Self-Care for Management of Secondary Lymphedema: A Systematic Review
Publication Date
June 08, 2016
Journal
PLOS Neglected Tropical Diseases
Authors
Janet Douglass, Patricia Graves & Susan Gordon
Volume
10
Issue
6
Pages
e0004740
DOI
https://dx.plos.org/10.1371/journal.pntd.0004740
Publisher URL
http://journals.plos.org/plosntds/article?id=10.1371%2Fjournal.pntd.0004740
Web of Science
000379346200015
Scopus
84978036701
Mendeley
http://www.mendeley.com/research/selfcare-management-secondary-lymphedema-systematic-review
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Mendeley | Further Information

{"title"=>"Self-Care for Management of Secondary Lymphedema: A Systematic Review", "type"=>"journal", "authors"=>[{"first_name"=>"Janet", "last_name"=>"Douglass", "scopus_author_id"=>"22955616900"}, {"first_name"=>"Patricia", "last_name"=>"Graves", "scopus_author_id"=>"7103177508"}, {"first_name"=>"Susan", "last_name"=>"Gordon", "scopus_author_id"=>"7401828740"}], "year"=>2016, "source"=>"PLoS Neglected Tropical Diseases", "identifiers"=>{"issn"=>"19352735", "scopus"=>"2-s2.0-84978036701", "pui"=>"611099196", "doi"=>"10.1371/journal.pntd.0004740", "isbn"=>"1935-2735 1935-2727", "sgr"=>"84978036701", "pmid"=>"27275844"}, "id"=>"57414e79-bce3-3ebd-934c-c1eb2d9271ae", "abstract"=>"BACKGROUND Lymphedema is a debilitating and disfiguring sequela of an overwhelmed lymphatic system. The most common causes of secondary lymphedema are lymphatic filariasis (LF), a vector-borne, parasitic disease endemic in 73 tropical countries, and treatment for cancer in developed countries. Lymphedema is incurable and requires life-long care so identification of effective lymphedema management is imperative to improve quality of life, reduce the burden on family resources and benefit the local community. This review was conducted to evaluate the evidence for effective lymphedema self-care strategies that might be applicable to management of all types of secondary lymphedema. METHODOLOGY/PRINCIPAL FINDINGS Searches were conducted in Medline, CINAHL and Scopus databases in March 2015. Included studies reported before and after measures of lymphedema status or frequency of acute infections. The methodological quality was assessed using the appropriate Critical Appraisal Skills Program checklist. Descriptive synthesis and meta-analysis were used to evaluate effectiveness of the outcomes reported. Twenty-eight papers were included; two RCTs were found to have strong methodology, and overall 57% of studies were rated as methodologically weak. Evidence from filariasis-related lymphedema (FR-LE) studies indicated that hygiene-centred self-care reduced the frequency and duration of acute episodes by 54%, and in cancer-related lymphedema (CR-LE) home-based exercise including deep breathing delivered significant volume reductions over standard self-care alone. Intensity of training in self-care practices and frequency of monitoring improved outcomes. Cultural and economic factors and access to health care services influenced the type of intervention delivered and how outcomes were measured. CONCLUSIONS/SIGNIFICANCE There is evidence to support the adoption of remedial exercises in the management of FR-LE and for a greater emphasis on self-treatment practices for people with CR-LE. Empowerment of people with lymphedema to care for themselves with access to supportive professional assistance has the capacity to optimise self-management practices and improve outcomes from limited health resources.", "link"=>"http://www.mendeley.com/research/selfcare-management-secondary-lymphedema-systematic-review", "reader_count"=>42, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>4, "Researcher"=>8, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>4, "Student > Postgraduate"=>1, "Student > Master"=>9, "Other"=>3, "Student > Bachelor"=>5, "Lecturer"=>2, "Professor"=>3}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>4, "Researcher"=>8, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>4, "Student > Postgraduate"=>1, "Student > Master"=>9, "Other"=>3, "Student > Bachelor"=>5, "Lecturer"=>2, "Professor"=>3}, "reader_count_by_subject_area"=>{"Engineering"=>2, "Unspecified"=>3, "Nursing and Health Professions"=>11, "Medicine and Dentistry"=>19, "Agricultural and Biological Sciences"=>1, "Social Sciences"=>4, "Computer Science"=>1, "Immunology and Microbiology"=>1}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>2}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>19}, "Social Sciences"=>{"Social Sciences"=>4}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>11}, "Unspecified"=>{"Unspecified"=>3}}, "reader_count_by_country"=>{"Netherlands"=>1, "United Kingdom"=>1, "Portugal"=>1}, "group_count"=>6}

Scopus | Further Information

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Source
Scopus
Time
2019-08-27 18:06:32 UTC
Target URL
https://api.elsevier.com/content/search/index:SCOPUS?query=DOI(10.1371%2Fjournal.pntd.0004740)
Trace

/app/models/concerns/networkable.rb:21:in `get_result'
/app/models/source.rb:165:in `get_data'
/app/models/retrieval_status.rb:47:in `perform_get_data'
/app/jobs/source_job.rb:52:in `block (2 levels) in perform'
/app/jobs/source_job.rb:51:in `block in perform'
/app/jobs/source_job.rb:35:in `each'
/app/jobs/source_job.rb:35:in `perform'