Wound Healing Clinical Trials and Research
National Healing Corporation's model of educating all clinicians, and utilizing
common forms, policies, treatment algorithms and data elements lends itself to an
ideal, homogenous platform for multi-center trial research among NHC managed wound
healing centers nationwide.
NHC has set a priority on translational research with a bench-to-bedside-to-community
approach and offers companies wishing to do multi-center trial research an opportunity
to participate in research projects involving chronic wound patients or
hyperbaric oxygen patients.
Largest Chronic Wound Tissue Bank and Database
NHC and its research partner The Ohio
State University have worked together to establish a chronic wound tissue
bank for the purposes of doing genomic research. Tissue biopsies from NHC managed
wound centers have contributed to a tissue bank which samples are supported with
clinical information including healing times of these patients. The data in the
tissue bank has resulted in the world's most complete catalog of healing and non-healing
responses cross-indexed across wound types and patient conditions. A National Institutes
of Health grant is pending to use this collection of specimens and clinical information
from NHC managed wound centers along with information from other databases to build
a research model to serve as a resource for wound researchers from multiple academic
settings.
Gene Screen Study
Transcriptome-Wide Analysis of Blood Vessels Laser Capture From Human Skin and Chronic
Wound-Edge Tissue published in the September 4, 2007 issue of Proceedings of National
Academy of Science was based upon research with the NHC chronic wound tissue bank
and database. A team of scientists at The Ohio State University created a new methodology
using a laser to capture a complete genome-wide screening of blood vessel cells
in actual diseased states. Previous methods of cell biology research removed cells
from the diseased environment into a culture dish. The new approach identifies blood
vessels in less than five minutes followed by a rapid robot-assisted process that
collects tissue which can be subjected to genome-wide screening. The study found
that genes thought to be uniquely expressed in cancer were also present in wounds.
Those genes have not previously been studied in wound healing. Understanding the
vascular supply to wounds has implications for hastening wound healing as well as
for starving cancerous tumors.
Research Supporting Best Practices
NHC is a leader in providing cost-effective wound solutions for hospitals. The Ohio
State University Comprehensive Wound Center, an NHC managed wound center, and OSU
researchers published Human Skin: A Major Snowballing Threat to Public Health and
the Economy in the November 2009 issue of Wound Repair and Regeneration. The research
detailed the estimated excess of $25 billion spent annually on the treatment of
chronic wounds and the burden that is rapidly growing due to increasing health care
costs, an aging population and a sharp rise in the incidence of diabetes and obesity
worldwide.
Research in Biological Tissue
NHC managed wound care centers have participated in several studies utilizing biological
tissue. One international study that was the largest of its kind, examined the use
of a new product to help heal patients with venous leg ulcers.
In another study, a product that is already used for the patient with a diabetic
foot ulcer is being researched for use in patients with venous insufficiency. The
goal of this international study is to seek FDA approval to expand the indications
of this product.
Research In New Innovative Wound Devices
Several NHC managed wound centers have participated in a research project for a
new negative pressure wound therapy device. This project is comparing the outcomes
with a new, non-powered NPWT device with that of the standard device currently used
in the clinics.
Studies Examining Factors Relating to Chronic Wounds
NHC and The Ohio State University are currently planning publication of studies
regarding race and ethnicity as they relate to wounds as well as a pilot study on
obstructive sleep apnea and its prevalence in the chronic wound population.
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