Advances in Skin & Wound Care最新文献

{"title":"Challenges Wound/Ulcer Management Stakeholders Encounter When Correcting Reimbursement Practices.","authors":"Kathleen D Schaum","doi":"10.1097/ASW.0000000000000503","DOIUrl":"10.1097/ASW.0000000000000503","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 7","pages":"341-342"},"PeriodicalIF":1.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CAN-WISE (Canadian Wound Program Information, Services, and Evaluation): A Cross-Sectional Analysis of Canadian Acute Care Wound Management Programs.","authors":"Corey Heerschap, Britney Butt, Matthew Karasmanis, Ella Bisset-Cavallin","doi":"10.1097/ASW.0000000000000509","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000509","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to map acute wound care programs across Canada, assess the accessibility and availability of their services, and identify the presence of structured program elements. Through the evaluation of program strengths and opportunities for improvement, the study seeks to provide insights to inform future initiatives aimed at enhancing the quality and effectiveness of acute care wound care services within Canada.</p><p><strong>Methods: </strong>This study utilized a cross-sectional survey design. Responses were collected from 34 acute care facilities across 7 provinces.</p><p><strong>Results: </strong>Results of this study provide insight into the following 21 aspects of Canadian acute care wound management programs: facility composition, wound care staffing, staff education, services provided, equipment, guideline and assessment utilization, language diversity, cultural competence, research engagement, initiatives and strategies for improved outcomes, documentation tools, technology, promotion of patient adherence, outcome monitoring, pain management, strengths and opportunities for improvement, quality improvement initiatives, patient and family engagement, staffing and follow-up rates, facility collaboration, and program lead professional activities.</p><p><strong>Conclusions: </strong>The results of this survey provide an overview of the accessibility and availability of wound care services within Canadian acute care facilities, demonstrating strengths and opportunities for improvement. The data collected from this study will be utilized to inform future initiatives to improve acute care wound management services across Canada.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148590081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Circadian Rhythms in Dermatology: Mechanisms, Clinical Implications, and Chronotherapy Opportunities.","authors":"Ferhat Bozkurt","doi":"10.1097/ASW.0000000000000498","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000498","url":null,"abstract":"<p><strong>Objective: </strong>Circadian rhythms regulate key cutaneous processes including DNA repair, keratinocyte proliferation, wound healing, and immune responses. Disruption of circadian timing contributes to photoaging, inflammatory dermatoses, nocturnal pruritus, and carcinogenesis. This review synthesizes current evidence and highlights translational opportunities, aiming to bridge molecular insights with clinical dermatology.</p><p><strong>Data sources: </strong>A literature search was conducted in PubMed, Scopus, and Web of Science from January 1990 to March 2025 using terms such as \"circadian rhythm,\" \"clock genes,\" \"chronotherapy,\" \"skin,\" \"dermatology,\" \"photoaging,\" \"melatonin,\" \"vitamin D,\" \"psoriasis,\" \"pruritus,\" and \"skin cancer.\"</p><p><strong>Study selection: </strong>Of 360 records identified, 101 unique publications remained after duplicate removal. Fifty-two were excluded after abstract review. Forty-nine full texts were assessed, and 39 met the inclusion criteria.</p><p><strong>Data extraction: </strong>Studies relevant to circadian regulation of skin physiology, dermatologic conditions, and therapeutic implications were included. Human, animal, and in vitro studies were analyzed, with emphasis on translational findings.</p><p><strong>Data synthesis: </strong>Circadian genes (CLOCK, BMAL1, PER, CRY) regulate epidermal renewal, pigmentation, and repair. DNA repair peaks during the active phase, whereas ultraviolet exposure in the rest phase increases mutagenesis. Melatonin and vitamin D metabolites enhance photoprotection and regeneration. Clinical conditions, including psoriasis, nocturnal itch, and skin cancer, are influenced by circadian misalignment, especially in shift workers. Preliminary evidence suggests that aligning therapies with circadian timing may improve efficacy and reduce toxicity.</p><p><strong>Conclusions: </strong>Circadian biology provides a unifying framework for skin physiology and disease. Chronotherapy and biomarker-guided approaches represent promising strategies, but translation into practice requires validation in large, well-designed trials.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148534924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rising Global Burden and Sex Disparities in Nonmelanoma Skin Cancer: 1990-2021 Trends With Projections to 2036.","authors":"Wenqiang Zhang, Kexin Zhang, Chengxia Kan, Yujie Ma, Zhenghui Tian, Fang Han, Shuai Wang, Xiaodong Sun","doi":"10.1097/ASW.0000000000000505","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000505","url":null,"abstract":"<p><strong>Objective: </strong>Nonmelanoma skin cancer (NMSC), mainly comprising basal and squamous cell carcinomas, is among the most common cancers worldwide. Despite its low mortality, the rising incidence imposes substantial health and economic burdens. This study assessed the global NMSC burden (1990-2021), examined sex-specific regional patterns, and projected trends to 2036 to inform equitable public health strategies.</p><p><strong>Methods: </strong>Data on NMSC from 1990 to 2021 were retrieved from the 2021 Global Burden of Disease Study across 204 countries. Key indicators included incidence, mortality, and disability-adjusted life years (DALYs), stratified by sex, age, region, and Sociodemographic Index (SDI). Temporal trends were evaluated using age-standardized rates, and the future burden (2022-2036) was projected using autoregressive integrated moving average (ARIMA) models.</p><p><strong>Results: </strong>Globally, NMSC cases rose 2.8-fold from 1990 to 2021, reaching 6.3 million in 2021. Men accounted for 58% of cases and 59% of DALYs, with higher incidence, mortality, and DALY rates than women, especially in those 70 years or older, and the sex gap widened over time in high-SDI regions. In adults aged 15 to 49, incidence was occasionally higher in women. Regionally, high-income North America showed the highest incidence, whereas East Asia had the greatest deaths and DALYs. By 2036, global incidence is projected to nearly double, with a steeper increase in men.</p><p><strong>Conclusions: </strong>The global burden of NMSC is rising, and men consistently experience higher incidence, mortality, and DALY rates than women. The expanding sex gap, especially among older adults and in high-SDI regions, highlights the urgent need for targeted and sex-specific prevention, early detection, and public health interventions.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148434784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilization of Autologous Skin Shave Micrografting for Treatment of Advanced Stage Pressure Injuries: A Seven-Patient Case Series.","authors":"","doi":"10.1097/ASW.0000000000000483","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000483","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 6","pages":"E310"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148257027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Avoid Wound/Ulcer Management Coding Missteps: Adopt Correct Coding Steps.","authors":"Kathleen D Schaum","doi":"10.1097/ASW.0000000000000478","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000478","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 6","pages":"286-287"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148256977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the Diabetic Foot Ulcer Scale for Portuguese Patients.","authors":"M Graça Pereira, Gabriela Ferreira, Margarida Vilaça","doi":"10.1097/ASW.0000000000000466","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000466","url":null,"abstract":"<p><strong>Objective: </strong>To validate the Diabetic Foot Ulcer Scale (DFS-SF) in a sample of Portuguese patients diagnosed with chronic diabetic foot ulcers (DFUs).</p><p><strong>Methods: </strong>The sample included 163 participants who completed the DFS-SF, the Short-Form Health Survey (SF-36), and the Hospital Anxiety and Depression Scale (HADS). Construct validity was tested using confirmatory factor analysis. Reliability was evaluated through Cronbach α composite reliability (CR). Convergent validity was tested using Pearson correlations and average variance extracted (AVE).</p><p><strong>Results: </strong>The Portuguese version retains 26 of the original 29 items and introduced one additional subscale, whereas the remaining subscales mirror the original dimensional structure. Reliability for the total scale was excellent (α=0.93; CR=0.97), with subscales values ranging from acceptable to very good, (α and CR=0.69 to 0.90). Significant correlations with SF-36 (r=0.32 to 0.71), and HADS (r=-0.21 to -0.69), alongside AVE coefficients (0.36 to 0.82), supported the construct validity of the Portuguese version.</p><p><strong>Conclusions: </strong>Although further studies are needed, the Portuguese DFS-SF is a reliable and valid tool for assessing quality of life in patients with DFU in both research and clinical settings.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 6","pages":"E263-E269"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148257004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Total Contact Casting for Diabetic Foot Ulcers in Partial-Foot Amputations.","authors":"Garrett Ruff, Uzaam Syed, Louis Iannuzzi, Frank Ross","doi":"10.1097/ASW.0000000000000473","DOIUrl":"10.1097/ASW.0000000000000473","url":null,"abstract":"<p><strong>Objective: </strong>This study reports patient outcomes and predictors of outcomes after total contact casting (TCC) for diabetic stump ulceration in patients with partial-foot amputations.</p><p><strong>Methods: </strong>Retrospective review of patients treated with TCC for diabetic stump ulcerations with ipsilateral partial-foot amputation at a tertiary center from 2015 to 2022 was performed. Patients lost to follow-up, those unable to tolerate TCC, and those with partial amputations of digits 2 to 5 were excluded. Patient demographics, outcomes, and complication rates of TCC were collected and compared. Multivariable linear regression was performed to identify demographic predictors of time to ulcer closure.</p><p><strong>Results: </strong>Forty-three patients were included in this study, with a 93.5% rate of primary ulcer closure, 46.5% rate of re-ulceration, and 9.3% rate of re-amputation. Patients without re-ulceration were significantly more likely to be nonsmokers. Regression analysis also found that smoking history trended toward a longer delay to ulcer closure ( P =.097). Age, body mass index, presence of contralateral amputation, and type of amputation did not affect patient outcomes or complication rates.</p><p><strong>Conclusions: </strong>TCC effectively promotes ulcer closure in diabetic patients with high comorbidity burden and partial-foot amputation, although smoking history increases re-ulceration rates.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"308-313"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147969688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Topical Table Salt for the Treatment of Pyogenic Granuloma: A Five-Case Series.","authors":"Melike Karaçoban, Engin Şenel","doi":"10.1097/ASW.0000000000000462","DOIUrl":"10.1097/ASW.0000000000000462","url":null,"abstract":"<p><p>Pyogenic granuloma (PG) is a common benign vascular lesion characterized by rapid growth and a tendency to bleed. This case series presents 5 patients with solitary PG lesions successfully treated with the topical application of table salt under occlusion. All patients achieved complete clinical and dermoscopic resolution without scarring or recurrence, and treatment was well tolerated with high patient satisfaction. Given its simplicity, safety, and cost-effectiveness, topical salt application may represent a valuable noninvasive alternative for managing PG.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"E303-E307"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147809039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to Self-Management of Patients with Diabetic Foot Ulcers: A Systematic Review and Qualitative Meta-Synthesis.","authors":"Qin Liu, Lei Shi, Jin Wang, Huiren Zhuang","doi":"10.1097/ASW.0000000000000469","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000469","url":null,"abstract":"<p><strong>Objective: </strong>To synthesize qualitative research on self-management among patients with diabetic foot ulcers (DFUs) to provide insights and recommendations for enhancing self-management interventions.</p><p><strong>Data sources: </strong>A comprehensive search of PubMed, Embase, Web of Science, Cochrane Library, CBM, CNKI, WanFang, and VIP databases was conducted through August 15, 2024.</p><p><strong>Study selection: </strong>Studies were selected based on the PICo-D model; P (Population) was patients with DFUs, I (Interest) was barriers to self-management, Co (Context) was the patient's life following a DFU diagnosis, and D (Design) was qualitative or mixed-method studies. Exclusion criteria included duplicate publications, unavailable full text, and literature published in languages other than Chinese or English.</p><p><strong>Data extraction: </strong>Two researchers independently screened, assessed quality, and extracted data. Discrepancies were resolved by discussion or a third reviewer. Extracted data included authors, year, country, methodology, sample size, phenomenon of interest, and key findings.</p><p><strong>Data synthesis: </strong>A meta-synthesis approach integrated findings from 14 studies with 256 participants. Barriers to DFU self-management were grouped into eight themes: (a) cognitive factors (eg, lack of knowledge, information processing, decision-making abilities, self-efficacy); (b) emotional factors; (c) behavioral factors (eg, behavioral habits, adherence); (d) social factors (eg, social resources, social support); (e) economic factors; (f) environmental factors (eg, living environment, environmental support); (g) policy factors (eg, policy support, resource allocation, regulatory restrictions); and (h) cultural factors (eg, cultural identity, traditional beliefs).</p><p><strong>Conclusions: </strong>Patients with DFUs face multiple barriers to effective self-management. Health care providers should focus on enhancing health education, providing psychological support, fostering a supportive environment, and implementing personalized interventions to improve patients' self-management abilities and strengthen their overall prognosis.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 6","pages":"E276-E285"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148256974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}