Absolute LTW (%) values and interarm LTW ratios were significantly different between patients with clinically diagnosed BCRL and patients with no BCRL (latent group). TDC method has been gradually gaining attention in clinical use and this method might be the preferable method in case of early detection of BCRL in patients in latent phase. Regular follow-ups would be beneficial if objective and sensitive measurement techniques were done in clinical settings.
[Purpose] This study was aimed to analyse the effects of short-term use of compression
stockings (CS) on symptoms and QoL in patients with Chronic Venous Insufficiency (CVI).
[Subjects and Methods] Based on the CEAP classification C2 and C3, 117 patients with CVI
were enrolled in this study. The participants were divided into two groups. The control
group refused to use CS, however, was advised to do exercises and take skin care whereas
the CS group used CS and performed exercise. The data were collected by using Nottingham
Health Profile (NHP), Venous Insufficiency Epidemiological and Economic Study
(VEINES-QoL/Sym) and Beck Depression Inventory (BDI) at baseline and after four weeks of
treatment and compared within and in between groups. [Results] The comparison of pre- and
post-treatment differences between groups was statistically significant for all
parameters. In the study group, pre- and post-treatment scores for each parameter were
significantly different. However, elevated scores in the control group suggested worsening
of the illness. [Conclusion] This study established that short-term use of CS in patients
with CVI significantly improved disease specific and general QoL by reducing venous
symptoms. Further studies with larger sample size are necessary to confirm these
findings.
Objective: Breast cancer related lymphedema (BCRL) is a drastic situation that affects patients who have undergone breast cancer surgery. The impact of this condition on individuals' quality of life should be investigated in more detail to obtain better treatment results.
Materials and Methods:In total, 65 patients with BCRL participated in this study. Nottingham Health Profile (NHP) was used to evaluate the validity of associated domains in Lymphedema Quality of Life Tool (LYMQoL). Both the LYMQoL and NHP were filled out by BCRL patients. To evaluate its test-retest reliability, the LYMQoL was subsequently performed seven days following its initial application. Measurement properties such as internal consistency, test-retest reliability, criterion validity and factor structure were tested. The internal consistency was assessed via Cronbach's alpha; test-retest reliability was assessed by the intra-class correlation coefficient (ICC).
Results:Cronbach's alpha values ranged from 0.74 to 0.91 for the LYMQoL total and domain scores. Test-retest reliability was excellent (ICC=0.92-0.99). When the relation between LYMQoL and NHP was investigated, 'good' to 'very good' correlations were obtained (r=0.539-0.643, p<0.05) for all domains of LYMQoL. Exploratory factor analyses demonstrated a four-factor structure.
Conclusion:Turkish version of LYMQoL is a valid and reliable measurement tool to evaluate the quality of life in patients with BCRL.
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