Adjustable compression wraps: back to the future

Adjustable Compression Wraps (ACWs) are used to treat a variety of conditions, in particular venous leg ulcers, edema and lymphedema. Publications on the use of these devices are ultimately few and far between, with limitations or biases (small sample sizes, methodological weaknesses, non-comparati...

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Main Authors: Jean-Patrick Benigni, Mieke Flour, Jean-François Uhl
Format: Article
Language:English
Published: PAGEPress Publications 2024-11-01
Series:Veins and Lymphatics
Subjects:
Online Access:https://www.pagepressjournals.org/vl/article/view/12934
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author Jean-Patrick Benigni
Mieke Flour
Jean-François Uhl
author_facet Jean-Patrick Benigni
Mieke Flour
Jean-François Uhl
author_sort Jean-Patrick Benigni
collection DOAJ
description Adjustable Compression Wraps (ACWs) are used to treat a variety of conditions, in particular venous leg ulcers, edema and lymphedema. Publications on the use of these devices are ultimately few and far between, with limitations or biases (small sample sizes, methodological weaknesses, non-comparative studies, lack of interface pressures). A development model like that used in the study of a drug could be more rational. We propose five phases: phase 1) discovery and development, phase 2) in vitro testing, phase 3) clinical trials, phase 4) real-life data analysis, medico-economic investigation using Artificial Intelligence (AI), and phase 5) preparation of regulatory dossiers. This lack of coherence in development could be an obstacle to widespread clinical use. Using AI to analyse large quantities of data could reduce the cost and number of clinical trials needed to generate more robust evidence. This would make it possible to better define the clinical effects of ACWs in specific situations (e.g., leg wounds in the elderly, diabetic wounds, mixed leg ulcers, secondary lymphedema of the upper limb, efficacy, and comfort...) and to compare treatment costs between bandages and ACWs. If we don't explore the future with AI, we'll never know what will be useful for the present - hence the title “Back to the Future”.
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spelling doaj-art-6d59e8802b8249d5aa6c2509d5b8d16b2024-11-13T08:15:56ZengPAGEPress PublicationsVeins and Lymphatics2279-74832024-11-011310.4081/vl.2024.12934Adjustable compression wraps: back to the futureJean-Patrick Benigni0Mieke Flour1Jean-François Uhl2Faculty of Medicine, Sorbonne Université, ParisDepartment of Dermatology, Faculty of Health, University Hospital LeuvenParis City University Adjustable Compression Wraps (ACWs) are used to treat a variety of conditions, in particular venous leg ulcers, edema and lymphedema. Publications on the use of these devices are ultimately few and far between, with limitations or biases (small sample sizes, methodological weaknesses, non-comparative studies, lack of interface pressures). A development model like that used in the study of a drug could be more rational. We propose five phases: phase 1) discovery and development, phase 2) in vitro testing, phase 3) clinical trials, phase 4) real-life data analysis, medico-economic investigation using Artificial Intelligence (AI), and phase 5) preparation of regulatory dossiers. This lack of coherence in development could be an obstacle to widespread clinical use. Using AI to analyse large quantities of data could reduce the cost and number of clinical trials needed to generate more robust evidence. This would make it possible to better define the clinical effects of ACWs in specific situations (e.g., leg wounds in the elderly, diabetic wounds, mixed leg ulcers, secondary lymphedema of the upper limb, efficacy, and comfort...) and to compare treatment costs between bandages and ACWs. If we don't explore the future with AI, we'll never know what will be useful for the present - hence the title “Back to the Future”. https://www.pagepressjournals.org/vl/article/view/12934Adjustable Compression Wrapsdevelopmentvenous leg ulceredemalymphedemaArtificial Intelligence
spellingShingle Jean-Patrick Benigni
Mieke Flour
Jean-François Uhl
Adjustable compression wraps: back to the future
Veins and Lymphatics
Adjustable Compression Wraps
development
venous leg ulcer
edema
lymphedema
Artificial Intelligence
title Adjustable compression wraps: back to the future
title_full Adjustable compression wraps: back to the future
title_fullStr Adjustable compression wraps: back to the future
title_full_unstemmed Adjustable compression wraps: back to the future
title_short Adjustable compression wraps: back to the future
title_sort adjustable compression wraps back to the future
topic Adjustable Compression Wraps
development
venous leg ulcer
edema
lymphedema
Artificial Intelligence
url https://www.pagepressjournals.org/vl/article/view/12934
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