An update on the Lymphoedema Framework Project

Morgan, Phil G.; Moffatt, Christine

doi:10.12968/bjcn.2006.11.sup5.21974

Cited by 6 publications

(28 citation statements)

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“…Once identified, consent was obtained for inclusion in the study. Baseline data was collected using a validated case ascertainment questionnaire (10). A clinical diagnosis of lymphoedema was made using the criteria from the UK Lymphoedema Framework and was based on skin assessment plus medical history, history of non-resolution of limb swelling overnight or with elevation, and a positive Stemmer's sign (inability to pinch a fold of skin at the base of the second toe).…”

Section: Methodsmentioning

confidence: 99%

Prevalence of lymphoedema and quality of life among patients attending a hospital‐based wound management and vascular clinic

Gethin

Byrne

Tierney

et al. 2011

International Wound Journal

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Lymphoedema is a chronic, incurable, debilitating condition, usually affecting a limb and causes discomfort, pain, heaviness, limited motion, unsatisfactory appearance and impacts on quality of life. However, there is a paucity of prevalence data on this condition. This study aimed to determine the prevalence of lymphoedema among persons attending wound management and vascular clinics in an acute tertiary referral hospital. Four hundred and eighteen patients meeting the inclusion criteria were assessed. A prevalence rate of 2.63% (n = 11) was recorded. Thirty-six percent (n = 4) had history of cellulitis and broken skin, 64% (n = 7) had history of broken skin and 36% (n = 4) had undergone treatment for venous leg ulcers. The most common co-morbidities were hypertension 55% (n = 6), deep vein thrombosis (DVT) 27% (n = 3), hypercholesterolemia 36% (n = 4) and type 2 diabetes 27% (n = 3). Quality of life scores identified that physical functioning was the domain most affected among this group. This study has identified the need to raise awareness of this condition among clinicians working in the area of wound management.

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Section: Methodsmentioning

confidence: 99%

Prevalence of lymphoedema and quality of life among patients attending a hospital‐based wound management and vascular clinic

Gethin

Byrne

Tierney

et al. 2011

International Wound Journal

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“…Fourth, low-stretch bandages were applied to the limbs, and adhesive tapes were used to hold the bandages in place. [ 11 ] The patients in group 1 were treated with the application of foam padding with Mobiderm® bandages, which consisted of padded foam blocks encased between 2 nonwoven bandages (Fig. 2 ).…”

Section: Methodsmentioning

confidence: 99%

“…Foams form a “padding” layer of multilayered compression bandaging that helps to cushion the limbs and bony areas, prevent skin irritation, and evenly distribute the gradient pressure created by low-stretch bandages. [ 11 ] Low-stretch bandages are less likely to impinge on skin folds and provide a semirigid support structure for the muscles to contract against, which enhances lymph and venous flows, and helps to reduce edema. [ 10 ] Recently, several manufacturers have designed various compression-bandage materials.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Mobiderm® bandages in the treatment of cancer-related secondary lymphedema: A pilot study

2022

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Secondary lymphedema is a clinically incurable disease that commonly occurs following surgical cancer treatment and/or radiation. One of the most common forms of lymphedema treatment is complete decongestive therapy (CDT). This study aimed to investigate the clinical effects of new compression bandages (Mobiderm® bandages) in patients with secondary lymphedema after cancer treatment. This study included 17 patients with ipsilateral limb lymphedema after cancer treatment (one male and 16 female patients; age, 45-80 years). Patients were divided into the Mobiderm® bandage group (n = 9) and classical bandage group (n = 8). The International Society of Lymphology (ISL) stage was also evaluated. Limb circumference was measured at 5 to 6 sites per limb to identify the maximal circumference difference (MCD) between the affected and unaffected limbs. Preand posttreatment MCD were analyzed. After intensive CDT, both the Mobiderm® bandage group (1.2 ± 0.56 cm) and classical bandage group (0.85 ± 0.40 cm) had a significant decrease in MCD compared to pretreatment (P < .05). However, in patients with ISL stage 2, the mean MCD decrease rate was greater in the Mobiderm® bandage group (22.82 ± 10.92 %) than in the classical bandage group (12.18 ± 8.1 1%)(P = .045). Both new bandages (Mobiderm® bandages and classical bandages) reduced the circumference of limb edema in patients with secondary lymphedema after cancer treatment. This study findings suggest that Mobiderm® bandages as an alternative modality for controlling ISL stage 2 lymphedema.

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“…Recommendations were graded based on the systems as reported by the International Lymphoedema Framework [21]. Levels of evidence for each recommendation were de ned by the relevant guideline(s) from which it was sourced.…”

Section: Data Collectionmentioning

confidence: 99%

“…Levels of evidence for each recommendation were de ned by the relevant guideline(s) from which it was sourced. All of the guidelines except two [22,23] used the grading system described by the International Lymphoedema Framework: Grade A -clear research evidence obtained from metaanalysis or systematic review of randomized controlled trials; Grade B -limited supporting research evidence; and Grade C -experienced common sense judgement (consensus) [21].…”

Section: Data Collectionmentioning

confidence: 99%

Developing practice points for healthcare workers to optimise lymphoedema care in low and middle-income countries: a nominal group technique

Torgbenu

Luckett

Buhagiar

et al. 2022

Preprint

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Background: Lymphoedema is a common, distressing, and debilitating condition affecting over 200 million people globally. While the World Health Organization has developed a Wound and Lymphoedema Management guidance document to support lymphoedema care in low- and middle-income countries (LMIC), it mainly focuses on lymphoedema caused by wounds and infectious filariasis and has limited content on lymphoedema diagnosis and assessment. Several lymphoedema clinical practice guidelines have been developed for high-income countries (HIC), but some recommendations are unlikely to be feasible in low-resource settings. Aim: To develop practice points for healthcare workers that optimise lymphoedema care in LMIC. Methods: A nominal group technique (NGT) was undertaken to gain consensus on which content from HIC guidelines are important and feasible to include in practice points for LMIC, plus other important advice or recommendations. Participants included experts, clinicians, and volunteers involved in lymphoedema care in LMIC. The NGT followed five key stages: silent ‘ideas’ generation, round-robin rationale, clarification, refinement and verification. The first, fourth and fifth stages were completed via email, and the second and third during a video meeting. Practice points were divided into prevention, assessment, diagnosis, and management of lymphoedema in LMIC. Results: Of 16 participants invited, 10 members completed stage 1 of the NGT (ideas generation), of whom six contributed to stages 2 (round-robin) and 3 (clarification). All those who completed stage 1 also completed stages 4 (refinement) and 5 (verification). Practice points unanimously agreed on included Complex Decongestive Therapy (CDT) and good skin care, with management to be determined by lymphoedema stage. For podoconiosis-endemic areas, the use of socks and shoes was identified as very important in the prevention of non-filarial lymphoedema and other lymphoedema-causing conditions. Participants indicated that diagnosing lymphoedema using the lymphoscintigraphy and Indocyanine green (ICG) fluorescent lymphography was not possible due to unavailability and cost in LMIC. Surgical procedures for lymphoedema management were unanimously eliminated due to the unavailability of technology, limited workforce, and expensive cost in LMIC. Conclusion: The consensus-based practice points generated by this project provide healthcare workers with guidance on caring for people with lymphoedema in LMIC. Further development of workforce capacity is needed.

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An update on the Lymphoedema Framework Project

Cited by 6 publications

References 0 publications

Prevalence of lymphoedema and quality of life among patients attending a hospital‐based wound management and vascular clinic

Prevalence of lymphoedema and quality of life among patients attending a hospital‐based wound management and vascular clinic

Effectiveness of Mobiderm® bandages in the treatment of cancer-related secondary lymphedema: A pilot study

Developing practice points for healthcare workers to optimise lymphoedema care in low and middle-income countries: a nominal group technique

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