Development and validation of a self-report lower-extremity lymphedema screening questionnaire in women.
Identifieur interne : 005488 ( Ncbi/Merge ); précédent : 005487; suivant : 005489Development and validation of a self-report lower-extremity lymphedema screening questionnaire in women.
Auteurs : Kathleen J. Yost [États-Unis] ; Andrea L. Cheville ; Amy L. Weaver ; Mariam Al Hilli ; Sean C. DowdySource :
- Physical therapy [ 1538-6724 ] ; 2013.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Lymphoedème.
- effets indésirables : Lymphadénectomie.
- épidémiologie : Lymphoedème, Obésité.
- étiologie : Lymphoedème.
- Adulte, Autorapport, Dépistage systématique, Enquêtes et questionnaires, Femelle, Humains, Membre inférieur, Études transversales.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Lymph Node Excision.
- diagnosis : Lymphedema.
- epidemiology : Lymphedema, Obesity.
- etiology : Lymphedema.
- methods : Mass Screening.
- Adult, Cross-Sectional Studies, Female, Humans, Lower Extremity, Self Report, Surveys and Questionnaires.
Abstract
Patient-reported signs and symptoms are often the first indication of clinically relevant lymphedema.
DOI: 10.2522/ptj.20120088
PubMed: 23288911
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Cheville</name></author><author><name sortKey="Weaver, Amy L" sort="Weaver, Amy L" uniqKey="Weaver A" first="Amy L" last="Weaver">Amy L. Weaver</name></author><author><name sortKey="Al Hilli, Mariam" sort="Al Hilli, Mariam" uniqKey="Al Hilli M" first="Mariam" last="Al Hilli">Mariam Al Hilli</name></author><author><name sortKey="Dowdy, Sean C" sort="Dowdy, Sean C" uniqKey="Dowdy S" first="Sean C" last="Dowdy">Sean C. 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Yost</name><affiliation wicri:level="2"><nlm:affiliation>Department of Health Sciences Research, Mayo Clinic, 200 First St W, Rochester, MN 55905, USA. yost.kathleen@mayo.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Sciences Research, Mayo Clinic, 200 First St W, Rochester, MN 55905</wicri:regionArea><placeName><region type="state">Minnesota</region></placeName></affiliation></author><author><name sortKey="Cheville, Andrea L" sort="Cheville, Andrea L" uniqKey="Cheville A" first="Andrea L" last="Cheville">Andrea L. Cheville</name></author><author><name sortKey="Weaver, Amy L" sort="Weaver, Amy L" uniqKey="Weaver A" first="Amy L" last="Weaver">Amy L. Weaver</name></author><author><name sortKey="Al Hilli, Mariam" sort="Al Hilli, Mariam" uniqKey="Al Hilli M" first="Mariam" last="Al Hilli">Mariam Al Hilli</name></author><author><name sortKey="Dowdy, Sean C" sort="Dowdy, Sean C" uniqKey="Dowdy S" first="Sean C" last="Dowdy">Sean C. Dowdy</name></author></analytic><series><title level="j">Physical therapy</title><idno type="eISSN">1538-6724</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Lower Extremity</term><term>Lymph Node Excision (adverse effects)</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (epidemiology)</term><term>Lymphedema (etiology)</term><term>Mass Screening (methods)</term><term>Obesity (epidemiology)</term><term>Self Report</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Autorapport</term><term>Dépistage systématique ()</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème (diagnostic)</term><term>Lymphoedème (épidémiologie)</term><term>Lymphoedème (étiologie)</term><term>Membre inférieur</term><term>Obésité (épidémiologie)</term><term>Études transversales</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Lymphedema</term><term>Obesity</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Mass Screening</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Lymphoedème</term><term>Obésité</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Lower Extremity</term><term>Self Report</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Autorapport</term><term>Dépistage systématique</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Membre inférieur</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Patient-reported signs and symptoms are often the first indication of clinically relevant lymphedema.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23288911</PMID><DateCreated><Year>2013</Year><Month>05</Month><Day>02</Day></DateCreated><DateCompleted><Year>2013</Year><Month>08</Month><Day>08</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1538-6724</ISSN><JournalIssue CitedMedium="Internet"><Volume>93</Volume><Issue>5</Issue><PubDate><Year>2013</Year><Month>May</Month></PubDate></JournalIssue><Title>Physical therapy</Title><ISOAbbreviation>Phys Ther</ISOAbbreviation></Journal><ArticleTitle>Development and validation of a self-report lower-extremity lymphedema screening questionnaire in women.</ArticleTitle><Pagination><MedlinePgn>694-703</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2522/ptj.20120088</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Patient-reported signs and symptoms are often the first indication of clinically relevant lymphedema.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The purpose of this study was to develop and assess the diagnostic accuracy of a screening questionnaire to detect lower-extremity lymphedema (LEL) among normal-weight women and women with obesity.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">This was a cross-sectional survey study.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">The authors reviewed existing questionnaires assessing upper-extremity lymphedema (UEL) for potential questions and worked with content experts to generate new items. A draft questionnaire with 59 items was reviewed by 5 physicians and 5 physical therapists who specialized in lymphedema management and 5 female patients with clinically confirmed secondary LEL. A revised questionnaire with 45 items was administered by mail to 186 women with clinically confirmed LEL (n=116) or UEL (n=70). A total of 99 women (53.2% of 186) completed the mailed survey, and 28 women with lymphedema who were recruited directly in a lymphedema clinic waiting area also completed the survey. A parsimonious subset of items that best discriminated patients with and without LEL was identified using chi-square tests and logistic regression. Sensitivity and specificity for detecting LEL and positive and negative likelihood ratios (LR+, LR-) were estimated for the entire sample and for subsamples defined by obesity (body mass index ≥30 versus <30 kg/m(2)), which may confound the accurate diagnosis of LEL.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Questionnaires were completed by 127 women (LEL group, n=88; UEL group, n=39). A sum of 13 items (score range=0-52) was the most discriminating. Using a cutoff score of ≥5 points, the sensitivity and specificity for detecting LEL among all participants were 95.5% and 86.5%, respectively (LR+=7.1, LR-=0.05), and 94.8% and 76.5%, respectively (LR+=4.0, LR-=0.07), for participants who were obese.</AbstractText><AbstractText Label="LIMITATIONS" NlmCategory="CONCLUSIONS">By enumerating a sample with a high prevalence of LEL, a spectrum bias may have been introduced, which may have affected the accuracy of the screening questionnaire.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The brief, 13-item self-report questionnaire is a sensitive and specific tool for detecting clinically relevant LEL among women, including those with a body mass index of ≥30 kg/m(2).</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Yost</LastName><ForeName>Kathleen J</ForeName><Initials>KJ</Initials><AffiliationInfo><Affiliation>Department of Health Sciences Research, Mayo Clinic, 200 First St W, Rochester, MN 55905, USA. yost.kathleen@mayo.edu</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cheville</LastName><ForeName>Andrea L</ForeName><Initials>AL</Initials></Author><Author ValidYN="Y"><LastName>Weaver</LastName><ForeName>Amy L</ForeName><Initials>AL</Initials></Author><Author ValidYN="Y"><LastName>Al Hilli</LastName><ForeName>Mariam</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Dowdy</LastName><ForeName>Sean C</ForeName><Initials>SC</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D023361">Validation Studies</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>01</Month><Day>03</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Phys Ther</MedlineTA><NlmUniqueID>0022623</NlmUniqueID><ISSNLinking>0031-9023</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D035002" MajorTopicYN="N">Lower Extremity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008403" MajorTopicYN="N">Mass Screening</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009765" MajorTopicYN="N">Obesity</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D057566" MajorTopicYN="N">Self Report</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="Y">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>1</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>1</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>8</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23288911</ArticleId><ArticleId IdType="pii">ptj.20120088</ArticleId><ArticleId IdType="doi">10.2522/ptj.20120088</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Minnesota</li></region></list><tree><noCountry><name sortKey="Al Hilli, Mariam" sort="Al Hilli, Mariam" uniqKey="Al Hilli M" first="Mariam" last="Al Hilli">Mariam Al Hilli</name><name sortKey="Cheville, Andrea L" sort="Cheville, Andrea L" uniqKey="Cheville A" first="Andrea L" last="Cheville">Andrea L. Cheville</name><name sortKey="Dowdy, Sean C" sort="Dowdy, Sean C" uniqKey="Dowdy S" first="Sean C" last="Dowdy">Sean C. Dowdy</name><name sortKey="Weaver, Amy L" sort="Weaver, Amy L" uniqKey="Weaver A" first="Amy L" last="Weaver">Amy L. Weaver</name></noCountry><country name="États-Unis"><region name="Minnesota"><name sortKey="Yost, Kathleen J" sort="Yost, Kathleen J" uniqKey="Yost K" first="Kathleen J" last="Yost">Kathleen J. Yost</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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