Expectation Versus Reality in Chronic Wound Care
Summary: Ayman Grada, MD, discusses the disconnect between dermatologists’ skin biology expertise and their limited role (only 7.4% of outpatient chronic wound visits) in chronic wound care. The article covers definitions of chronicity, obesity as a driver, diagnostic workup (ABI, biopsy), ulcer patterns, and the need for dermatologists to increase participation in multidisciplinary care.
Key Highlights:
- Dermatologists manage just 7.4% of chronic wound visits
- 4–6 weeks non-healing defines chronic wounds for CMS
- Obesity as major upstream risk factor
- Emphasis on vascular assessment, etiology-specific care, and foundational principles before advanced therapies
Keywords: chronic wound care dermatology, Ayman Grada, diabetic foot ulcer management