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. 2013 Jun 6;2013(6):CD009111. doi: 10.1002/14651858.CD009111.pub3
Trial data
Study Groups Primary outcome: ulcer healing Secondary: health‐related quality of life Number and level of amputations Adverse events, including pain Cost Ulcer recurrence
Baker 1993 Group A (n = 10): Foam dressing
 Group B (n = 10): Calcium alginate dressing Number of ulcers healed at 12 weeks 
 Group A: 9
 Group B: 4
 Median healing time (days) 
 Group A: 28
 Group B: Median time to healing was not reached by 84 days
 Cox's proportional hazards model adjusted for initial ulcer size and duration of ulcer at baseline and treatment effect gave a hazard ratio of 4.04 in favour of foam dressing (95% CI 1.18 to 13.84). n/r n/r n/r n/r n/r
Blackman 1994 Group A (n = 11): Foam dressing
 Group B (n = 7): Wet‐to‐dry saline gauze dressings. Number of ulcers healed at 2 months 
 Group A: 3
 Group B: 0
 Average size of ulcer at 2 months compared to baseline (unclear if bracketed figures are sd) 
 Group A: 35% (16%)
 Group B: 105% (26%
 Substantial improvement noted in ulcer size (not defined) 
 Group A: 10
 Group B: 2 n/r n/r n/r n/r n/r
Clever 1995 Group A (n = 20): Foam dressing
 Group B (n = 20): Hydrocolloid (polyurethane matrix) dressing Number of ulcers healed: 
 Group A:14
 Group B:16
 Mean time to healing in days (sd) 
 Group A: 20.43 (14.74)
 Group B: 25.19 (23.52)
 Median time to healing in days 
 Group A: 16.5 (range 4 to 52)
 Group B: 15.5 (range 4 to 76)
 Wound size at 4 weeks mm2 (sd): 
 Group A: 33.46 (75.22)
 Group B: 32.37 (54.12)     Number of adverse events (Reasons not reported separately for two groups):
 Group A: 5
 Group B: 1 Mean number of dressing changes between clinical visits (sd): 
 Group A: 2.37 (2.18)
 Group B: 2.23 (2.19)  
Foster 1994 Group A (n = 15): Foam dressing  
 Group B (n = 15): Calcium‐alginate dressing Ulcer healing:
 Number of ulcers healed: 
 Group A: 9
 Group B: 8
 Ulcers improved (not defined): 
 Group A: 6
 Group B: 3
 Median time to healing (days) (K‐M plot is presented but no median time to healing or HR from a Cox's Proportional Hazards analysis has been presented. The median time to healing was estimated by the reviewer author from the graph). 
 Group A: 40
 Group B: 42 n/r n/r Group A: 0
 Group B: Severe pain = 1; Dressings plugged a plantar lesion, preventing free drainage of exudate = 3  (1 developed cellulitis)  n/r n/r
Mazzone 1993 Group A (n = 11): Foam membrane dressing (PolyMem, Ferris). No other details
 Group B (n = 8): Wet‐to‐dry saline gauze dressings. No other details. Ulcer healing
 Number of ulcers healed: 
 Group A: 7
 Group B: 2
 % reduction in wound size: 
 Group A: 71
 Group B: 29 n/r n/r n/r n/r n/r
Roberts 2001 Group A (n = 14): Foam dressing
 Group B (n = 16): Saline‐soaked low adherent wound contact dressings . Number of ulcers healed: 
 Group A: 6
 Group B: 4
 % ulcers reduced in area by 50% : 
 Group A: 93
 Group B: 75 n/r n/r n/r n/r n/r