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Diagnosis and Treatment of Venous Diseases · Journal article
Acta Phlebologica · August 1, 2026
A consensus or society position rather than new primary data.
This is a structured consensus statement from Italian wound-care experts identifying standardization of patient pathways, multidisciplinary integration, and digital governance as key priorities to reduce unwarranted variability in chronic wound outcomes. The document synthesizes expert judgment rather than empirical trial data and serves as guidance for organizing wound services and clinical practice in fragmented health systems.
Multidisciplinary expert consensus panel with structured survey validation. 61 multidisciplinary wound-care professionals (wound specialists/vulnologists, wound and home-care nurses, diabetologists, vascular/plastic surgeons, infectious disease specialists, pharmacists, general practitioners, podiatrists, geriatricians) across nine Italian cities.. Intervention: Structured expert consensus and survey process on wound-care pathways, multidisciplinary organization, and clinical procedures. n = 61. Nine Italian cities.
Experts converged on centrality of pathway reliability over isolated clinical acts Priority gaps include inconsistent discharge handovers, territorial heterogeneity in access to diagnostics and skilled home care, and variable product availability across settings Clinical priorities emphasize iterative wound bed preparation, rational swabbing and antimicrobial use within stewardship, and structured cyclic biofilm and exudate management
Safety was not reported in the material analysed. Check the source before drawing any conclusion about harm.
Clinicians and health system managers should use these expert recommendations to drive standardization of wound-care pathways, multidisciplinary coordination, and digital traceability within their institutions. The consensus on pathway reliability, discharge protocols, and stewardship principles offers actionable organizational priorities, although implementation effectiveness has not been empirically tested.
Expert consensus statement synthesizing multidisciplinary Italian panel recommendations on wound care organization and clinical practice, without empirical outcome data.
As stated by the source record.
Quoted from the source exactly as published.
Clinicians and health system managers should use these expert recommendations to drive standardization of wound-care pathways, multidisciplinary coordination, and digital traceability within their institutions. The consensus on pathway reliability, discharge protocols, and stewardship principles offers actionable organizational priorities, although implementation effectiveness has not been empirically tested.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
BACKGROUND: Chronic wounds require etiology-driven assessment, coordinated multidisciplinary care, and reliable continuity across settings. In Italy, organization and access to dedicated wound services vary widely, potentially generating unwarranted variability in outcomes.METHODS: Between September and November 2025, ten multidisciplinary expert meetings were held across nine Italian cities, involving 61 participants (wound specialists/vulnologists, wound and home-care nurses, diabetologists, vascular/plastic surgeons, infectious disease specialists, pharmacists, general practitioners, podiatrists, and geriatricians). Meeting outputs were synthesized into key domains (patient pathway, multidisciplinary team, wound bed procedures including debridement and microbiology sampling, antimicrobial strategies, biofilm and exudate management, care settings, and technology/telemedicine) and translated into a structured survey. The survey was rated by ten wound experts (one per local working group) and subsequently discussed and validated in an in-person meeting in December 2025.RESULTS: Experts converged on the centrality of pathway reliability over isolated clinical acts. Priority gaps included inconsistent discharge handovers and escalation triggers, territorial heterogeneity in access to diagnostics and skilled home care, and variable product availability across settings. Clinical priorities emphasized iterative wound bed preparation, more rational use of swabbing and antimicrobials within stewardship principles, and structured cyclic approaches to biofilm and dynamic exudate management. Organizational recommendations included defining minimum shared standards (competencies, documentation, reassessment checkpoints), establishing a clear case-management function, and strengthening hub-and-spoke networks supported by traceable digital tools and telemedicine.CONCLUSIONS: Italian wound experts identify standardization of cross-setting pathways and accountable multidisciplinary integration, supported by governance, measurement, and digital traceability, as key levers to improve equity, efficiency, and patient-centered outcomes in chronic wound care.
Taken from the source record, never inferred. Follow any of these and new work involving them reaches your briefing.