The management of secondary lower limb lymphoedema in cancer patients: A systematic review

Leung, Elaine; Tirlapur, S.; Meads, Catherine

doi:10.1177/0269216314545803

Cited by 35 publications

(16 citation statements)

References 33 publications

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“…At best it could be said that there was a trend in the direction of an increase in the quality of life. The results of the secondary aims showed a positive trend in terms of oedema reduction, improvement in joint mobility and quality of life and showed -in common with previous studies -that CPDT is currently the most effective and efficient treatment for diseases that involve lymphoedema (11).…”

Section: Discussionsupporting

confidence: 78%

LYR study: Influence of a web-based application on the systematic chronological and effectiveness of network-guided patient management processes in lymphological care

Hahn¹,

Berger²,

Rahms³

et al. 2016

Phlebologie

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KeywordsLymph networks, lymphoedema registry study, network-guided patient management, web-based medical documentation SummaryThe systematic acquisition of data for proving the benefit of standard treatment, demonstrating the efficiency of treatment provided by interprofessional patient management processes and providing valid epidemiological data is inadequate or even nonexistent in the treatment of lymphological disorders. The LYR study firstly uses a webbased documentation tool to examine whether treatment quality is ensured under the conditions provided by an outpatient lymph network that has been guaranteed by a systematic and guideline-compliant treatment analogy. The study evaluated the introduction and handling of a web-based documentation platform for joint case management. LYR also stands synonymously for Lymph Register, and represents a feasibility study with regard to establishing a national lymph register. A phase 1 multicentre interventional study of complex physical decongestion therapy on 61 subjects with different lymphological disorders investigated the immediate and late effects of a prespecified treatment analogy and web-based data acquisition with interdisciplinary data access in six regional lymph networks. Findings on the changes to quality of life and on the effect of the frequency of manual lymphatic drainage and the height of lymphological compression bandages on the results of decongestion were documented and data on prescribing periods and the behaviour of cost bearers were acquired. The study results show that a web-based, structured documentation system can usefully support treatment regimens and simplify mutual access to the patient management process. The epidemiological data acquired during the evaluation of the findings sheet are completely new in Germany and are seen as a feasibility study for a national lymph register that is being prepared. LYR also shows that standard treatment (CPD) has positive effects on circumferences, quality of life, and mobility. It was also shown that a high frequency of manual lymph drainage shortened the decongestion treatment period.

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Section: Discussionsupporting

confidence: 78%

LYR study: Influence of a web-based application on the systematic chronological and effectiveness of network-guided patient management processes in lymphological care

Hahn¹,

Berger²,

Rahms³

et al. 2016

Phlebologie

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“…10,11 Once it becomes clinically evident, lymphedema responds poorly to treatment and tends to worsen progressively, causing irreversible fibrotic changes of the tissue. 12 Moreover, erysipelas episodes frequently complicate chronic extremity lymphedema. 13 Thus, the key to success is prevention.…”

Section: Discussionmentioning

confidence: 99%

LYMPHA Technique to Prevent Secondary Lower Limb Lymphedema

et al. 2016

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“…There is agreement among reviews that Complex Decongestive Physiotherapy (CDP) is effective at reducing limb volume23, 24 ) . It is an intensive treatment program involving manual lymphatic drainage (MLD), skin care, compression therapy, and/or prescribed exercises23 ) .…”

Section: Discussionmentioning

confidence: 99%

Effects of matrix rhythm therapy on primary lymphedema: a case report

2016

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[Purpose] Primary lymphedema occurs because of genetic predisposition and developmental insufficiency of the lymphatic system. Matrix Rhythm Therapy was developed as an external and dynamic method that supplies rhythmic mobilization of the fluids in tissues. The aim of the study was to investigate the effects of Matrix Rhythm Therapy in primary lymphedema. [Subject and Methods] A 36-year-old female with left lower limb lymphedema was evaluated. Leg circumference was measured before and at the end of treatment, and 1 and 3 months later. The circumferences were converted to volumetric values. Twenty sessions of Matrix Rhythm Therapy (5 days/week) were applied to the affected leg, spine, and abdominal regions. Patient satisfaction was assessed with the Global Rating of Change scale. [Results] Volumetric values were 1,573.28 ml before treatment, 1,573.13 ml at the end of treatment, 1,516.70 ml 1 month later, and 1,441.61 ml 3 months later. At the end of treatment, the volumetric reduction was not significant; however, when compared with baseline, measurements at 1 and 3 months decreased by 3.59% and 8.36%, respectively. The Global Rating of Change score was 2. [Conclusion] Matrix Rhythm Therapy could not reduce lymphedema when used alone, but long-term treatment may show positive effects.

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The management of secondary lower limb lymphoedema in cancer patients: A systematic review

Cited by 35 publications

References 33 publications

LYR study: Influence of a web-based application on the systematic chronological and effectiveness of network-guided patient management processes in lymphological care

LYR study: Influence of a web-based application on the systematic chronological and effectiveness of network-guided patient management processes in lymphological care

LYMPHA Technique to Prevent Secondary Lower Limb Lymphedema

Effects of matrix rhythm therapy on primary lymphedema: a case report

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