Lymphedema and employability – Review and results of a survey of Austrian experts
Identifieur interne : 000416 ( Main/Exploration ); précédent : 000415; suivant : 000417Lymphedema and employability – Review and results of a survey of Austrian experts
Auteurs : Markus Neubauer [Autriche] ; Dieter Schoberwalter [Autriche] ; Fadime Cenik [Autriche] ; Mohammad Keilani [Autriche] ; Richard Crevenna [Autriche]Source :
- Wiener Klinische Wochenschrift [ 0043-5325 ] ; 2017.
Abstract
Literature about lymphedema and its influence on the ability to work and employability is limited. The aim of the present study was to investigate the opinion of Austrian experts on factors influencing the ability to work and employability in patients suffering from lymphedema.
A self-administered questionnaire consisting of 6 questions was sent to 12 Austrian lymphedema experts with 6 different specializations from May to August 2016. These experts were asked about suitable and unsuitable professions, the possible influence of lymphedema on the ability to work and employability as well as about existing and additional measures to improve the return to work.
The reply rate was 100% (12 out of 12). All experts agreed that lymphedema can restrict the ability to work and employability. The leading reason for limited ability to work and employability was restricted mobility or function of the affected limb along with time-consuming therapeutic modalities, pain and psychological stress. The most suitable job named was teacher and the most unsuitable job named was cook. As easements for return to work, early rehabilitation, self-management, coping strategies, patient education, employer’s goodwill and employer’s cooperation were reported. Furthermore, experts stressed the need for an adjustment of the legal framework as well as low-barrier and more therapy offers.
Adjusted work demands seem to be of greater importance to support the ability to work and employability than recommendations for specific job profiles alone. Experts suggest an adjustment of the legal framework for affected patients, claiming a right for early rehabilitation as well as for life-long therapy. Even though some clinically useful conclusions may be drawn from this article, further research in the field is warranted.
Url:
DOI: 10.1007/s00508-017-1167-1
PubMed: 28127649
PubMed Central: 5346120
Affiliations:
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Rehabilitation,</institution><institution>Medical University of Vienna,</institution></institution-wrap>Waehringer Guertel 18–20, 1090 Vienna, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Waehringer Guertel 18–20, 1090 Vienna</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Schoberwalter, Dieter" sort="Schoberwalter, Dieter" uniqKey="Schoberwalter D" first="Dieter" last="Schoberwalter">Dieter Schoberwalter</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.413662.4</institution-id><institution>Department of Cardiology,</institution><institution>Hanusch-Krankenhaus,</institution></institution-wrap>Vienna, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Vienna</wicri:regionArea></affiliation></author><author><name sortKey="Cenik, Fadime" sort="Cenik, Fadime" uniqKey="Cenik F" first="Fadime" last="Cenik">Fadime Cenik</name><affiliation wicri:level="3"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.22937.3d</institution-id><institution>Department of Physical Medicine and Rehabilitation,</institution><institution>Medical University of Vienna,</institution></institution-wrap>Waehringer Guertel 18–20, 1090 Vienna, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Waehringer Guertel 18–20, 1090 Vienna</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Keilani, Mohammad" sort="Keilani, Mohammad" uniqKey="Keilani M" first="Mohammad" last="Keilani">Mohammad Keilani</name><affiliation wicri:level="3"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.22937.3d</institution-id><institution>Department of Physical Medicine and Rehabilitation,</institution><institution>Medical University of Vienna,</institution></institution-wrap>Waehringer Guertel 18–20, 1090 Vienna, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Waehringer Guertel 18–20, 1090 Vienna</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Crevenna, Richard" sort="Crevenna, Richard" uniqKey="Crevenna R" first="Richard" last="Crevenna">Richard Crevenna</name><affiliation wicri:level="3"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.22937.3d</institution-id><institution>Department of Physical Medicine and Rehabilitation,</institution><institution>Medical University of Vienna,</institution></institution-wrap>Waehringer Guertel 18–20, 1090 Vienna, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Waehringer Guertel 18–20, 1090 Vienna</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author></analytic><series><title level="j">Wiener Klinische Wochenschrift</title><idno type="ISSN">0043-5325</idno><idno type="eISSN">1613-7671</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><sec><title>Background</title><p>Literature about lymphedema and its influence on the ability to work and employability is limited. The aim of the present study was to investigate the opinion of Austrian experts on factors influencing the ability to work and employability in patients suffering from lymphedema.</p></sec><sec><title>Methods</title><p>A self-administered questionnaire consisting of 6 questions was sent to 12 Austrian lymphedema experts with 6 different specializations from May to August 2016. These experts were asked about suitable and unsuitable professions, the possible influence of lymphedema on the ability to work and employability as well as about existing and additional measures to improve the return to work.</p></sec><sec><title>Results</title><p>The reply rate was 100% (12 out of 12). All experts agreed that lymphedema can restrict the ability to work and employability. The leading reason for limited ability to work and employability was restricted mobility or function of the affected limb along with time-consuming therapeutic modalities, pain and psychological stress. The most suitable job named was teacher and the most unsuitable job named was cook. As easements for return to work, early rehabilitation, self-management, coping strategies, patient education, employer’s goodwill and employer’s cooperation were reported. Furthermore, experts stressed the need for an adjustment of the legal framework as well as low-barrier and more therapy offers.</p></sec><sec><title>Conclusions</title><p>Adjusted work demands seem to be of greater importance to support the ability to work and employability than recommendations for specific job profiles alone. Experts suggest an adjustment of the legal framework for affected patients, claiming a right for early rehabilitation as well as for life-long therapy. Even though some clinically useful conclusions may be drawn from this article, further research in the field is warranted.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Rockson, Sg" uniqKey="Rockson S">SG Rockson</name></author><author><name sortKey="Rivera, Kk" uniqKey="Rivera K">KK Rivera</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rabe, E" uniqKey="Rabe E">E Rabe</name></author><author><name sortKey="Pannier Fischer, F" uniqKey="Pannier Fischer F">F Pannier-Fischer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pannier, F" uniqKey="Pannier F">F Pannier</name></author><author><name sortKey="Hoffmann, B" uniqKey="Hoffmann B">B Hoffmann</name></author><author><name sortKey="Stang, Jk" uniqKey="Stang J">JK Stang</name></author><author><name sortKey="Rabe, E" uniqKey="Rabe E">E 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uniqKey="Johansson K">K Johansson</name></author><author><name sortKey="Holmstrom, H" uniqKey="Holmstrom H">H Holmström</name></author><author><name sortKey="Nilsson, I" uniqKey="Nilsson I">I Nilsson</name></author><author><name sortKey="Ingvar, C" uniqKey="Ingvar C">C Ingvar</name></author><author><name sortKey="Albertsson, M" uniqKey="Albertsson M">M Albertsson</name></author><author><name sortKey="Ekdahl, C" uniqKey="Ekdahl C">C Ekdahl</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Carter, Bj" uniqKey="Carter B">BJ Carter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Greenslade, Mv" uniqKey="Greenslade M">MV Greenslade</name></author><author><name sortKey="House, Cj" uniqKey="House C">CJ House</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Autriche</li></country><region><li>Vienne (Autriche)</li></region><settlement><li>Vienne (Autriche)</li></settlement></list><tree><country name="Autriche"><region name="Vienne (Autriche)"><name sortKey="Neubauer, Markus" sort="Neubauer, Markus" uniqKey="Neubauer M" first="Markus" last="Neubauer">Markus Neubauer</name></region><name sortKey="Cenik, Fadime" sort="Cenik, Fadime" uniqKey="Cenik F" first="Fadime" last="Cenik">Fadime Cenik</name><name sortKey="Crevenna, Richard" sort="Crevenna, Richard" uniqKey="Crevenna R" first="Richard" last="Crevenna">Richard Crevenna</name><name sortKey="Keilani, Mohammad" sort="Keilani, Mohammad" uniqKey="Keilani M" first="Mohammad" last="Keilani">Mohammad Keilani</name><name sortKey="Schoberwalter, Dieter" sort="Schoberwalter, Dieter" uniqKey="Schoberwalter D" first="Dieter" last="Schoberwalter">Dieter Schoberwalter</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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