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Review: debridement using hydrogel appears to be more effective than standard wound care for healing diabetic foot ulcers

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QUESTION: What is the effectiveness of different debridement methods for diabetic foot ulcers?

Data sources

Studies were identified by searching the Specialised Trials Register of the Cochrane Wounds Group, which is compiled by searching MEDLINE, EMBASE/Excerpta Medica, CINAHL, and the Cochrane Controlled Trials Register (up to January 2000); scanning bibliographies of relevant studies; and contacting experts in the field.

Study selection

Studies were selected if they were randomised controlled trials (RCTs) that included patients with type 1 or 2 diabetes with active foot ulcers, assessed the effectiveness of treatment with any debridement method compared with no debridement or other debridement methods, and measured complete wound closure or rate of reduction in wound size.

Data extraction

Data were extracted on patients, study design and quality, interventions, and outcomes (complete wound closure, rate of …

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  • Source of funding: no external funding.

  • For correspondence: Ms J A Smith, York District Hospital, North Yorkshire, UK.Judith.A.Smith{at}

  • A modified version of this abstract appears in ACP Journal Club.