ArticleWound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
Validity of pressure ulcer diagnosis using digital photography.
Article in Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 6 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Beds, overlays and mattresses for treating pressure ulcers.The Cochrane database of systematic reviews · 2021Pooled it
- Alternating pressure (active) air surfaces for preventing pressure ulcers.The Cochrane database of systematic reviews · 2021Pooled it
- Reactive air surfaces for preventing pressure ulcers.The Cochrane database of systematic reviews · 2021Pooled it
- Alternative reactive support surfaces (non-foam and non-air-filled) for preventing pressure ulcers.The Cochrane database of systematic reviews · 2021Pooled it
- Foam surfaces for preventing pressure ulcers.The Cochrane database of systematic reviews · 2021Pooled it
- Pooled it
- Trial
- Investigating the effect of independent, blinded digital image assessment on the STOP GAP trial.Trials · 2017Trial
- Comparative Effectiveness of Active and Reactive Mattresses in Pressure Injury Healing for Older People in Their Own Homes: A Pragmatic Equivalence Randomised-Controlled Study.Nursing reports (Pavia, Italy) · 2025Article
- Article
- Improving the quality of pressure ulcer management in a skilled nursing facility.International wound journal · 2019Article
- A mobile app for securely capturing and transferring clinical images to the electronic health record: description and preliminary usability study.JMIR mHealth and uHealth · 2015Article
- Article
- Methodological issues in studies of the effectiveness of pressure ulcer prevention interventions.Advances in skin & wound care · 2009Article
- Elder abuse geriatrics: describing an important new medical specialist.Journal of elder abuse & neglectArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
The purpose of this study was to evaluate the validity of digital photographs for the assessment of the presence of pressure ulcers stage 2 or higher. Participants were 48 patients (28 white and 20 black) with pressure ulcers identified in the course of a wound specialist's routine clinical practice at the University of Maryland Medical Center. One pressure ulcer and one unaffected skin area were photographed on each participating patient. The gold standard diagnosis (stage 2 pressure ulcer vs. stage 1 or no pressure ulcer) was recorded by the wound specialist based on bedside examination. The photographs were reviewed blindly by another wound expert. The sensitivity of the blinded assessment was 97% (95% confidence interval [CI] 91-100%). The specificity was 97% (95% CI 92-100%). The sensitivity and specificity were both 100% in the white patients. In black patients, the sensitivity and specificity were 92% (95% CI 75-100%) and 93% (95% CI 82-100%), respectively. These results suggest that the use of photographic images to assess the presence or absence of a pressure ulcer stage 2 or higher has a high degree of validity. Since blinded outcome assessment is one of the cornerstones of good clinical trial design, photography offers the potential to strengthen future studies.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.