Wound healing outcomes; Using big data and a modified intent to treat method as a metric for reporting healing rates

This study presents a modified intent‐to‐treat framework for measuring wound outcomes and measures the consistency of population based outcomes across two distinct settings. Methods: In this retrospective observational analysis, we describe the largest to date, cohort of patient wound outcomes derived from 626 hospital based clinics and one academic tertiary care clinic. We present the results of a modified intent‐to‐treat analysis of wound outcomes as well as demographic and descriptive data. After applying the exclusion criteria, the final analytic sample includes the outcomes from 667,291 wounds in the national sample and 1,788 wounds in the academic sample. Results: We found a consistent modified intent to treat healing rate of 74.6% from the 626 clinics and 77.6% in the academic center. We recommend that a standard modified intent to treat healing rate be used to report wound outcomes to allow for consistency and comparability in measurement across providers, payers and healthcare systems. This article is protected by copyright. All rights reserved.
Source: Wound Repair and Regeneration - Category: Surgery Authors: Tags: Original Research ‐Basic Science Source Type: research