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What Is Clinically Important in Lymphedema Management? A Systematic Review

What Is Clinically Important in Lymphedema Management? A Systematic Review SYSTEMATIC REVIEW What Is Clinically Important in Lymphedema Management? A Systematic Review 1 2 3 Dorit Tidhar, MScPT ; Jane M. Armer, PhD, RN, FAAN ; Bob R. Stewart, EdD 1 2 Physiotherapy Department, Maccabi Healthcare Services, Sderot, Israel; Sinclair School of Nursing, University of Missouri, Columbia, MO; and Sinclair School of Nursing, University of Missouri, Columbia, MO Objective: To summarize published reports on the clinical effectiveness of conservative lymphedema manage- ment by reporting on outcomes that use anchor- and distribution-based approaches. Data Sources: MEDLINE and EBSCO databases from inception to April 2017. Study Selection: Articles were selected if they included an estimate for minimal clinically important difference (MCID). Data Synthesis: Twenty-four articles involving 938 patients met our inclusion criteria. Years of publication ranged from 1991 to 2016. Of these, 16 studies examined outcomes after the intervention was completed. The other 8 studies tested the reliability of mea- surement tools. Data were stratified according to different outcomes: limb volume (20 studies, 785 patients), symptoms (6 studies, 288 patients), skin changes (1 study, 28 patients), infection rate (5 studies, 255 patients), quality of life (4 studies, 148 patients), and strength, function, endurance, fitness, and disability (3 studies, 89 patients). Most http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Rehabilitation Oncology Wolters Kluwer Health

What Is Clinically Important in Lymphedema Management? A Systematic Review

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Publisher
Wolters Kluwer Health
ISSN
2168-3808
eISSN
2381-2427
DOI
10.1097/01.REO.0000000000000093
Publisher site
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Abstract

SYSTEMATIC REVIEW What Is Clinically Important in Lymphedema Management? A Systematic Review 1 2 3 Dorit Tidhar, MScPT ; Jane M. Armer, PhD, RN, FAAN ; Bob R. Stewart, EdD 1 2 Physiotherapy Department, Maccabi Healthcare Services, Sderot, Israel; Sinclair School of Nursing, University of Missouri, Columbia, MO; and Sinclair School of Nursing, University of Missouri, Columbia, MO Objective: To summarize published reports on the clinical effectiveness of conservative lymphedema manage- ment by reporting on outcomes that use anchor- and distribution-based approaches. Data Sources: MEDLINE and EBSCO databases from inception to April 2017. Study Selection: Articles were selected if they included an estimate for minimal clinically important difference (MCID). Data Synthesis: Twenty-four articles involving 938 patients met our inclusion criteria. Years of publication ranged from 1991 to 2016. Of these, 16 studies examined outcomes after the intervention was completed. The other 8 studies tested the reliability of mea- surement tools. Data were stratified according to different outcomes: limb volume (20 studies, 785 patients), symptoms (6 studies, 288 patients), skin changes (1 study, 28 patients), infection rate (5 studies, 255 patients), quality of life (4 studies, 148 patients), and strength, function, endurance, fitness, and disability (3 studies, 89 patients). Most

Journal

Rehabilitation OncologyWolters Kluwer Health

Published: Jan 1, 2018

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