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      A meta‐analysis of clinical studies of moxibustion for pressure ulcer healing

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          Abstract

          In this study, we aimed to evaluate the effect of moxibustion on pressure ulcers. A thorough search was performed for articles published from database inception up to 14 December 2023. Randomized controlled trials, which evaluated the effects of moxibustion were included. Finally, 11 relevant trails that enrolled a total of 795 participants met inclusion criteria. The results of meta‐analysis suggested beneficial effects of moxibustion for pressure ulcer compared with control on the response rate (RR: 1.21; 95% CI: 1.13–1.29; p = 0.82; I 2 = 0%), healing time (MD: −5.69; 95% CI: −9.58 to −1.80; p<0.05; I 2 = 97%) and pressure ulcer scale for healing scores (MD: −1.13; 95% CI: −1.36 to −0.89; p = 0.79; I 2 = 0%). The evidence suggests that moxibustion possesses satisfactory efficacy in promoting healing of pressure ulcers. However, due to the small number of trials included in this study, as well as the small sample size and high risk of bias, we were unable to draw firm conclusions about the effectiveness of moxibustion for pressure ulcers.

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          Most cited references27

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          Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions

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            The cost of pressure ulcers in the UK.

            To estimate the annual cost of treating pressure ulcers in the UK. Costs were derived from a bottom-up methodology, based on the daily resources required to deliver protocols of care reflecting good clinical practice. Health and social care system in the UK. Patients developing a pressure ulcer. A bottom-up costing approach is used to estimate treatment cost per episode of care and per patient for ulcers of different grades and level of complications. Also, total treatment cost to the health and social care system in the UK. The cost of treating a pressure ulcer varies from pound 1,064 (Grade 1) to pound 10,551 (Grade 4). Costs increase with ulcer grade because the time to heal is longer and because the incidence of complications is higher in more severe cases. The total cost in the UK is pound 1.4- pound 2.1 billion annually (4% of total NHS expenditure). Most of this cost is nurse time. Pressure ulcers represent a very significant cost burden in the UK. Without concerted effort this cost is likely to increase in the future as the population ages. To the extent that pressure ulcers are avoidable, pressure damage may be indicative of clinical negligence and there is evidence that litigation could soon become a significant threat to healthcare providers in the UK, as it is in the USA.
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              Pressure Ulcers: Pathophysiology, Epidemiology, Risk Factors, and Presentation

              Though preventable in most cases, pressure ulcers continue to pose a major burden to the individual and society, affecting ≤3 million adults annually in the United States alone. Despite increased national attention over the past 20 years, the prevalence of pressure ulcers has largely remained unchanged, while the associated costs of care continue to increase. Dermatologists can play a significant role in pressure ulcer prevention by becoming aware of at-risk populations and implementing suitable preventive strategies. Moreover, dermatologists should be able to recognize early changes that occur before skin breakdown and to properly identify and stage pressure ulcers to prevent delay of appropriate care. The aim of the first article in this continuing medical education series is to discuss the pathophysiology, risk factors, epidemiology, social and economic burdens, and clinical presentation of pressure ulcers.
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                Author and article information

                Contributors
                15914307696@163.com
                Journal
                Int Wound J
                Int Wound J
                10.1111/(ISSN)1742-481X
                IWJ
                International Wound Journal
                Blackwell Publishing Ltd (Oxford, UK )
                1742-4801
                1742-481X
                31 January 2024
                February 2024
                : 21
                : 2 ( doiID: 10.1111/iwj.v21.2 )
                : e14686
                Affiliations
                [ 1 ] Department of Pediatrics Guangzhou Red Cross Hospital of Jinan University Guangzhou China
                [ 2 ] Science and Technology Innovation Center Guangzhou University of Chinese Medicine Guangzhou China
                [ 3 ] The First Clinical Medical School Guangzhou University of Chinese Medicine Guangzhou China
                Author notes
                [*] [* ] Correspondence

                Shuyi Zhang, Department of Pediatrics, Guangzhou Red Cross Hospital of Jinan University, Guangzhou, China.

                Email: 15914307696@ 123456163.com

                Author information
                https://orcid.org/0009-0008-4499-0102
                Article
                IWJ14686
                10.1111/iwj.14686
                10831133
                195ea8fe-81ff-4663-807a-8c255faa0fac
                © 2024 The Authors. International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

                History
                : 03 January 2024
                : 19 December 2023
                : 04 January 2024
                Page count
                Figures: 6, Tables: 1, Pages: 7, Words: 3164
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                February 2024
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.3.6 mode:remove_FC converted:01.02.2024

                Emergency medicine & Trauma
                effect,evidence,meta‐analysis,moxibustion,pressure ulcers
                Emergency medicine & Trauma
                effect, evidence, meta‐analysis, moxibustion, pressure ulcers

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