title: The cost of wound debridement: a Canadian perspective.
abstract: Debridement is integral to wound bed preparation by removing devitalised tissue, foreign material, senescent cells, phenotypically abnormal/dysfunctional cells (cellular burden) and bacteria sequestrum (biofilm). While the body of evidence to substantiate the benefits of debridement is growing, little is known about the cost-effectiveness of each debridement method. The purpose of this analysis was to compare cost-effectiveness of various debridement methods and clinical outcomes to help inform clinicians and policy makers of the cost-effectiveness associated with the various types of therapies and the impact they can have on the Canadian health care system. Results indicated that sharp debridement was the most cost-effective followed by enzymatic debridement method.
authors.affiliation: School of Nursing, Queen's University, Kingston, Ontario, Canada.
authors.forename: Kevin Y
authors.initials: KY
authors.lastname: Woo
authors.affiliation: Aging, Rehabilitation and Geriatric Care Research Centre, St. Joseph's Parkwood Hospital, London, Ontario, Canada.
authors.forename: David
authors.initials: D
authors.lastname: Keast
authors.forename: Nancy
authors.initials: N
authors.lastname: Parsons
authors.affiliation: Toronto Wound Clinic, Toronto, Ontario, Canada.
authors.forename: R Gary
authors.initials: RG
authors.lastname: Sibbald
authors.affiliation: e6 Research Organization Ltd., Toronto, Ontario, Canada.
authors.forename: Nicole
authors.initials: N
authors.lastname: Mittmann
mesh_terms: D002170:Canada; D003362:Cost-Benefit Analysis / Q000706:statistics & numerical data*; D003646:Debridement / Q000191:economics* / Q000379:methods*; D006801:Humans; D014945:Wound Healing; D014947:Wounds and Injuries / Q000628:therapy*
keywords: Cost analysis; Debridement; Enzymatic