{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T05:45:30Z","timestamp":1784699130337,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,5,6]],"date-time":"2016-05-06T00:00:00Z","timestamp":1462492800000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Wound Repair Regeneration"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The aim of the study was a cost and clinical effectiveness analysis between moist wound healing dressings and gauze in a homecare set up for the treatment of stage III and IV pressure ulcers up to complete healing. In addition, we assessed the overall economic burden on the Healthcare System. Treatment method for each patient was chosen randomly by using sealed opaque envelopes. The authors monitored the healing progress and recorded treatment costs without interfering with the treatment process. The healing progress was estimated by using surface measurement transparent films. To estimate treatment costs, the authors took into account labor costs, cost of dressings, as well the cost of other materials such as cleansing gauzes, normal saline, syringes, examination gloves, antiseptics and adhesive tape. The patient group under treatment with moist wound healing dressings consisted of 27 men and 20 women aged 75.1\u2009\u00b1\u20098,6 and had an average ulcer surface of 43.5\u2009\u00b1\u200930.70 cm<jats:sup>2<\/jats:sup>; the patient group under treatment with gauze comprised 25 men and 23 women aged 77.02\u2009\u00b1\u20098.02 and had an average ulcer surface 41.52\u2009\u00b1\u200929.41 cm<jats:sup>2<\/jats:sup> (<jats:italic>p<\/jats:italic>\u2009=\u20090.25, 95% CI, Student's <jats:italic>t<\/jats:italic> test). The average healing time for the moist wound healing dressings group' was 85.56\u2009\u00b1\u200952.09 days, while 121.4\u2009\u00b1\u200952.21 days for the \u201cgauze group\u201d (<jats:italic>p<\/jats:italic>\u2009=\u20090.0001, 95% CI, Student's <jats:italic>t<\/jats:italic> test). The dressing change frequency per patient was reduced in the \u201cmoist wound healing dressings group,\u201d 49.5\u2009\u00b1\u200929.61, compared with a dressing change frequency per patient of 222.6\u2009\u00b1\u2009101.86 for the \u201cgauze group\u201d (<jats:italic>p<\/jats:italic>\u2009=\u20090.0001, 95% CI, Student's <jats:italic>t<\/jats:italic> test). The use of moist wound healing dressings had a lower total treatment cost of 1,351 \u20ac per patient compared with, the use of gauzes (3,888 \u20ac).<\/jats:p>","DOI":"10.1111\/wrr.12433","type":"journal-article","created":{"date-parts":[[2016,4,2]],"date-time":"2016-04-02T16:57:36Z","timestamp":1459616256000},"page":"596-601","source":"Crossref","is-referenced-by-count":41,"title":["A cost and clinical effectiveness analysis among moist wound healing dressings versus traditional methods in home care patients with pressure ulcers"],"prefix":"10.1111","volume":"24","author":[{"given":"Kyriakos","family":"Souliotis","sequence":"first","affiliation":[{"name":"Faculty of Social and Political Sciences, University of Peloponnese Corinth Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioannis","family":"Kalemikerakis","sequence":"additional","affiliation":[{"name":"Department of Nursing, Technological Educational Institute of Athens Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Saridi","sequence":"additional","affiliation":[{"name":"Faculty of Social and Political Sciences, University of Peloponnese Corinth Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manto","family":"Papageorgiou","sequence":"additional","affiliation":[{"name":"Department of Public Health Faculty of Nursing University of Athens Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Athena","family":"Kalokerinou","sequence":"additional","affiliation":[{"name":"Department of Public Health Faculty of Nursing University of Athens Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,5,6]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2002.02370.x"},{"key":"e_1_2_7_3_1","unstructured":"Royal College of Nursing and National Institute for Health and Clinical Excellence. The management of pressure ulcers in primary and secondary care. A Clinical Practice Guideline. Final Version June2005. Available at:https:\/\/www2.rcn.org.uk\/__data\/assets\/pdf_file\/0017\/65015\/management_pressure_ulcers.pdf(accessed March 12 2016)."},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2007.16.1.26981"},{"key":"e_1_2_7_5_1","first-page":"93","article-title":"The influence of dressings on the costs of wound treatment","volume":"8","author":"Hermans MH","year":"1996","journal-title":"Dermatol Nurs"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003-9993(86)90004-3"},{"key":"e_1_2_7_7_1","first-page":"463","article-title":"Hydrocolloid versus saline gauze dressings in treating pressure ulcers: a cost effectiveness analysis","volume":"73","author":"Xakellis GC","year":"1992","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_2_7_8_1","first-page":"28","article-title":"A comparison of the efficacy and costeffectiveness of two methods of managing pressure ulcers","volume":"6","author":"Colwell JC","year":"1993","journal-title":"Decubitus"},{"key":"e_1_2_7_9_1","first-page":"42","article-title":"A comparison of Epi\u2010Lock and saline dressings in the treatment of pressure ulcers","volume":"6","author":"Kraft MR","year":"1993","journal-title":"Decubitus"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.1996.37.3.181"},{"key":"e_1_2_7_11_1","first-page":"273","article-title":"Acemannan hydrogel dressing versus saline dressing for pressure ulcers. 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Clinical trial on primary care patients with venous leg ulcers and pressure ulcers","volume":"23","author":"Capillas PR","year":"2000","journal-title":"Rev Enferm"},{"key":"e_1_2_7_15_1","first-page":"157","article-title":"Clinical activity\u2010based cost effectiveness of traditional versus modern wound management in patients with pressure ulcers","volume":"16","author":"Ohura T","year":"2004","journal-title":"Wounds"},{"key":"e_1_2_7_16_1","first-page":"30","article-title":"Pressure ulcers management: an economic evaluation","volume":"53","author":"Foglia E","year":"2012","journal-title":"J Prev Med Hyg"},{"key":"e_1_2_7_17_1","first-page":"50","article-title":"Traditional dressings or cures in a moist environment","volume":"24","author":"Aguil\u00f3 SS","year":"2001","journal-title":"Rev ROL de Enfermeria"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.7326\/M14-1568"},{"key":"e_1_2_7_19_1","unstructured":"Prevention and Treatment of Pressure Ulcers: Quick Reference Guide. 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The Cochrane Library 2007; Published by John Wiley & Sons. Ltd. 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