{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:35:58Z","timestamp":1787236558913,"version":"build-2736575974"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,4,12]],"date-time":"2016-04-12T00:00:00Z","timestamp":1460419200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100001765","name":"Musculoskeletal Transplant Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001765","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Acellular dermal matrices can successfully heal wounds. This study's goal was to compare clinical outcomes of a novel, open\u2010structure human reticular acellular dermis matrix (\n                    <jats:styled-content style=\"fixed-case\">HR\u2010ADM<\/jats:styled-content>\n                    ) to facilitate wound closure in non\u2010healing diabetic foot ulcers (\n                    <jats:styled-content style=\"fixed-case\">DFUs<\/jats:styled-content>\n                    ) versus\n                    <jats:styled-content style=\"fixed-case\">DFUs<\/jats:styled-content>\n                    treated with standard of care (\n                    <jats:styled-content style=\"fixed-case\">SOC<\/jats:styled-content>\n                    ). Following a 2\u2010week screening period in which\n                    <jats:styled-content style=\"fixed-case\">DFUs<\/jats:styled-content>\n                    were treated with offloading and moist wound care, patients were randomised to either\n                    <jats:styled-content style=\"fixed-case\">SOC<\/jats:styled-content>\n                    alone or\n                    <jats:styled-content style=\"fixed-case\">HR\u2010ADM<\/jats:styled-content>\n                    plus\n                    <jats:styled-content style=\"fixed-case\">SOC<\/jats:styled-content>\n                    applied weekly for up to 12 weeks. At 6 weeks, the primary outcome time, 65% of the\n                    <jats:styled-content style=\"fixed-case\">HR\u2010ADM<\/jats:styled-content>\n                    \u2010treated\n                    <jats:styled-content style=\"fixed-case\">DFUs<\/jats:styled-content>\n                    healed (13\/20) compared with 5% (1\/20) of\n                    <jats:styled-content style=\"fixed-case\">DFUs<\/jats:styled-content>\n                    that received\n                    <jats:styled-content style=\"fixed-case\">SOC<\/jats:styled-content>\n                    alone. At 12 weeks, the proportions of\n                    <jats:styled-content style=\"fixed-case\">DFUs<\/jats:styled-content>\n                    healed were 80% and 20%, respectively. Mean time to heal within 12 weeks was 40 days for the\n                    <jats:styled-content style=\"fixed-case\">HR\u2010ADM<\/jats:styled-content>\n                    group compared with 77 days for the\n                    <jats:styled-content style=\"fixed-case\">SOC<\/jats:styled-content>\n                    group. There was no incidence of increased adverse or serious adverse events between groups or any adverse events related to the graft. Mean and median graft costs to closure per healed wound in the\n                    <jats:styled-content style=\"fixed-case\">HR\u2010ADM<\/jats:styled-content>\n                    group were $1475 and $963, respectively. Weekly application of\n                    <jats:styled-content style=\"fixed-case\">HR\u2010ADM<\/jats:styled-content>\n                    is an effective intervention for promoting closure of non\u2010healing\n                    <jats:styled-content style=\"fixed-case\">DFUs<\/jats:styled-content>\n                    .\n                  <\/jats:p>","DOI":"10.1111\/iwj.12600","type":"journal-article","created":{"date-parts":[[2016,4,12]],"date-time":"2016-04-12T23:11:38Z","timestamp":1460502698000},"page":"307-315","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":66,"title":["A prospective, randomised, controlled, multicentre clinical trial examining healing rates, safety and cost to closure of an acellular reticular allogenic human dermis versus standard of care in the treatment of chronic diabetic foot ulcers"],"prefix":"10.1111","volume":"14","author":[{"given":"Charles M","family":"Zelen","sequence":"first","affiliation":[{"name":"Department of Medical Education Professional Education and Research Institute  Roanoke VA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis P","family":"Orgill","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Brigham and Women's Hospital  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Serena","sequence":"additional","affiliation":[{"name":"Serena Group  Cambridge MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Galiano","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Feinberg School of Medicine Northwestern University  Chicago IL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marissa J","family":"Carter","sequence":"additional","affiliation":[{"name":"Strategic Solutions Inc.  Cody WY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence A","family":"DiDomenico","sequence":"additional","affiliation":[{"name":"Lower Extremity Institute for Research and Therapy  Youngstown OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Keller","sequence":"additional","affiliation":[{"name":"Shenandoah Lower Extremity Research  Troutville VA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarrod","family":"Kaufman","sequence":"additional","affiliation":[{"name":"General Surgery Premier Surgical  Brick NJ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William W","family":"Li","sequence":"additional","affiliation":[{"name":"The Angiogenesis Foundation  Cambridge MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,4,12]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.10029"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.10030"},{"key":"e_1_2_6_4_1","series-title":"Data Points Publication Series [Internet]","volume-title":"Incidence of diabetic foot ulcer and lower extremity amputation among medicare beneficiaries, 2006 to 2008: Data Points #2","author":"Margolis DJ","year":"2011"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.22.5.692"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.26.6.1696"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.26.6.1879"},{"key":"e_1_2_6_8_1","first-page":"44","article-title":"A post\u2010hoc analysis of reduction in diabetic foot ulcer size at 4 weeks as a predictor of healing by 12 weeks","volume":"56","author":"Snyder RJ","year":"2010","journal-title":"Ostomy Wound Manage"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc07-1300"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc12-1323"},{"key":"e_1_2_6_11_1","volume-title":"An expert working group review. 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