4.7 Review

Updates on Recent Clinical Assessment of Commercial Chronic Wound Care Products

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ADVANCED HEALTHCARE MATERIALS
卷 -, 期 -, 页码 -

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WILEY
DOI: 10.1002/adhm.202300556

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biomaterials; chronic wounds; growth factors; skin wounds; tissue engineering; wound care; wound healing

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Impaired wound healing after trauma, disorders, and surgeries is a major challenge in chronic wound management. Novel adjuvant therapies, including topical agents, skin substitutes, growth factor delivery, and stem cell therapies, are being explored to overcome delayed wound healing. However, a comprehensive review summarizing the clinical outcomes of these therapies is lacking. This study aims to provide a statistically comprehensive understanding of the commercially available wound care products and their performance in clinical trials for chronic wounds, which will guide the development of next-generation technologies for wound management.
Impaired wound healing after trauma, disorders, and surgeries impact millions of people globally every year. Dysregulation in orchestrated healing mechanisms and underlying medical complications make chronic wound management extremely challenging. Besides standard-of-care treatments including broad spectrum antibiotics and wound-debridement, novel adjuvant therapies are clinically tested and commercialized. These include topical agents, skin substitutes, growth factor delivery, and stem cell therapies. With a goal to overcome factors playing pivotal role in delayed wound healing, researchers are exploring novel approaches to elicit desirable healing outcomes in chronic wounds. Although recent innovations in wound care products, therapies, and devices are extensively reviewed in past, a comprehensive review summarizing their clinical outcomes is surprisingly lacking. Herein, this work reviews the commercially available wound care products and their performance in clinical trials to provide a statistically comprehensive understanding of their safety and efficacy. The performance and suitability of various commercial wound care platforms, including xenogeneic and allogenic products, wound care devices, and novel biomaterials, are discussed for chronic wounds. The current clinical evaluation will provide a comprehensive understanding of the benefits and drawbacks of the most-recent approaches and will enable researchers and healthcare providers to develop next-generation technologies for chronic wound management.

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