Currently, there is no standard approach for the treatment of patients with venous stasis ulcers, and no means of accounting for the genetic factors that may contribute to a patient's response to different therapeutic interventions. In order to determine whether, or to what extent, genetic profiling of venous stasis ulcers can stratify patients according to their potential for disease progression or healing, and guide preventive strategies and levels of therapeutic interventions, the study will involve retrospective genetic profiling of patients with a healed or persistent venous stasis ulcer as a means of determining the efficacy of current therapies, and to establish a future prospective evaluation of treatment algorithms based on genetic phenotype and variation. Results obtained from the 2 aforementioned groups of participants will be compared with those of a control group of participants who have no history of venous ulcer nor peripheral vascular disease. .
A blood specimen will be drawn, medical and medication history taken, and wound/s will be assessed and followed for 2 years in regard to the enrollees w/active venous ulcer/s or healed venous ulcer/s. A venous duplex ultrasound of right and left lower extremities will be done at no cost, a blood specimen will be drawn, and medical and medication history will be taken in regard to control group enrollees.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SCREENING
Masking
NONE
Enrollment
377
One blood draw at enrollment
UPMC Heart and Vascular Institute - Division of Vascular Surgery
Pittsburgh, Pennsylvania, United States
Ulcer healing
Time to ulcer healing
Time frame: Assessment made when batch of samples (360) obtained
Ulcer recurrence
Presence of ulcer recurrence
Time frame: Assessment made when batch of samples (360) obtained
Analysis of genetic variation in concert with ulcer healing, time to healing and recurrence
Time frame: Assessment made when batch of samples (360) obtained
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