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Evidence and Practical Wound Care - An All-inclusive Approach

Cutting, K.F. and White, Richard and Legerstee, R. (2017) Evidence and Practical Wound Care - An All-inclusive Approach. Wound Medicine, 16. pp. 40-45. ISSN 2213-9095

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Abstract

The quest for evidence-based medicine leads one in search of best available evidence but what exactly is this? Convention guides us towards the putative gold standard of the randomised controlled trial (RCT) but this approach provides limited access to the gathering of evidence that is relevant to a ‘real world’ environment. Taking several examples from wound care including moist wound healing, negative pressure wound therapy and dressing wounds with gauze we show that if one takes biology into consideration, the “truth” becomes more relevant to everyday life. We suggest that solely relying on the RCT in the quest for truth is misguided and that the research community should embrace a circular model of evidence rather than a hierarchical one.

Item Type: Article
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Uncontrolled Keywords: evidence based medicine, biological plausibility, evidence hierachy, wound care, cochrane collaboration, truth and medicine
Subjects: R Medicine > R Medicine (General)
Divisions: Academic Departments > Institute of Health and Society
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Depositing User: Karol Kosinski
Date Deposited: 27 Jul 2017 14:45
Last Modified: 27 Jul 2017 14:45
URI: https://eprints.worc.ac.uk/id/eprint/5500

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