Treatment of Pressure Ulcers
Authors: Mary Ann Forciea, Linda L. Humphrey, Amir Qaseem
Journal: Annals of Internal Medicine (2015)

Letters20 October 2015Treatment of Pressure UlcersMary Ann Forciea, MD, Linda L. Humphrey, MD, MPH, and Amir Qaseem, MD, PhD, MHAMary Ann Forciea, MDFrom University of Pennsylvania Health System, Philadelphia, Pennsylvania; Oregon Health & Science University, Portland, Oregon; and American College of Physicians, Philadelphia, Pennsylvania.Search for more papers by this author, Linda L. Humphrey, MD, MPHFrom University of Pennsylvania Health System, Philadelphia, Pennsylvania; Oregon Health & Science University, Portland, Oregon; and American College of Physicians, Philadelphia, Pennsylvania.Search for more papers by this author, and Amir Qaseem, MD, PhD, MHAFrom University of Pennsylvania Health System, Philadelphia, Pennsylvania; Oregon Health & Science University, Portland, Oregon; and American College of Physicians, Philadelphia, Pennsylvania.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-5148-5 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We agree with Dr. Cereda that nutrition is an important component of pressure ulcer treatment and found moderate-quality evidence that protein-containing nutritional supplements resulted in wound improvement. We are aware of the recent Annals article on arginine supplementation and, although it was not included in our evidence review because it was published after our literature search dates, it would likely be included in an update of the guideline. In response to Dr. Finucane's comments about nutritional data, although the protein supplementation studies used various formulations, these supplements overall showed benefits for pressure ulcer outcomes and are therefore a ...References1. Institute of Medicine. Clinical Practice Guidelines We Can Trust. Washington, DC: National Academies Pr; 2011. Google Scholar2. Qaseem A, Forland F, Macbeth F, Ollenschläger G, Phillips S, van der Wees P; Board of Trustees of the Guidelines International Network. Guidelines International Network: toward international standards for clinical practice guidelines. Ann Intern Med. 2012;156:525-31. [PMID: 22473437] doi:10.7326/0003-4819-156-7-201204030-00009 LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University of Pennsylvania Health System, Philadelphia, Pennsylvania; Oregon Health & Science University, Portland, Oregon; and American College of Physicians, Philadelphia, Pennsylvania.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L15-0416. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoTreatment of Pressure Ulcers: A Clinical Practice Guideline From the American College of Physicians Amir Qaseem , Linda L. Humphrey , Mary Ann Forciea , Melissa Starkey , Thomas D. Denberg , and Treatment of Pressure Ulcers Emanuele Cereda Treatment of Pressure Ulcers Thomas E. Finucane Treatment of Pressure Ulcers Jill Monfre and Justin Endo Treatment of Pressure Ulcers Janet E. Cuddigan , Jan Kottner , Emily Haesler , and Treatment of Pressure Ulcers Emanuele Cereda Treatment of Pressure Ulcers Jill Monfre and Justin Endo Treatment of Pressure Ulcers Thomas E. Finucane Treatment of Pressure Ulcers Janet E. Cuddigan , Jan Kottner , Emily Haesler , and Metrics 20 October 2015Volume 163, Issue 8Page: 649KeywordsDisclosureEvidence based medicineHealth care qualityHealth services researchNutritionPeer reviewPressure ulcersProteinsResearch quality assessmentSystematic reviews ePublished: 20 October 2015 Issue Published: 20 October 2015 Copyright & PermissionsCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...