About this trial
WOUNDJOURNEY is a longitudinal, real-world, observational registry designed to capture the full clinical course and patient journey associated with chronic wounds and ulcers. Data are collected during routine care from over 1,400 clinicians across the USA and Puerto Rico using a highly structured certified electronic health record (EHR) or electronic data capture (EDC) system. Data are transmitted daily to the U.S. Wound Registry (USWR), a CMS-recognized Qualified Clinical Data Registry (QCDR). The registry captures real-time, research-ready data on patient demographics, comorbidities, wound characteristics, standard-of-care treatments, complications, and advanced therapeutics. It supports robust, fit-for-purpose real-world evidence generation by enabling risk-adjusted outcome analysis, comparative effectiveness research, and quality improvement across diverse sites of care.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Presence of one or more chronic wounds or ulcers of any etiology
Wound or ulcer must be treated at a participating site (which can be a hospital outpatient department, office, mobile practitioner, in the home setting, skilled nursing, etc.)
Care must be documented using the purpose-built, wound-specific structured electronic health record (EHR) or electronic data capture (EDC) system
All ages, including infants and patients aged 90 years or older (reported in aggregate in accordance with HIPAA de-identification standards)
Disqualifiers
None
Trial population
Patients with chronic wounds or ulcers treated at participating sites in any US State and Puerto Rico. All patients and wounds are included without sampling. Each wound can be analyzed independently, even when multiple wounds exist on a single patient. Sampling Method: Non-Probability Sample Minimum Age: 0 Years Maximum Age: None (patients aged 90+ are reported in aggregate per HIPAA) Sex: All Gender Based: No Accepts Healthy Volunteers: No
Trial design
Cohort
Prospective
Treatments tested in this trial
Usual care
Other interventionadvanced dressings, off-loading, venous ulcer compression, arterial screening
Treatment groups
Trial outcomes
Primary outcomes
Healed
Wound closure by secondary intention
Major amputation
Below the knee, above the knee
Minor amputation
toe amputation, transmetatarsal amputation, midfoot amputation
Patient Death
patient death while in treatment
Secondary outcomes
Percent surface area (PAR) reduction over time
Percent surface area reduction (PSAR) is defined as the percentage decrease in wound surface area from the initial documented size at baseline (first qualifying wound care visit) to subsequent visits over time. Wound surface area is measured using length × width, captured at the point of care using structured fields within the electronic health record (EHR) or electronic data capture (EDC) system. Values are recorded in cm² and used to calculate PSAR as: \[(Baseline area - Follow-up area) ÷ Baseline area\] × 100 This metric is assessed at multiple time intervals, including 4 weeks, 12 weeks, 16 weeks, 6 months, and 12 months. PSAR is a key performance indicator for healing trajectory and is used to evaluate response to interventions. All wound types are included, and multiple wounds per patient are analyzed independently. Surface area measurements are case-mix adjusted using the Wound Healing Index for comparative effectiveness and quality reporting.
Sponsors and contacts
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