University of Worcester Worcester Research and Publications

Evidence and Practical Wound Care - An All-inclusive Approach

Cutting, K.F., 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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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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The full-text can be accessed via the Official URL.

Uncontrolled Discrete Keywords: evidence based medicine, biological plausibility, evidence hierachy, wound care, cochrane collaboration, truth and medicine
Subjects: R Medicine > R Medicine (General)
Divisions: College of Health, Life and Environmental Sciences > School of Nursing and Midwifery
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Depositing User: Karol Kosinski
Date Deposited: 27 Jul 2017 14:45
Last Modified: 17 Jun 2020 17:17

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