Chronic wound repair and healing in older adults: Current status and future research

Lisa Gould, Peter Abadir, Harold Brem, Marissa Carter, Teresa Conner-Kerr, Jeff Davidson, Luisa Dipietro, Vincent Falanga, Caroline Fife, Sue Gardner, Elizabeth Grice, John Harmon, William R. Hazzard, Kevin P. High, Pamela Houghton, Nasreen Jacobson, Robert S. Kirsner, Elizabeth J. Kovacs, David Margolis, Frances McFarland HorneMay J. Reed, Dennis H. Sullivan, Stephen Thom, Marjana Tomic-Canic, Jeremy Walston, Jo Anne Whitney, John Williams, Susan Zieman, Kenneth Schmader

Research output: Contribution to journalArticlepeer-review

99 Scopus citations

Abstract

Older adults are more likely to have chronic wounds than younger people, and the effect of chronic wounds on quality of life is particularly profound in this population. Wound healing slows with age, but the basic biology underlying chronic wounds and the influence of age-associated changes on wound healing are poorly understood. Most studies have used in vitro approaches and various animal models, but observed changes translate poorly to human healing conditions. The effect of age and accompanying multimorbidity on the effectiveness of existing and emerging treatment approaches for chronic wounds is also unknown, and older adults tend to be excluded from randomized clinical trials. Poorly defined outcomes and variables; lack of standardization in data collection; and variations in the definition, measurement, and treatment of wounds also hamper clinical studies. The Association of Specialty Professors, in conjunction with the National Institute on Aging and the Wound Healing Society, held a workshop, summarized in this article, to explore the current state of knowledge and research challenges, engage investigators across disciplines, and identify research questions to guide future study of age-associated changes in chronic wound healing.

Original languageEnglish (US)
Pages (from-to)427-438
Number of pages12
JournalJournal of the American Geriatrics Society
Volume63
Issue number3
DOIs
StatePublished - Mar 1 2015

Keywords

  • chronic wound
  • diabetic foot ulcer
  • pressure ulcer
  • venous leg ulcer
  • wound healing
  • wound repair

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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