Oxidized Regenerated Cellulose/Collagen Dressings: Review of Evidence and Recommendations

Stephanie Wu, Andrew J. Applewhite, Jeffrey Niezgoda, Robert Snyder, Jayesh Shah, Breda Cullen, Gregory Schultz, Janis Harrison, Rosemary Hill, Melania Howell, Marcus Speyrer, Howard Utra, Jean de Leon, Wayne Lee, Terry Treadwell

Research output: Contribution to journalReview article

9 Scopus citations

Abstract

OBJECTIVE: Healthcare systems are being challenged to manage increasing numbers of nonhealing wounds. Wound dressings are one of the first lines of defense in wound management, and numerous options exist. The oxidized regenerated cellulose (ORC)/collagen dressing may offer healthcare providers a robust and cost-effective tool for use in a variety of wounds.

DESIGN: A multidisciplinary panel meeting was convened to discuss the use of ORC/collagen dressings in wound care and provide practice recommendations. A literature search was conducted to provide a brief review of the peer-reviewed studies published between January 2000 and March 2016 to inform the meeting.

SETTING: A 2-day panel meeting convened in February 2017.

PARTICIPANTS: Healthcare providers with experience using ORC/collagen dressings. This multidisciplinary panel of 15 experts in wound healing included podiatrists, wound care specialists (doctors, certified wound care nurses, and research scientists), and an orthopedist.

RESULTS: The literature search identified 58 articles, a majority of which were low levels of evidence (69.3% were level 3 or lower). Panel members identified wound types, such as abrasions, burns, stalled wounds, diabetic foot ulcers, and pressure injuries, where ORC/collagen dressing use could be beneficial. Panel members then provided recommendations and technical pearls for the use of ORC/collagen dressings in practice. Barriers to ORC/collagen dressing use were discussed, and potential resolutions were offered.

CONCLUSIONS: An ORC/collagen dressing can be a critical tool for clinicians to help manage a variety of wounds. Clinical and economic studies comparing standard-of-care dressings and plain collagen dressings to ORC/collagen dressings are needed.

Original languageEnglish (US)
Pages (from-to)S1-S18
JournalAdvances in skin & wound care
Volume30
Issue number11S Suppl 1
DOIs
StatePublished - Nov 1 2017

ASJC Scopus subject areas

  • Dermatology
  • Advanced and Specialized Nursing

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    Wu, S., Applewhite, A. J., Niezgoda, J., Snyder, R., Shah, J., Cullen, B., Schultz, G., Harrison, J., Hill, R., Howell, M., Speyrer, M., Utra, H., de Leon, J., Lee, W., & Treadwell, T. (2017). Oxidized Regenerated Cellulose/Collagen Dressings: Review of Evidence and Recommendations. Advances in skin & wound care, 30(11S Suppl 1), S1-S18. https://doi.org/10.1097/01.ASW.0000525951.20270.6c