Management of Moderate-to-Highly Exuding Chronic Leg Ulcers With Superabsorbent Wound Dressings Versus Foams Dressings in Polish Settings: An Early-Stage Cost-Effectiveness Evaluation.
Vladica Veličković, Anna Serafin, Beata Mrozikiewicz-Rakowska and 1 others
PMID 42049378WHAT IT FOUND
Superabsorbent dressings were cost-saving versus foam dressings in a Polish chronic leg ulcer model: PLN 11144 versus PLN 14685 per patient, with projected healing 34% versus 32%.
This is a model, not direct patient evidence.
Key findings
01The model estimated lower total costs for SAP dressings than foam dressings: PLN 11144 versus PLN 14685 per patient over 6 months.
02Healing rates were projected to be 34% with SAP dressings and 32% with foam dressings, a 2% higher rate with SAPs.
03SAP dressings were cost-saving in all sensitivity scenarios tested and in 100% of probabilistic simulations at a PLN 9000 per QALY threshold.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study is a model-based economic evaluation, not a trial that observed real patients receiving the dressings. It is described as an early health technology assessment using preliminary non-randomized clinical efficacy data. The model relies on published data and clinical trial inputs, which may not capture individual patient experiences. The 6-month horizon does not cover long-term outcomes or recurrence. Transition probabilities came from different studies and were not perfectly matched to the same age, comorbidities, and medication profiles. Patients, the public, communities, and payers were not involved in the study design. Wounds were not stratified by classification or severity beyond moderate-to-highly exuding chronic leg ulcers. Diabetic foot ulcers were excluded, so results do not apply to that population. Distributional effects were not characterized because of limited data. The 2% healing difference is a modelled projection, not a directly observed patient outcome.
Declared interests
The funding section states the authors have nothing to report. Vladica Veličković and Anna Serafin are employees of HARTMANN GROUP and may have competing interests; the other two authors declare no conflicts of interest.
The easy way to misread this
Do not read this as proof that SAP dressings heal more ulcers or save money in your own patients. It is a model based on existing data, the healing difference was not directly observed, and authors from the dressing manufacturer are involved.