Evidence map›Paper›PMID 41158586›Full record

Trial reportFrontiers in public health2025

Cost-utility analysis of a polylactic acid matrix versus a collagen dressing for the closure of diabetic foot ulcers.

Elaheh Khorasani, Aashita Batra, Robert Bartlett, Stephen Bergquist, Brock A Liden, Karla Rangel-Berridi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Elaheh KhorasaniDivision of Experimental Surgery, McGill University, Montreal, QC, Canada.
Aashita BatraIndependent Scientist, Boston, MA, United States.
Robert BartlettCutisCare, Boca Raton, FL, United States.
Stephen BergquistWound Management Center, The Jackson Clinic, Jackson, TN, United States.
Brock A LidenWAFL, Circleville, OH, United States.
Karla Rangel-BerridiDivision of Experimental Surgery, McGill University, Montreal, QC, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Diabetic foot ulcers (DFUs) are a common and serious complication of diabetes, often requiring the use of advanced care products, which may have high upfront costs. With the hypothesis that this approach leads to faster healing, reduced costs, and better quality-adjusted life years (QALY), this study evaluates the economic outcomes, including cost-effectiveness and cost-benefit, of an alloplastic polylactic acid (PLA) dermal matrix and compares it to collagen dressings in managing DFUs. Methods: This cost-utility analysis was based on a randomized controlled trial involving patients with DFUs treated with either PLA matrices or collagen dressings, alongside standard wound care. Data on wound healing, cost of care, and QALY were collected over the whole duration of the trial (31-week period). We conducted a cost-benefit analysis by quantifying the monetary impact of reduced time-to-heal and avoided healthcare utilization. Additionally, we performed a cost-utility analysis using QALYs to capture patient-centered benefits. Results: At 12 weeks, 90% of the PLA group achieved wound closure compared to 30% in the collagen group, with PLA matrices reducing healing time by 44%. The cumulative cost of treatment for PLA was significantly lower, averaging $2,928 compared to $5,542 for collagen dressings ( Conclusion: PLA dermal matrices provide a cost-effective alternative to collagen dressings, promoting faster wound closure, improved quality of life, and reduced healthcare costs. These results support the adoption of PLA as a preferred treatment for DFUs.

Indexed as

BandagesCollagenDiabetic FootPolyestersAgedCost-Benefit AnalysisFemaleHumansMaleMiddle AgedQuality-Adjusted Life YearsWound HealingCollagenPolyesterspoly(lactide)cost-effectivenessdiabetic foot ulcereconomic burdenpolylactic acid matrixquality-adjusted life yearsrandomized controlled trial

Identifiers

PMID41158586
PMCPMC12556805

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.