<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-05-27T20:40:34Z</responseDate><request verb="GetRecord" identifier="oai:riuma.uma.es:10630/36660" metadataPrefix="qdc">https://riuma.uma.es/rest/oai/request</request><GetRecord><record><header><identifier>oai:riuma.uma.es:10630/36660</identifier><datestamp>2026-02-03T11:05:16Z</datestamp><setSpec>com_10630_2254</setSpec><setSpec>col_10630_37953</setSpec></header><metadata><qdc:qualifieddc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:doc="http://www.lyncode.com/xoai" xmlns:qdc="http://dspace.org/qualifieddc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://purl.org/dc/elements/1.1/ http://dublincore.org/schemas/xmls/qdc/2006/01/06/dc.xsd http://purl.org/dc/terms/ http://dublincore.org/schemas/xmls/qdc/2006/01/06/dcterms.xsd http://dspace.org/qualifieddc/ http://www.ukoln.ac.uk/metadata/dcmi/xmlschema/qualifieddc.xsd">
   <dc:title>Fish skin grafts versus standard of care on wound healing of chronic diabetic foot ulcers: A systematic review and meta-analysis</dc:title>
   <dc:creator>Lopezosa Reca, Eva</dc:creator>
   <dc:creator>Martinez Barrios, Francisco Javier</dc:creator>
   <dc:creator>Ruiz Muñoz, Maria</dc:creator>
   <dc:creator>Cervera Garvi, Pablo</dc:creator>
   <dc:creator>Marchena Rodriguez, Ana</dc:creator>
   <dc:subject>Diabetes - Complicaciones y secuelas</dc:subject>
   <dcterms:abstract>Introduction: This study will explore the effectiveness of fish skin grafts (FSG) in ulcer healing in diabetic foot&#xd;
disease compared to standard of care (SOC).&#xd;
Methods: The systematic review and meta-analysis were performed following the Preferred Reporting Items for&#xd;
Systematic Reviews and Meta-Analyses (PRISMA) standard. The electronic databases of PubMed, EMBASE, and&#xd;
Web of Science (WoS) internet were searched for the outcome rate of complete ulcer healing. The risk of bias&#xd;
assessment was conducted using the tool recommended by the Cochrane Collaboration. Statistical analysis&#xd;
included the individual and combined result of the studies, heterogeneity test, the effect size, sensitivity analysis,&#xd;
and publication bias tests.&#xd;
Results: Five randomised controlled trials (RCTs) with a total of 411 patients were included in this study. This&#xd;
meta-analysis showed a higher rate of complete ulcer healing in groups receiving fish skin grafts (OR = 3.34,&#xd;
95% CI 2.14–5.20, p &lt; 0.01, I&#xd;
2 = 0%) compared to control groups.&#xd;
Conclusion: Fish skin grafts have been shown to be more effective for achieving complete ulcer healing compared&#xd;
to current conventional treatments in diabetic foot disease.</dcterms:abstract>
   <dcterms:dateAccepted>2025-01-21T13:33:13Z</dcterms:dateAccepted>
   <dcterms:available>2025-01-21T13:33:13Z</dcterms:available>
   <dcterms:created>2025-01-21T13:33:13Z</dcterms:created>
   <dcterms:issued>2024-06</dcterms:issued>
   <dc:type>journal article</dc:type>
   <dc:identifier>Ruiz-Muñoz, M., Martinez-Barrios, F. J., Cervera-Garvi, P., Lopezosa-Reca, E., &amp; Marchena-Rodriguez, A. J. (2024). Fish skin grafts versus standard of care on wound healing of chronic diabetic foot ulcers: A systematic review and meta-analysis. Primary care diabetes, 18(3), 291–298.</dc:identifier>
   <dc:identifier>https://hdl.handle.net/10630/36660</dc:identifier>
   <dc:identifier>10.1016/j.pcd.2024.03.008</dc:identifier>
   <dc:language>eng</dc:language>
   <dc:rights>http://creativecommons.org/licenses/by-nc-nd/4.0/</dc:rights>
   <dc:rights>open access</dc:rights>
   <dc:rights>Attribution-NonCommercial-NoDerivatives 4.0 Internacional</dc:rights>
   <dc:publisher>Elsevier</dc:publisher>
</qdc:qualifieddc>
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