ Med 1999; 341: 738–46.
Proprietary & unpublishedU.S. markets for wound management products. Irvine, Calif.: Medical Data International, August 1997
Original source
Not found in documentServices UDoHaH. (2004) Guidance to surveyors for long term care facilities. Guidance to Surveyors for Long Term Care Facilities on World Wide Web. URL: http://www.cms.hhs.gov/.
“Over $25 billion is spent yearly in the United States alone on treatment of chronic wounds” Brem H, et al. Molecular markers in patients with chronic wounds to guide surgical debridement. MolMed 2007; 13: 30–9
25 citations
64 citations
Sen, C., et al. (2009). Human skin wounds: A major and snowballing threat to public health and the economy. Wound Repair And Regeneration,17(6), 763-771.*
205 citations with “$25” billion
170 citations with “6.5 million”
*No other article in the literature fell within one order of magnitude in terms of forward citations for this data.
Chronic wound cost and prevalence: forward citations diagram From Google Scholar, search of full article text on Feb 22, 2016
P.D. Eastman
Passing into the realm of the unknown