Learning from a lymphedema clinic: an algorithm for the management of localized swelling.
Identifieur interne : 002B86 ( Ncbi/Merge ); précédent : 002B85; suivant : 002B87Learning from a lymphedema clinic: an algorithm for the management of localized swelling.
Auteurs : Evan S. Garfein [États-Unis] ; Loren J. Borud ; Anne G. Warren ; Sumner A. SlavinSource :
- Plastic and reconstructive surgery [ 1529-4242 ] ; 2008.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Algorithmes, Diagnostic différentiel, Femelle, Humains, Hôpitaux spécialisés, Indice de gravité médicale, Lymphoedème (), Lymphoedème (imagerie diagnostique), Lymphographie, Mâle, Orientation vers un spécialiste, Pansements occlusifs, Procédures de chirurgie reconstructive (), Pronostic, Scintigraphie.
- MESH :
- imagerie diagnostique : Lymphoedème.
- Adulte, Adulte d'âge moyen, Algorithmes, Diagnostic différentiel, Femelle, Humains, Hôpitaux spécialisés, Indice de gravité médicale, Lymphoedème, Lymphographie, Mâle, Orientation vers un spécialiste, Pansements occlusifs, Procédures de chirurgie reconstructive, Pronostic, Scintigraphie.
English descriptors
- KwdEn :
- Adult, Algorithms, Diagnosis, Differential, Female, Hospitals, Special, Humans, Lymphedema (diagnostic imaging), Lymphedema (therapy), Lymphography, Male, Middle Aged, Occlusive Dressings, Prognosis, Radionuclide Imaging, Reconstructive Surgical Procedures (methods), Referral and Consultation, Severity of Illness Index.
- MESH :
- diagnostic imaging : Lymphedema.
- methods : Reconstructive Surgical Procedures.
- therapy : Lymphedema.
- Adult, Algorithms, Diagnosis, Differential, Female, Hospitals, Special, Humans, Lymphography, Male, Middle Aged, Occlusive Dressings, Prognosis, Radionuclide Imaging, Referral and Consultation, Severity of Illness Index.
Abstract
Lymphedema is a chronic disease causing significant morbidity for affected patients. It can be difficult to diagnose, and patients are often frustrated by multiple referrals and inadequate therapies. Centralized, comprehensive care for the patient presenting with lymphedema or other causes of localized swelling allows for appropriate evaluation and provides improved management and treatment.
DOI: 10.1097/01.prs.0000297635.33874.a5
PubMed: 18300971
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pubmed:18300971Le document en format XML
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Warren</name></author><author><name sortKey="Slavin, Sumner A" sort="Slavin, Sumner A" uniqKey="Slavin S" first="Sumner A" last="Slavin">Sumner A. 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Garfein</name><affiliation wicri:level="1"><nlm:affiliation>Harvard Plastic Surgery Program, Harvard Medical School, Boston, Mass., USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Harvard Plastic Surgery Program, Harvard Medical School, Boston, Mass.</wicri:regionArea><wicri:noRegion>Mass.</wicri:noRegion></affiliation></author><author><name sortKey="Borud, Loren J" sort="Borud, Loren J" uniqKey="Borud L" first="Loren J" last="Borud">Loren J. Borud</name></author><author><name sortKey="Warren, Anne G" sort="Warren, Anne G" uniqKey="Warren A" first="Anne G" last="Warren">Anne G. Warren</name></author><author><name sortKey="Slavin, Sumner A" sort="Slavin, Sumner A" uniqKey="Slavin S" first="Sumner A" last="Slavin">Sumner A. Slavin</name></author></analytic><series><title level="j">Plastic and reconstructive surgery</title><idno type="eISSN">1529-4242</idno><imprint><date when="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Algorithms</term><term>Diagnosis, Differential</term><term>Female</term><term>Hospitals, Special</term><term>Humans</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (therapy)</term><term>Lymphography</term><term>Male</term><term>Middle Aged</term><term>Occlusive Dressings</term><term>Prognosis</term><term>Radionuclide Imaging</term><term>Reconstructive Surgical Procedures (methods)</term><term>Referral and Consultation</term><term>Severity of Illness Index</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Algorithmes</term><term>Diagnostic différentiel</term><term>Femelle</term><term>Humains</term><term>Hôpitaux spécialisés</term><term>Indice de gravité médicale</term><term>Lymphoedème ()</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphographie</term><term>Mâle</term><term>Orientation vers un spécialiste</term><term>Pansements occlusifs</term><term>Procédures de chirurgie reconstructive ()</term><term>Pronostic</term><term>Scintigraphie</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Reconstructive Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Algorithms</term><term>Diagnosis, Differential</term><term>Female</term><term>Hospitals, Special</term><term>Humans</term><term>Lymphography</term><term>Male</term><term>Middle Aged</term><term>Occlusive Dressings</term><term>Prognosis</term><term>Radionuclide Imaging</term><term>Referral and Consultation</term><term>Severity of Illness Index</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Algorithmes</term><term>Diagnostic différentiel</term><term>Femelle</term><term>Humains</term><term>Hôpitaux spécialisés</term><term>Indice de gravité médicale</term><term>Lymphoedème</term><term>Lymphographie</term><term>Mâle</term><term>Orientation vers un spécialiste</term><term>Pansements occlusifs</term><term>Procédures de chirurgie reconstructive</term><term>Pronostic</term><term>Scintigraphie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphedema is a chronic disease causing significant morbidity for affected patients. It can be difficult to diagnose, and patients are often frustrated by multiple referrals and inadequate therapies. Centralized, comprehensive care for the patient presenting with lymphedema or other causes of localized swelling allows for appropriate evaluation and provides improved management and treatment.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">18300971</PMID><DateCreated><Year>2008</Year><Month>02</Month><Day>27</Day></DateCreated><DateCompleted><Year>2008</Year><Month>03</Month><Day>18</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>24</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1529-4242</ISSN><JournalIssue CitedMedium="Internet"><Volume>121</Volume><Issue>2</Issue><PubDate><Year>2008</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Plastic and reconstructive surgery</Title><ISOAbbreviation>Plast. Reconstr. Surg.</ISOAbbreviation></Journal><ArticleTitle>Learning from a lymphedema clinic: an algorithm for the management of localized swelling.</ArticleTitle><Pagination><MedlinePgn>521-8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/01.prs.0000297635.33874.a5</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lymphedema is a chronic disease causing significant morbidity for affected patients. It can be difficult to diagnose, and patients are often frustrated by multiple referrals and inadequate therapies. Centralized, comprehensive care for the patient presenting with lymphedema or other causes of localized swelling allows for appropriate evaluation and provides improved management and treatment.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A 4-year review of the first 100 patients seen at the Beth Israel Deaconess Medical Center Lymphedema Clinic was performed. On the basis of the clinical experience from these patients, an algorithm for diagnosing and managing patients with localized swelling was developed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The mean age of the patients was 50 years, and 81 percent of the patients were women. On average, patients had experienced their symptoms for 11.6 years (range, 3 months to 60 years). Lymphoscintigraphy was performed on 43 patients, 81 percent of whom showed lymphatic obstruction or dysfunction. In total, 75 percent of patients were diagnosed with lymphedema based on clinical presentation or additional testing. Fourteen of these patients underwent subsequent excisional procedures, whereas the rest were managed conservatively with compression garments.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Patients presenting with swollen extremities can frequently be diagnosed through history and physical examination alone, but many patients require more extensive diagnostic workup. An algorithm for the management of these patients can facilitate evaluation and treatment.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Garfein</LastName><ForeName>Evan S</ForeName><Initials>ES</Initials><AffiliationInfo><Affiliation>Harvard Plastic Surgery Program, Harvard Medical School, Boston, Mass., USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Borud</LastName><ForeName>Loren J</ForeName><Initials>LJ</Initials></Author><Author ValidYN="Y"><LastName>Warren</LastName><ForeName>Anne G</ForeName><Initials>AG</Initials></Author><Author ValidYN="Y"><LastName>Slavin</LastName><ForeName>Sumner A</ForeName><Initials>SA</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Plast Reconstr Surg</MedlineTA><NlmUniqueID>1306050</NlmUniqueID><ISSNLinking>0032-1052</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000465" MajorTopicYN="Y">Algorithms</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003937" MajorTopicYN="N">Diagnosis, Differential</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006782" MajorTopicYN="Y">Hospitals, Special</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008220" MajorTopicYN="N">Lymphography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009779" MajorTopicYN="N">Occlusive Dressings</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011877" MajorTopicYN="N">Radionuclide Imaging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019651" MajorTopicYN="N">Reconstructive Surgical Procedures</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012017" MajorTopicYN="N">Referral and Consultation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2008</Year><Month>2</Month><Day>28</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2008</Year><Month>3</Month><Day>19</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2008</Year><Month>2</Month><Day>28</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">18300971</ArticleId><ArticleId IdType="doi">10.1097/01.prs.0000297635.33874.a5</ArticleId><ArticleId IdType="pii">00006534-200802000-00021</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country></list><tree><noCountry><name sortKey="Borud, Loren J" sort="Borud, Loren J" uniqKey="Borud L" first="Loren J" last="Borud">Loren J. Borud</name><name sortKey="Slavin, Sumner A" sort="Slavin, Sumner A" uniqKey="Slavin S" first="Sumner A" last="Slavin">Sumner A. Slavin</name><name sortKey="Warren, Anne G" sort="Warren, Anne G" uniqKey="Warren A" first="Anne G" last="Warren">Anne G. Warren</name></noCountry><country name="États-Unis"><noRegion><name sortKey="Garfein, Evan S" sort="Garfein, Evan S" uniqKey="Garfein E" first="Evan S" last="Garfein">Evan S. Garfein</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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