A randomised controlled 8-week crossover clinical evaluation of the 3M™ Coban™ 2 Layer Compression System versus Profore™ to evaluate the product performance in patients with venous leg ulcers

Christine J. Moffatt, Lynfa Edwards, Mark Collier, Terry Treadwell, Michael Miller, Laura Shafer, Gary Sibbald, Alain Brassard, Andrea McIntosh, Alex Reyzelman, Patricia Price, Stacia Merkel Kraus, Shelley Ann Walters, Keith Harding

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

This study compared a two-layer (Coban™ 2 Layer) and a four-layer (Profore™) compression bandage system in venous leg ulcer patients. Participants (n = 81) were enrolled into an 8-week, randomised, open-label, ten-centre, crossover clinical trial. The primary endpoint was bandage slippage measured at each dressing change. Secondary endpoints included wound healing, health-related quality of life (HRQoL) and patient preference. Mean slippage estimated from a mixed analysis of variance model (697 visits) was 2.48 cm for the two-layer system and 4.17 cm for the four-layer system (P < 0.001). There were no significant differences in percent of wounds that healed (Fisher's exact test, P = 0.30), in wound area reduction (Wilcoxon rank-sum test, P = 0.88) or in linear healing rate (Wilcoxon rank-sum test, P = 0.94). The HRQoL Physical Symptoms and Daily Living scores were significantly higher with the two-layer system (pooled two-sample t-test, P < 0.05). Patients had a strong preference for the two-layer system (72%) than the four-layer system (22%), with 6% having no preference. In conclusion, the two-layer system exhibited significantly less bandage slippage than the four-layer system. While less bandage slippage did not appear to impact wound healing, there was indication that it may have influenced patient preference in favour of the two-layer system and potentially impacted patients' HRQoL.

Original languageEnglish (US)
Pages (from-to)267-279
Number of pages13
JournalInternational Wound Journal
Volume5
Issue number2
DOIs
StatePublished - May 1 2008
Externally publishedYes

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Varicose Ulcer
Monensin
Leg Ulcer
Bandages
Nonparametric Statistics
Patient Preference
Quality of Life
Wound Healing
Compression Bandages
Wounds and Injuries
Cross-Over Studies
Analysis of Variance
Clinical Trials

Keywords

  • Coban 2 Layer
  • Compression bandage
  • Profore
  • Slippage
  • Venous leg ulcer

ASJC Scopus subject areas

  • Surgery
  • Dermatology

Cite this

A randomised controlled 8-week crossover clinical evaluation of the 3M™ Coban™ 2 Layer Compression System versus Profore™ to evaluate the product performance in patients with venous leg ulcers. / Moffatt, Christine J.; Edwards, Lynfa; Collier, Mark; Treadwell, Terry; Miller, Michael; Shafer, Laura; Sibbald, Gary; Brassard, Alain; McIntosh, Andrea; Reyzelman, Alex; Price, Patricia; Kraus, Stacia Merkel; Walters, Shelley Ann; Harding, Keith.

In: International Wound Journal, Vol. 5, No. 2, 01.05.2008, p. 267-279.

Research output: Contribution to journalArticle

Moffatt, CJ, Edwards, L, Collier, M, Treadwell, T, Miller, M, Shafer, L, Sibbald, G, Brassard, A, McIntosh, A, Reyzelman, A, Price, P, Kraus, SM, Walters, SA & Harding, K 2008, 'A randomised controlled 8-week crossover clinical evaluation of the 3M™ Coban™ 2 Layer Compression System versus Profore™ to evaluate the product performance in patients with venous leg ulcers', International Wound Journal, vol. 5, no. 2, pp. 267-279. https://doi.org/10.1111/j.1742-481X.2008.00487.x
Moffatt, Christine J. ; Edwards, Lynfa ; Collier, Mark ; Treadwell, Terry ; Miller, Michael ; Shafer, Laura ; Sibbald, Gary ; Brassard, Alain ; McIntosh, Andrea ; Reyzelman, Alex ; Price, Patricia ; Kraus, Stacia Merkel ; Walters, Shelley Ann ; Harding, Keith. / A randomised controlled 8-week crossover clinical evaluation of the 3M™ Coban™ 2 Layer Compression System versus Profore™ to evaluate the product performance in patients with venous leg ulcers. In: International Wound Journal. 2008 ; Vol. 5, No. 2. pp. 267-279.
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abstract = "This study compared a two-layer (Coban™ 2 Layer) and a four-layer (Profore™) compression bandage system in venous leg ulcer patients. Participants (n = 81) were enrolled into an 8-week, randomised, open-label, ten-centre, crossover clinical trial. The primary endpoint was bandage slippage measured at each dressing change. Secondary endpoints included wound healing, health-related quality of life (HRQoL) and patient preference. Mean slippage estimated from a mixed analysis of variance model (697 visits) was 2.48 cm for the two-layer system and 4.17 cm for the four-layer system (P < 0.001). There were no significant differences in percent of wounds that healed (Fisher's exact test, P = 0.30), in wound area reduction (Wilcoxon rank-sum test, P = 0.88) or in linear healing rate (Wilcoxon rank-sum test, P = 0.94). The HRQoL Physical Symptoms and Daily Living scores were significantly higher with the two-layer system (pooled two-sample t-test, P < 0.05). Patients had a strong preference for the two-layer system (72{\%}) than the four-layer system (22{\%}), with 6{\%} having no preference. In conclusion, the two-layer system exhibited significantly less bandage slippage than the four-layer system. While less bandage slippage did not appear to impact wound healing, there was indication that it may have influenced patient preference in favour of the two-layer system and potentially impacted patients' HRQoL.",
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AU - Treadwell, Terry

AU - Miller, Michael

AU - Shafer, Laura

AU - Sibbald, Gary

AU - Brassard, Alain

AU - McIntosh, Andrea

AU - Reyzelman, Alex

AU - Price, Patricia

AU - Kraus, Stacia Merkel

AU - Walters, Shelley Ann

AU - Harding, Keith

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