I am very interested in everyone’s opinion on performing clinical research in mobile wound care organizations. What are the pros and cons? What are your objective thoughts? Thanks in advance for any feedback.
Br
Randy
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Seems that is the fastest growing segment in wound care. It’s ripe for research unless there needs to be an institution or more controlled environment.
This is a great question. @RGFDPM will be talking about this exact subject at IPAWS in New Orleans in a fortnight. Hopefully he can jump in on this conversation. But, allow me to ramble on this a bit.
I think that the pros and cons depend on the nature of the Mobile Wound Care organization. If it is a single or predominantly single institutional setting (e.g. Nursing Home), the advantage is that you can observe patients in a controlled space for a relatively long time on the long-stay side of the building. However, patient consent and facility buy-in can be challenging. Moreover, your cohort may suffer a lot of censoring due to death or transition of care (especially on the short-stay side of things).
Mobile Home care might be better for following patients, but you lose the efficiency of the institutional setting where you can recruit at one site, and factors are well controlled.
In my mind, a cross-setting mobile practice that does nursing home + home, nursing home + hospital would be better because you could follow patients across settings. However, you would have to deal with a hospital in the latter and that is always challenging from a local-IRB perspective.
The best would be a hospital + nursing home + home group but there are few of those, and you still would need to deal with with the hospital.
Thanks so much for your comment. I will attend IPAWS as I want to learn as much as possible about this setting. As you and others point out it is the fastest-growing segment.
You are welcome. @RGFDPM’s session is from 14:50-15:10 on Day 1 and deals directly with your question.
@Rjschwartz46 Did you get a chance to attend @RGFDPM’s talk?
I did and had dinner with Dr Fryberg. Thanks very much.
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