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. 2016 Dec 15;2016(12):CD011918. doi: 10.1002/14651858.CD011918.pub2

Comparison 1. PPM dressing regimen versus other dressing regimen.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Proportion of participants healed (short term ‐ 8 weeks) 2 207 Risk Ratio (M‐H, Random, 95% CI) 0.73 [0.34, 1.58]
1.1 PMM versus foam 1 187 Risk Ratio (M‐H, Random, 95% CI) 0.87 [0.30, 2.48]
1.2 PMM‐silver versus hydrocolloid/silver 1 20 Risk Ratio (M‐H, Random, 95% CI) 0.6 [0.19, 1.86]
2 Proportion of participants healed (medium term ‐ 12 weeks) 4 192 Risk Ratio (M‐H, Random, 95% CI) 1.28 [0.95, 1.71]
2.1 PMM + BWC versus BWC 1 73 Risk Ratio (M‐H, Random, 95% CI) 1.46 [0.83, 2.58]
2.2 PMM + BWC + alginate versus alginate 1 40 Risk Ratio (M‐H, Random, 95% CI) 1.2 [0.44, 3.30]
2.3 PMM‐silver + foam versus foam 1 30 Risk Ratio (M‐H, Random, 95% CI) 1.57 [0.84, 2.92]
2.4 PMM‐silver + hydrocolloid versus hydrocolloid 1 49 Risk Ratio (M‐H, Random, 95% CI) 1.07 [0.69, 1.67]
3 Proportion of participants with 1 or more adverse events at 2‐12 weeks 5 363 Risk Ratio (M‐H, Random, 95% CI) 1.03 [0.75, 1.42]
3.1 Short term (2‐8 weeks) 3 264 Risk Ratio (M‐H, Random, 95% CI) 1.04 [0.75, 1.45]
3.2 Medium term (12 weeks) 2 99 Risk Ratio (M‐H, Random, 95% CI) 0.97 [0.31, 2.99]
4 Proportion of participants with pain at 2‐12 weeks 5   Risk Ratio (M‐H, Random, 95% CI) Totals not selected
4.1 PMM versus hydrogel 1   Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
4.2 PMM + foam versus foam 1   Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
4.3 PMM + foam versus BWC 1   Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
4.4 PMM versus foam 1   Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
4.5 PMM + BWC versus BWC 1   Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
4.6 PMM + BWC + alginate versus alginate 1   Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
5 Proportion of participants with infection at 2‐12 weeks 5 349 Risk Ratio (M‐H, Random, 95% CI) 0.69 [0.29, 1.68]
5.1 PMM versus hydrogel (2 weeks) 1 71 Risk Ratio (M‐H, Random, 95% CI) 0.24 [0.01, 4.87]
5.2 PMM‐silver versus hydrocolloid + silver (8 weeks) 1 20 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
5.3 PMM versus foam (8 weeks) 1 177 Risk Ratio (M‐H, Random, 95% CI) 1.15 [0.40, 3.30]
5.4 PMM + BWC versus BWC (12 weeks) 1 51 Risk Ratio (M‐H, Random, 95% CI) 0.08 [0.00, 1.40]
5.5 PMM‐silver + foam versus foam (12 weeks) 1 30 Risk Ratio (M‐H, Random, 95% CI) 0.8 [0.27, 2.41]
6 Sensitivity analysis ‐ available case ‐ proportion of participants healed 7   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
6.1 Short term (4‐8 weeks) 2 197 Risk Ratio (M‐H, Random, 95% CI) 0.72 [0.33, 1.56]
6.2 Medium term (12 weeks all studies) 4 165 Risk Ratio (M‐H, Random, 95% CI) 1.26 [0.96, 1.64]
6.3 Long term (over 24 weeks) 1 100 Risk Ratio (M‐H, Random, 95% CI) 1.06 [0.80, 1.41]
7 Subgroup analysis: (+/‐) silver ‐ proportion of participants healed medium term 4   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
7.1 Silver in PMM arm 2 79 Risk Ratio (M‐H, Random, 95% CI) 1.22 [0.85, 1.75]
7.2 No silver in PMM arm 2 113 Risk Ratio (M‐H, Random, 95% CI) 1.39 [0.85, 2.29]