Negative Pressure Wound Therapy Registry

NCT ID: NCT02467998

Last Updated: 2018-05-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

50000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2005-01-31

Brief Summary

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The goal of the Negative Pressure Wound Therapy Registry (NPWTR) for Wounds is to provide real world patient data from electronic health records submitted to meet Stage 2 Meaningful Use in order to understand the effectiveness and safety of various NPWT devices and methods among patients with chronic wounds and ulcers. Randomized, controlled trials to establish product efficacy routinely exclude patients with the co-morbid conditions common to patients seen in usual clinical practice and thus the results of these Randomized Controlled Trials (RCTs) tend to be non-generalizable. Little is known about the effectiveness of NPWT among typical patients. Patient registries are also ideal for assessing long term safety issues in these devices.

Detailed Description

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The purpose of the Negative Pressure Wound Therapy Registry (NPWTR)) for Wounds and Ulcers is to provide comparative effectiveness data on NPWT including different NPWT devices, and safety data on NPWT (e.g. the frequency of adverse events experienced by typical NPWT patients).

NPWT promotes wound healing by applying a vacuum through a special sealed dressing. The mechanical micro-deformation of the wound bed in response to suction has been shown to stimulate and accelerate the formation of new blood vessels (angiogenesis). The continuous vacuum removes fluid and reduces edema, thereby increasing tissue oxygen levels. The vacuum may be applied continuously or intermittently, depending on the type of wound being treated and the clinical objectives. Depending on the NPWT device, a variety of dressings are placed into the wound bed in conjunction with NPWT, and a variety of suction pressures may be applied.

The diversity of NPWT devices and the rate at which they are becoming available for clinical use make it impossible to perform randomized controlled trials to compare their effectiveness against one another. Effectiveness in real world patients is the best current option to understand the role of NPWT in wound healing.

Hospital based outpatient wound centers participating in the US Wound Registry agree to provide data as part of quality initiatives including participation in PQRS, and to meet their Stage 2 Meaningful use criteria. The NPWTR is a subset of the USWR (Chronic Disease Registry) data. All patient data from all participating outpatient clinics are transmitted to the USWR where data are available for benchmarking, PQRS and other initiatives. Data used for comparative effectiveness research is HIPAA de-identified.

Conditions

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Diabetic Foot Ulcers Venous Stasis Ulcer Pressure Ulcer Surgical Wound Dehiscence Burns Other Types of Chronic Non Healing Wounds

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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NPWT treated wounds

NPWT from any FDA cleared NPWT device including

NPWT

Intervention Type DEVICE

SVAP polyurethane foam, RENASYS foam, RENASYS gauze, AMD gauze, VAC white sponge, VAC black sponge, applied with various NPWT devices, in addition to various dressings to protect wound edges

Interventions

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NPWT

SVAP polyurethane foam, RENASYS foam, RENASYS gauze, AMD gauze, VAC white sponge, VAC black sponge, applied with various NPWT devices, in addition to various dressings to protect wound edges

Intervention Type DEVICE

Other Intervention Names

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the VAC Renasys Pico Engenix Sved SNaP extriCARE Prospera Invia Liberty Invia Motion Avance Halo MINI COBALTT Halo XT

Eligibility Criteria

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Inclusion Criteria

* Provision of NPWT

Exclusion Criteria

* patients not undergoing NPWT
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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U.S. Wound Registry

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Caroline Fife, MD

Role: PRINCIPAL_INVESTIGATOR

US Wound Registry

Locations

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St. Luke's Wound Care Clinic

The Woodlands, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Caroline E Fife, MD

Role: CONTACT

800-603-7896

Monica Weir

Role: CONTACT

800-603-7896

Facility Contacts

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Sherrill White Wolfe

Role: primary

936-266-2150

References

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Fife CE, Walker D, Thomson B, Otto G. The safety of negative pressure wound therapy using vacuum-assisted closure in diabetic foot ulcers treated in the outpatient setting. Int Wound J. 2008 Jun;5 Suppl 2(Suppl 2):17-22. doi: 10.1111/j.1742-481X.2008.00467.x.

Reference Type BACKGROUND
PMID: 18577134 (View on PubMed)

Fife CE, Carter MJ. Wound Care Outcomes and Associated Cost Among Patients Treated in US Outpatient Wound Centers: Data From the US Wound Registry. Wounds. 2012 Jan;24(1):10-7.

Reference Type BACKGROUND
PMID: 25875947 (View on PubMed)

Fife CE, Otto G, Walker D, Turner T, Smith L. Healing dehisced surgical wounds with negative pressure wound therapy. Ostomy Wound Manage. 2004 Apr;50(4A Suppl):28-31. No abstract available.

Reference Type BACKGROUND
PMID: 15317243 (View on PubMed)

Other Identifiers

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CDR003

Identifier Type: -

Identifier Source: org_study_id

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