Treatment of Pressure Ulcers
Authors: Emanuele Cereda
Journal: Annals of Internal Medicine (2015)

Letters20 October 2015Treatment of Pressure UlcersEmanuele Cereda, MD, PhDEmanuele Cereda, MD, PhDFrom Servizio di Dietetica Nutrizione Clinica, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-5148 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:I read Qaseem and colleagues' guideline with interest (1). Pressure ulcers are a tough problem to manage and a horrible one for patients, negatively affecting mortality, morbidity, quality of life, and health care costs. Different treatment strategies could and should be integrated to achieve healing (2). However, Qaseem and colleagues' guideline highlights that most interventions are supported by low-quality evidence and that recommendations on their use are based on expert consensus (1). This synthesis of literature is consistent with that of the international guideline released in September 2014 by the National Pressure Ulcer Advisory Panel (NPUAP), European ...References1. Qaseem A, Humphrey LL, Forciea MA, Starkey M, Denberg TD; Clinical Guidelines Committee of the American College of Physicians. Treatment of pressure ulcers: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2015;162:370-9. [PMID: 25732279] doi:10.7326/M14-1568 LinkGoogle Scholar2. Smith ME, Totten A, Hickam DH, Fu R, Wasson N, Rahman B, et al. Pressure ulcer treatment strategies: a systematic comparative effectiveness review. Ann Intern Med. 2013;159:39-50. [PMID: 23817703] doi:10.7326/0003-4819-159-1-201307020-00007 LinkGoogle Scholar3. National Pressure Ulcer Advisory Panel; European Pressure Ulcer Advisory Panel; Pan Pacific Pressure Injury Alliance; Emily Haesler, eds. Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline. Perth, Australia: Cambridge Media; 2014. Google Scholar4. Cereda E, Klersy C, Serioli M, Crespi A, D'Andrea F; OligoElement Sore Trial Study Group. A nutritional formula enriched with arginine, zinc, and antioxidants for the healing of pressure ulcers: a randomized trial. Ann Intern Med. 2015;162:167-74. [PMID: 25643304] doi:10.7326/M14-0696 LinkGoogle Scholar5. Cereda E, Klersy C, Rondanelli M, Caccialanza R. Energy balance in patients with pressure ulcers: a systematic review and meta-analysis of observational studies. J Am Diet Assoc. 2011;111:1868-76. [PMID: 22117663] doi:10.1016/j.jada.2011.09.005 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Servizio di Dietetica Nutrizione Clinica, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterest Forms.do?msNum=L15-0417. 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 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 Mary Ann Forciea , Linda L. Humphrey , and Amir Qaseem Treatment of Pressure Ulcers Mary Ann Forciea , Linda L. Humphrey , and Amir Qaseem 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 Cited byEfficacy of a disease-specific nutritional support for pressure ulcer healing: A systematic review and meta-analysis 20 October 2015Volume 163, Issue 8Page: 646-647KeywordsArginineMicronutrientsMorbidityMortalityNutritionPressure ulcersProteinsQuality of lifeRegenerative medicineZinc ePublished: 20 October 2015 Issue Published: 20 October 2015 Copyright & PermissionsCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...