Overview: Chronic Wounds


Wounds may heal in a timely fashion or experience delayed healing.  As a result, delayed healing may lead to the development of chronic wounds.  Most chronic wounds are caused by common wound pathologies including vascular disease (arterial and venous disease), neuropathy from diabetes mellitus, or prolonged pressure and are among the most common, expensive and important of all diseases.  Chronic wounds represent a burden to society to patients increasing morbidity, mortality and cost of health care.  Federal funding for wound healing and FDA approved treatments for chronic wounds has lagged and wound care education is limited.  Student education is an important step to improving the health care burden of chronic wounds.

Recommended Reading

Fox JDBaquerizo Nole KLBerriman SJKirsner RS: Chronic Wounds: The Need for Greater Emphasis in Medical Schools, Post-graduate Training and Public Health Discussions. Ann Surg. 2016;264:241-3.

Eaglstein WH, Kirsner RS, Robson MC. Food and Drug Administration (FDA) drug approval end points for chronic cutaneous ulcer studies. Wound Repair Regen. 2012;20:793-6

Richmond NA, Lamel SA, Davidson JM, Martins-Green M, Sen CK, Tomic-Canic M, Vivas AC, Braun LR, Kirsner RS. US-National Institutes of Health-funded research for cutaneous wounds in 2012. Wound Repair Regen. 2013;21:789-92.

Sen CK, Gordillo GM, Roy S, Kirsner R, Lambert L, Hunt TK, Gottrup F, Gurtner GC, Longaker MT. Human skin wounds: a major and snowballing threat to public health and the economy.

Wound Repair Regen. 2009;17:763-71.