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LIMPRINT: The UK Experience-Subjective Control of Swelling in Patients Attending Specialist Lymphedema Services

Lymphatic research and biology, 2019-04, Vol.17 (2), p.211-220 [Peer Reviewed Journal]

Distributed under a Creative Commons Attribution 4.0 International License ;Christine J. Moffatt et al. 2019; Published by Mary Ann Liebert, Inc. 2019 ;ISSN: 1539-6851 ;EISSN: 1557-8585 ;DOI: 10.1089/lrb.2019.0020 ;PMID: 30995196

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Title:
LIMPRINT: The UK Experience-Subjective Control of Swelling in Patients Attending Specialist Lymphedema Services
Author: Moffatt, Christine J ; Keeley, Vaughan ; Hughes, Andrew ; Clark, Kath ; Lisle, Jill ; Benson, Margaret ; Gaskin, Rebecca ; Sykorova, Martina ; Dring, Eleanor ; Murray, Susie ; Mercier, Gregoire ; Quere, Isabelle ; Franks, Peter J
Subjects: Aged ; Aged, 80 and over ; Cellulitis - diagnosis ; Cellulitis - physiopathology ; Chronic Disease ; Diagnosis, Differential ; Edema - diagnosis ; Edema - epidemiology ; Edema - pathology ; Edema - physiopathology ; Female ; Heart Diseases - diagnosis ; Heart Diseases - physiopathology ; Humans ; Life Sciences ; Lower Extremity - pathology ; Lower Extremity - physiopathology ; Lymphatic System - pathology ; Lymphatic System - physiopathology ; Lymphedema - diagnosis ; Lymphedema - epidemiology ; Lymphedema - pathology ; Lymphedema - physiopathology ; Male ; Middle Aged ; Obesity - diagnosis ; Obesity - physiopathology ; Original ; Patient Satisfaction - statistics & numerical data ; Prevalence ; Quality of Life - psychology ; Risk Factors ; Surveys and Questionnaires ; United Kingdom - epidemiology ; Upper Extremity - pathology ; Upper Extremity - physiopathology ; Wounds and Injuries - diagnosis ; Wounds and Injuries - physiopathology
Is Part Of: Lymphatic research and biology, 2019-04, Vol.17 (2), p.211-220
Description: This study was undertaken as part of the UK LIMPRINT international study to determine the number of people with chronic edema (CO) and its impact on health services. Overall 7436 with CO were recruited in the main UK study from a range of health settings. Factors relating to subjective control of arm and leg CO were defined in the UK. A total of 1565 patients were included in the study with exclusions for: no limb swelling or not recorded (1669), having concurrent arm/leg CO (272), control of assessment missing (5) and professional being unsure of control status of CO (325). Arm swelling occurred in 953 (18.5%) with leg CO in 4212 (81.5%). Poor control was found in 1430 (27.2%) and good control in 3735 (72.3%). Control of arm swelling was worse in men and control increased overall in those aged over 45 years. In contrast control of CO worsened in those with leg CO with increasing age and multiple co-morbidities. Obesity and cellulitis, particularly an episode in the last year were associated with poor control. Independent risk factors for arm CO were : obesity, neurological disease and cellulitis in the last year and for leg CO, obesity, poor mobility, heart disease, presence of a wound, cellulitis in the last year and duration of swelling. Control of CO within specialized centers is complex due to sociodemographic and clinical comorbidities.
Publisher: United States: Mary Ann Liebert
Language: English
Identifier: ISSN: 1539-6851
EISSN: 1557-8585
DOI: 10.1089/lrb.2019.0020
PMID: 30995196
Source: Hyper Article en Ligne (HAL) (Open Access)
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LIMPRINT: The UK Experience-Subjective Control of Swelling in Patients Attending Specialist Lymphedema Services

Distributed under a Creative Commons Attribution 4.0 International License ;Christine J. Moffatt et al. 2019; Published by Mary Ann Liebert, Inc. 2019 ;ISSN: 1539-6851 ;EISSN: 1557-8585 ;DOI: 10.1089/lrb.2019.0020 ;PMID: 30995196

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