Skin substitutes as treatment for chronic wounds: current and future directions

Chronic wounds such as diabetic foot ulcers and venous leg ulcers place a significant burden on the healthcare system and in some cases, have 5-year mortality rates comparable to cancer. They negatively impact patients’ quality of life due to pain, odor, decreased mobility, and social isolation. Ski...

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Main Authors: Nicole M. Vecin, Robert S. Kirsner
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2023.1154567/full
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author Nicole M. Vecin
Nicole M. Vecin
Robert S. Kirsner
author_facet Nicole M. Vecin
Nicole M. Vecin
Robert S. Kirsner
author_sort Nicole M. Vecin
collection DOAJ
description Chronic wounds such as diabetic foot ulcers and venous leg ulcers place a significant burden on the healthcare system and in some cases, have 5-year mortality rates comparable to cancer. They negatively impact patients’ quality of life due to pain, odor, decreased mobility, and social isolation. Skin substitutes are an advanced therapy recommended for wounds that fail to show decrease in size with standard care. The choice of substitute used should be based on evidence, which often differs based on wound etiology. There are more than 75 skin substitutes currently available, and that number is rising. In this review, we discuss current management and future directions of chronic wounds while providing a review of available randomized control trial data for various skin substitutes.
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spelling doaj.art-521a378dde7f4cf9be3f4882ab02a58f2023-08-30T10:18:16ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-08-011010.3389/fmed.2023.11545671154567Skin substitutes as treatment for chronic wounds: current and future directionsNicole M. Vecin0Nicole M. Vecin1Robert S. Kirsner2Departments of Medical Education and Public Health Sciences, University of Miami Leonard M. Miller School of Medicine, Miami, FL, United StatesDr. Philip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, FL, United StatesDr. Philip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, FL, United StatesChronic wounds such as diabetic foot ulcers and venous leg ulcers place a significant burden on the healthcare system and in some cases, have 5-year mortality rates comparable to cancer. They negatively impact patients’ quality of life due to pain, odor, decreased mobility, and social isolation. Skin substitutes are an advanced therapy recommended for wounds that fail to show decrease in size with standard care. The choice of substitute used should be based on evidence, which often differs based on wound etiology. There are more than 75 skin substitutes currently available, and that number is rising. In this review, we discuss current management and future directions of chronic wounds while providing a review of available randomized control trial data for various skin substitutes.https://www.frontiersin.org/articles/10.3389/fmed.2023.1154567/fullskin substitutesskin graftschronic woundsdiabetic foot ulcersvenous leg ulcers
spellingShingle Nicole M. Vecin
Nicole M. Vecin
Robert S. Kirsner
Skin substitutes as treatment for chronic wounds: current and future directions
Frontiers in Medicine
skin substitutes
skin grafts
chronic wounds
diabetic foot ulcers
venous leg ulcers
title Skin substitutes as treatment for chronic wounds: current and future directions
title_full Skin substitutes as treatment for chronic wounds: current and future directions
title_fullStr Skin substitutes as treatment for chronic wounds: current and future directions
title_full_unstemmed Skin substitutes as treatment for chronic wounds: current and future directions
title_short Skin substitutes as treatment for chronic wounds: current and future directions
title_sort skin substitutes as treatment for chronic wounds current and future directions
topic skin substitutes
skin grafts
chronic wounds
diabetic foot ulcers
venous leg ulcers
url https://www.frontiersin.org/articles/10.3389/fmed.2023.1154567/full
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