{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T17:20:35Z","timestamp":1791393635461,"version":"4.3.3"},"reference-count":50,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,3,11]],"date-time":"2024-03-11T00:00:00Z","timestamp":1710115200000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Effective exudate management is key for optimal ulcer healing. Superabsorbent dressings are designed to have high fluid handling capacity, reduced risk of exudate leakage, fluid retention under compression, and to sequester harmful exudate components. This study aimed to systematically identify existing evidence for the clinical efficacy and cost\u2010effectiveness of superabsorbent dressings for the treatment of moderate\u2010to\u2010highly exudating chronic ulcers of various etiologies. The aim is focused on examining the \u2018class\u2019 effect of all superabsorbers, not any particular dressing. Clinical and cost effectiveness systematic reviews were conducted, searching Embase, MEDLINE, the Cochrane Library, and the Cumulative Index to Nursing and Allied Health Literature. The Cost Effectiveness Analysis Registry and Econ papers were also searched for the economic review. Outcomes of interest included ulcer closure, dressing properties, hospital\u2010 and infection\u2010related outcomes, safety, and economic outcomes. Fourteen studies were included in the clinical systematic review. Eleven were case series, with one randomised controlled trial, one retrospective matched observational study, and one retrospective cohort study. The studies investigated eight superabsorbent dressings and were heterogeneous in their patient population and outcomes. Superabsorbent dressings may result in favourable outcomes, including reductions in frequency of dressing change and pain scores. As most studies were case series, drawing firm conclusions was difficult due to absence of a comparator arm. The economic systematic review identified seven studies, five of which were cost\u2010utility analyses. These suggested superabsorbent dressings are a more cost\u2010effective option for the treatment of chronic ulcers compared with standard dressings. However, the small number and low quality of studies identified in both reviews highlights the need for future research.<\/jats:p>","DOI":"10.1111\/iwj.14750","type":"journal-article","created":{"date-parts":[[2024,3,12]],"date-time":"2024-03-12T01:12:42Z","timestamp":1710205962000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Systematic review and quality assessment of clinical and economic evidence for superabsorbent wound dressings in a population with chronic ulcers"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7146-1267","authenticated-orcid":false,"given":"Vladica","family":"M. 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Germany"},{"name":"Erasmus Universiteit Rotterdam, Erasmus School of Health Policy&amp;Management  Rotterdam Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"Webb","sequence":"additional","affiliation":[{"name":"Source Health Economics  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Crompton","sequence":"additional","affiliation":[{"name":"Source Health Economics  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isobel","family":"Munro","sequence":"additional","affiliation":[{"name":"Source Health Economics  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viviane Fernandes","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Nursing Department Universidade Guarulhos  Guarulhos Brazil"},{"name":"Medical Affair Department HARTMANN GROUP  Barueri 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