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AUTHORS

Pam Chen1,2, Nalini Campillo Vilorio3 , Ketan Dhatariya4, 5, William Jeffcoate6 , Ralf Lobmann7 , Caroline McIntosh8 , Alberto Piaggesi9 , John Steinberg10, Prash Vas11, Vijay Viswanathan12, Stephanie Wu13, Fran Game14, on behalf of the International Working Group on the Diabetic Foot

INSTITUTIONS

1 Joondalup Health Campus, Ramsay Healthcare Australia, Joondalup, Western Australia, Australia

2 Faculty of Health, University of Tasmania, Hobart, Tasmania, Australia

3 Department of Diabetology, Diabetic Foot Unit, Plaza de la Salud General Hospital, Santo Domingo, Dominican Republic

4 Elsie Bertram Diabetes Centre, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK

5 Norwich Medical School, University of East Anglia, Norwich, UK

6 Retired physician, Nottingham, UK

7 Clinic for Endocrinology, Diabetology and Geriatrics, Klinikum Stuttgart, Stuttgart, Germany

8 Podiatric Medicine, School of Health Sciences, University of Galway, Ireland

9 Diabetic Foot Section, Department of Medicine, University of Pisa, Italy

10 Georgetown University School of Medicine, Washington DC, USA

11 King’s College Hospital NHS Foundation Trust, London, UK

12 MV Hospital for Diabetes and Prof M Viswanathan Diabetes Research Center, Chennai, India

13 Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science, North Chicago, Illinois, USA

14 University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK

AUTHORS

Sicco A. Bus1,2, Isabel C.N Sacco3 , Matilde Monteiro-Soares4,5,6, Anita Raspovic7 , Joanne Paton8 , Anne Rasmussen9 , Larry A. Lavery10, Jaap J. van Netten1,2, on behalf of the International Working Group on the Diabetic Foot

INSTITUTIONS

1 Amsterdam UMC, University of Amsterdam, Department of Rehabilitation Medicine, Amsterdam, the Netherlands

2 Amsterdam Movement Sciences, program Rehabilitation & Development, Amsterdam, the Netherlands

3 Physical Therapy, Speech and Occupational Therapy department, School of Medicine, University of São Paulo, São Paulo, Brazil

4 Higher School of Health of the Portuguese Red Cross, Lisbon, Portugal

5 Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, Porto, Portugal

6 RISE@ CINTESIS, Faculty of Medicine, Oporto University, Porto, Portugal

7 Discipline of Podiatry, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia

8 School of Health Professions, University of Plymouth, Plymouth, UK

9 Steno Diabetes Center Copenhagen, Herlev, Denmark

10 Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA

AUTHORS

Éric Senneville1 , Zaina Albalawi2 , Suzanne A.

van Asten3 , Zulfiqarali G. Abbas4 , Geneve Allison5 ,

Javier Aragón-Sánchez6 , John M. Embil7 , Lawrence

A. Lavery8 , Majdi Alhasan9 , Orhan Oz10, Ilker

Uçkay11, Vilma Urbančič-Rovan12, Zhang-Rong Xu13,

Edgar J.G. Peters14, on behalf of the International

Working Group on the Diabetic Foot

INSTITUTIONS

1 Department of Infectious Diseases, Gustave Dron Hospital, Tourcoing, France

2 Department of Medicine, Division of Endocrinology, Memorial University, Canada

3 Leiden University Medical Centre, Leiden, the Netherlands

4 Abbas Medical Centre, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania

5 Tufts Medical Center, Department of Medicine, Boston, Massachusetts, USA

6 La Paloma Hospital, Las Palmas de Gran Canaria, Spain

7 Alberta Public Laboratories, University of Alberta Hospital, Edmonton, Alberta, Canada

8 Department of Plastic Surgery, Southwestern Medical Center, Dallas, Texas, USA

9 Department of Medicine, Prisma Health-Midlands, Columbia, South Carolina, USA

10 UT Southwestern Medical Center, Dallas, Texas, USA

11 Balgrist University Hospital, Zurich, Switzerland

12 Faculty of Medicine, University Medical Centre, University of Ljubljana, Ljubljana, Slovenia

13 Diabetes Centre, The 306th Hospital of PLA, Beijing, China

14 Department of Internal Medicine, Infection and Immunity Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands

Terri Shih1  · Sarah Park1  · Linnea R. Thorlacius2,3 · Steven Daveluy4  · Amit Garg5  · Susanne D. Goegji6  · Joslyn S. Kirby7  · Barry M. McGrath8  · Peter T. Riis2  · Bente Villumsen9  · Kari Zalik10 · Gregor B. E. Jemec2,11 · Jennifer L. Hsiao12

Received: 16 July 2022 / Revised: 7 December 2022 / Accepted: 6 January 2023 © The Author(s) 2023

Abstract

Drainage from chronic wounds can significantly negatively impact a patient’s quality of life. Change in severity of wound drainage is an important measure of treatment efficacy for wounds. This study reviews existing tools used to assess wound drainage. Qualitative drainage tools are overall less burdensome, and however, differences in user interpretation may reduce inter-rater reliability. Quantitative drainage tools enable more reliable comparisons of drainage severity and treatment response between patients but sometimes require equipment to administer, increasing responder burden. Gaps in the current wound drainage measurement landscape are highlighted. Many of the existing scales have not been validated in robust studies. There is also a lack of validated global drainage measurement tools for patients with chronic inflammatory skin disorders with drainage, such as hidradenitis suppurativa or pyoderma gangrenosum. Development of a succinct drainage measurement tool for inflammatory skin diseases where drainage is a prominent symptom will improve monitoring of meaningful treatment response.

Keywords Hidradenitis suppurativa · Wound · Drainage · Measure · Tool

Jennifer L. Hsiao

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1 David Gefen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA

2 Department of Dermatology, Zealand University Hospital, Roskilde, Denmark

3 Department of Dermato-Venereology & Wound Healing Centre, Bispebjerg Hospital, Copenhagen, Denmark

4 Department of Dermatology, Wayne State University, Detroit, MI, USA

5 Department of Dermatology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, NY, USA

6 Amsterdam, The Netherlands

7 Department of Dermatology, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA

8 HS Ireland, County Clare, Ireland

9 Danish HS Patients’ Association, Copenhagen, Denmark

10 Toronto, Canada

11 Health Sciences Faculty, University of Copenhagen, Copenhagen, Denmark

12 Department of Dermatology, University of Southern California, 1441 Eastlake Ave, Ezralow Tower, Suite 5301, Los Angeles, CA 90033-9174, USA

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