EWMA 2020, 18-20 Nov

EWMA Compression Therapy Programme

Project period: 2019 - on-going

EWMA is currently working on a project aiming to investigate the use of compression therapy (CT) in venous leg ulcers (VLU) across the United Kingdom, France, Germany, Spain and Italy. This project proposal is based on reports from our network of national European wound management organisations, stating CT is generally not used according to available evidence and best practice recommendations. This means that 1) CT is often not introduced, although it could be of great benefit to the patient, 2) CT it is not used in the right way, or 3) that CT is introduced too late. This leads to suboptimal healing outcomes for patients with VLU or diabetic foot ulcers and represents a potential patient safety issue.

Project aims

The EWMA Compression Project aims to: 

  1. Document the extent of the problem and create awareness about the current challenges related to suboptimal use of compression.

  2. Identify quality improvement interventions to address these challenges in different health care contexts and national settings, and develop a programme theory and driver diagram supporting implementation (May include instructive tools supporting optimal use, e.g. educational videos targeting health care professionals).

  3. Evaluate the need for, and potential format of, a European guideline on CT. 


Project phases

EWMA proposes a 3-5-year project, aiming to scope and address the problems related to inadequate use of CT, as well as support implementation of best practice CT across Europe:

Phase 1: Development of an evidence-based quality improvement programme in the UK

Phase 2: Development of an evidence-based quality improvement programme targeting France and Germany

Phase 3: Development of an evidence-based quality improvement programme targeting Italy and Spain

Phase 4: Guideline development (May be initiated in parallel to phase 2-3)

Working group

International group

Sue Bale, UK

Sylvie Meaume, France

Christina Moffatt, UK

Giovanni Mosti, Italy

Jürg Traber, Switzerland

José Verdu Soriano, Spain


Phase 1, UK project group

Alison Hopkins

Ray Saimuriwo



Project sponsors

This project is supported by an unrestricted grant from: