title: Advanced therapies for chronic wounds: NPWT, engineered skin, growth factors, extracellular matrices.
abstract: Advanced wound care implies the use of products or procedures that are specialized. Although dermatologists are used to being specialists of the skin, hair, and nails, chronic wound care has evolved such that there are some specific treatment options that are more commonly ordered and performed in wound care clinics. Wound care clinics are staffed by specialists and generalists including dermatologists, but also orthopedic surgeons, vascular surgeons, infectious disease specialists, internists, family practitioners, hyperbaric oxygen-trained physicians from a variety of backgrounds, podiatrists, physician assistants, and nurse practitioners. The care of chronic wounds has almost become its own specialty, with so-called advanced therapies now including the use of growth factors, extracellular matrices, engineered skin, and negative pressure wound therapy. It is critical that the dermatologists understand the treatments such that they can appropriately apply or order them directly, or be involved with the care of their patients receiving these therapies.
authors.affiliation: Summa Health System, Akron, Ohio, USA.
authors.forename: Vidya
authors.initials: V
authors.lastname: Shankaran
authors.forename: Megan
authors.initials: M
authors.lastname: Brooks
authors.forename: Eliot
authors.initials: E
authors.lastname: Mostow
mesh_terms: D002908:Chronic Disease; D005109:Extracellular Matrix / Q000378:metabolism*; D006801:Humans; D036341:Intercellular Signaling Peptides and Proteins / Q000627:therapeutic use*; D054843:Negative-Pressure Wound Therapy; D023822:Tissue Engineering; D014947:Wounds and Injuries / Q000628:therapy*
chemical_list: D036341:Intercellular Signaling Peptides and Proteins