Abstract
As you can see, the evidence debate is being pursued once again in the pages of this journal (see page 282 for the commentaries on the EWMA Patient Outcome Group document, published in JWC last month). I am not going to outline the issues once more, as we all know the perspectives of each side of the argument. But where does it leave the generalist or novice practitioner, who wants guidance on how to improve their practice but is not necessarily confi dent about critiquing research papers, or even knows where to look? Should they rely on systematic review evidence — like those that have stated that there is little data to support the use of silver dressings and topical negative pressure — or place greater trust in clinical trials and, even, the everyday reality that often shows the above therapies having the required effect?
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