Wound Care in the Developing World - Gaps, Opportunities, and Realities


Purpose of Narrative

To enlighten the audience and suggest potential gaps and areas of future interest for further exploration and discussion related to wound care in developing regions of the world.

Recent Findings

Beyond limited case reports and a relative handful of typical epidemiological studies and clinical trials, there exist little significant information on the topic of wound care in the developing markets which significantly departs from that which has been published on the topic about the developed markets. As such, there was a need for a corresponding narrative to add context and depth to existing and future efforts in this space.


Despite both parallels and divergences between the states of wound care in developing regions compared with developed regions, relatively few significant insights have been published and many crucial dynamics have historically been overlooked and/or underappreciated by academia, clinicians, and industry alike. This narrative synthesizes past publications and developments together with the author’s years of groundwork and related wound care experiences and other sources in order to inform future wound care research, care delivery, and commercial efforts in the developing world.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. 1.

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  20. 20.

    • Alzahrani H. Diabetes-related lower extremities amputations in saudi arabia: the magnitude of the problem. Annals of Vascular Diseases. 2012; Applies a methodology that reveals the potentially under-reported/under-appreciated problem and impact of a subset of chronic wounds across a large swath of the globe, and which could potentially be applied to other developing regions to better quantify the consequences and drive the generation of solutions.

  21. 21.

    Venermo M, Manderbacka K, Ikonen T, Keskimäki I, Winell K, Sund R. Amputations and socioeconomic position among persons with diabetes mellitus, a population-based register study. BMJ Open. 2013;3(4):e002395.

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    •• Jiang Y, Xia L, Jia L, Fu X. Survey of wound-healing centers and wound care units in China. The International Journal of Lower Extremity Wounds. 2016;15(3):274–9 Describes and quantifies trends in the setting up of wound care departments and delivery of specialized wound care across China, as well as its impact on outcomes, over a period of 15 years.

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Corresponding author

Correspondence to Rafael Mazuz.

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Conflict of Interest

The author is the Managing Director of Diligence Wound Care Global LLC (diligencewcg.com), an advisory firm for wound care stakeholders. The author declares no direct conflict of interests relating to this text.

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This article does not contain any studies with human or animal subjects performed by the author.

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Mazuz, R. Wound Care in the Developing World - Gaps, Opportunities, and Realities. Curr Derm Rep 8, 199–207 (2019). https://doi.org/10.1007/s13671-019-00278-x

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  • Advanced wound care
  • Developing world
  • Emerging markets
  • Advanced products
  • Wound care centers
  • Wound care services