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A new concept of a multidisciplinary lymphoedema centre: established in connection to a department of dermatology and the Copenhagen Wound Healing Center

Identifieur interne : 000080 ( PascalFrancis/Corpus ); précédent : 000079; suivant : 000081

A new concept of a multidisciplinary lymphoedema centre: established in connection to a department of dermatology and the Copenhagen Wound Healing Center

Auteurs : S. Birkballe ; T. Karlsmark ; S. Noerregaard ; F. Gottrup

Source :

RBID : Pascal:12-0310905

Descripteurs français

English descriptors

Abstract

Background Lymphoedema is increasingly recognized as a significanl problem in healthcare. The number of patients is growing, posing a future challenge to healthcare systems and economics. Over the past decade, specialized lymphoedema management has been established around the world to accommodate the growing demands. However, information on organization, experiences and outcome are scarce. Objectives To conduct a clinical perspective analysis describing the establishment, organization, function and results of a new, multidisciplinary lymphoedema centre functioning as a university hospital unit in connection to a department of dermatology and the Copenhagen Wound Healing Center and integrated as a national expert function in the public healthcare organization of Denmark. Methods Data were collected following the establishment of a lymphoedema centre based on the structured, multidisciplinary organization of lymphoedema management. Results During the first 4.5 years a total of 8058 patient consultations were performed. The mean duration of symptoms at the first visit was 19 years (range 1-67) and 31% of patients had never received any diagnosis or treatment prior to referral. Complications were found in 48% of referred patients. All patients received appropriate diagnostic investigations and treatment according to best practice. Multidisciplinary assessment involving four or more different healthcare professions was needed in 86% of cases. Research opportunities and expert education of staff were enhanced. Conclusions A multidisciplinary lymphoedema centre improves management, knowledge and awareness of lymphoedema. This model, with minor adjustments, may be applicable for other regions and countries.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0007-0963
A02 01      @0 BJDEAZ
A03   1    @0 Br. j. dermatol. : (1951)
A05       @2 167
A06       @2 1
A08 01  1  ENG  @1 A new concept of a multidisciplinary lymphoedema centre: established in connection to a department of dermatology and the Copenhagen Wound Healing Center
A11 01  1    @1 BIRKBALLE (S.)
A11 02  1    @1 KARLSMARK (T.)
A11 03  1    @1 NOERREGAARD (S.)
A11 04  1    @1 GOTTRUP (F.)
A14 01      @1 Copenhagen Wound Healing Center, Department of Dermatology, Bispebjerg University Hospital, Bispebjerg Bakke 23 @2 2400 Copenhagen NV @3 DNK @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut.
A20       @1 116-122
A21       @1 2012
A23 01      @0 ENG
A43 01      @1 INIST @2 1043 @5 354000504038320180
A44       @0 0000 @1 © 2012 INIST-CNRS. All rights reserved.
A45       @0 26 ref.
A47 01  1    @0 12-0310905
A60       @1 P
A61       @0 A
A64 01  1    @0 British journal of dermatology : (1951)
A66 01      @0 GBR
C01 01    ENG  @0 Background Lymphoedema is increasingly recognized as a significanl problem in healthcare. The number of patients is growing, posing a future challenge to healthcare systems and economics. Over the past decade, specialized lymphoedema management has been established around the world to accommodate the growing demands. However, information on organization, experiences and outcome are scarce. Objectives To conduct a clinical perspective analysis describing the establishment, organization, function and results of a new, multidisciplinary lymphoedema centre functioning as a university hospital unit in connection to a department of dermatology and the Copenhagen Wound Healing Center and integrated as a national expert function in the public healthcare organization of Denmark. Methods Data were collected following the establishment of a lymphoedema centre based on the structured, multidisciplinary organization of lymphoedema management. Results During the first 4.5 years a total of 8058 patient consultations were performed. The mean duration of symptoms at the first visit was 19 years (range 1-67) and 31% of patients had never received any diagnosis or treatment prior to referral. Complications were found in 48% of referred patients. All patients received appropriate diagnostic investigations and treatment according to best practice. Multidisciplinary assessment involving four or more different healthcare professions was needed in 86% of cases. Research opportunities and expert education of staff were enhanced. Conclusions A multidisciplinary lymphoedema centre improves management, knowledge and awareness of lymphoedema. This model, with minor adjustments, may be applicable for other regions and countries.
C02 01  X    @0 002B08
C02 02  X    @0 002B12B04
C03 01  X  FRE  @0 Lymphoedème @5 01
C03 01  X  ENG  @0 Lymphedema @5 01
C03 01  X  SPA  @0 Linfedema @5 01
C03 02  X  FRE  @0 Danemark @2 NG @5 07
C03 02  X  ENG  @0 Denmark @2 NG @5 07
C03 02  X  SPA  @0 Dinamarca @2 NG @5 07
C03 03  X  FRE  @0 Plaie @5 08
C03 03  X  ENG  @0 Wound @5 08
C03 03  X  SPA  @0 Herida @5 08
C03 04  X  FRE  @0 Cicatrisation @5 09
C03 04  X  ENG  @0 Cicatrization @5 09
C03 04  X  SPA  @0 Cicatrización @5 09
C03 05  X  FRE  @0 Cicatrisant @5 13
C03 05  X  ENG  @0 Healing agent @5 13
C03 05  X  SPA  @0 Cicatrizante @5 13
C03 06  X  FRE  @0 Dermatologie @5 14
C03 06  X  ENG  @0 Dermatology @5 14
C03 06  X  SPA  @0 Dermatología @5 14
C07 01  X  FRE  @0 Europe @2 NG
C07 01  X  ENG  @0 Europe @2 NG
C07 01  X  SPA  @0 Europa @2 NG
C07 02  X  FRE  @0 Pathologie de l'appareil circulatoire @5 37
C07 02  X  ENG  @0 Cardiovascular disease @5 37
C07 02  X  SPA  @0 Aparato circulatorio patología @5 37
C07 03  X  FRE  @0 Pathologie des vaisseaux lymphatiques @5 38
C07 03  X  ENG  @0 Lymphatic vessel disease @5 38
C07 03  X  SPA  @0 Linfático patología @5 38
N21       @1 240
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 12-0310905 INIST
ET : A new concept of a multidisciplinary lymphoedema centre: established in connection to a department of dermatology and the Copenhagen Wound Healing Center
AU : BIRKBALLE (S.); KARLSMARK (T.); NOERREGAARD (S.); GOTTRUP (F.)
AF : Copenhagen Wound Healing Center, Department of Dermatology, Bispebjerg University Hospital, Bispebjerg Bakke 23/2400 Copenhagen NV/Danemark (1 aut., 2 aut., 3 aut., 4 aut.)
DT : Publication en série; Niveau analytique
SO : British journal of dermatology : (1951); ISSN 0007-0963; Coden BJDEAZ; Royaume-Uni; Da. 2012; Vol. 167; No. 1; Pp. 116-122; Bibl. 26 ref.
LA : Anglais
EA : Background Lymphoedema is increasingly recognized as a significanl problem in healthcare. The number of patients is growing, posing a future challenge to healthcare systems and economics. Over the past decade, specialized lymphoedema management has been established around the world to accommodate the growing demands. However, information on organization, experiences and outcome are scarce. Objectives To conduct a clinical perspective analysis describing the establishment, organization, function and results of a new, multidisciplinary lymphoedema centre functioning as a university hospital unit in connection to a department of dermatology and the Copenhagen Wound Healing Center and integrated as a national expert function in the public healthcare organization of Denmark. Methods Data were collected following the establishment of a lymphoedema centre based on the structured, multidisciplinary organization of lymphoedema management. Results During the first 4.5 years a total of 8058 patient consultations were performed. The mean duration of symptoms at the first visit was 19 years (range 1-67) and 31% of patients had never received any diagnosis or treatment prior to referral. Complications were found in 48% of referred patients. All patients received appropriate diagnostic investigations and treatment according to best practice. Multidisciplinary assessment involving four or more different healthcare professions was needed in 86% of cases. Research opportunities and expert education of staff were enhanced. Conclusions A multidisciplinary lymphoedema centre improves management, knowledge and awareness of lymphoedema. This model, with minor adjustments, may be applicable for other regions and countries.
CC : 002B08; 002B12B04
FD : Lymphoedème; Danemark; Plaie; Cicatrisation; Cicatrisant; Dermatologie
FG : Europe; Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques
ED : Lymphedema; Denmark; Wound; Cicatrization; Healing agent; Dermatology
EG : Europe; Cardiovascular disease; Lymphatic vessel disease
SD : Linfedema; Dinamarca; Herida; Cicatrización; Cicatrizante; Dermatología
LO : INIST-1043.354000504038320180
ID : 12-0310905

Links to Exploration step

Pascal:12-0310905

Le document en format XML

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<NO>PASCAL 12-0310905 INIST</NO>
<ET>A new concept of a multidisciplinary lymphoedema centre: established in connection to a department of dermatology and the Copenhagen Wound Healing Center</ET>
<AU>BIRKBALLE (S.); KARLSMARK (T.); NOERREGAARD (S.); GOTTRUP (F.)</AU>
<AF>Copenhagen Wound Healing Center, Department of Dermatology, Bispebjerg University Hospital, Bispebjerg Bakke 23/2400 Copenhagen NV/Danemark (1 aut., 2 aut., 3 aut., 4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>British journal of dermatology : (1951); ISSN 0007-0963; Coden BJDEAZ; Royaume-Uni; Da. 2012; Vol. 167; No. 1; Pp. 116-122; Bibl. 26 ref.</SO>
<LA>Anglais</LA>
<EA>Background Lymphoedema is increasingly recognized as a significanl problem in healthcare. The number of patients is growing, posing a future challenge to healthcare systems and economics. Over the past decade, specialized lymphoedema management has been established around the world to accommodate the growing demands. However, information on organization, experiences and outcome are scarce. Objectives To conduct a clinical perspective analysis describing the establishment, organization, function and results of a new, multidisciplinary lymphoedema centre functioning as a university hospital unit in connection to a department of dermatology and the Copenhagen Wound Healing Center and integrated as a national expert function in the public healthcare organization of Denmark. Methods Data were collected following the establishment of a lymphoedema centre based on the structured, multidisciplinary organization of lymphoedema management. Results During the first 4.5 years a total of 8058 patient consultations were performed. The mean duration of symptoms at the first visit was 19 years (range 1-67) and 31% of patients had never received any diagnosis or treatment prior to referral. Complications were found in 48% of referred patients. All patients received appropriate diagnostic investigations and treatment according to best practice. Multidisciplinary assessment involving four or more different healthcare professions was needed in 86% of cases. Research opportunities and expert education of staff were enhanced. Conclusions A multidisciplinary lymphoedema centre improves management, knowledge and awareness of lymphoedema. This model, with minor adjustments, may be applicable for other regions and countries.</EA>
<CC>002B08; 002B12B04</CC>
<FD>Lymphoedème; Danemark; Plaie; Cicatrisation; Cicatrisant; Dermatologie</FD>
<FG>Europe; Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques</FG>
<ED>Lymphedema; Denmark; Wound; Cicatrization; Healing agent; Dermatology</ED>
<EG>Europe; Cardiovascular disease; Lymphatic vessel disease</EG>
<SD>Linfedema; Dinamarca; Herida; Cicatrización; Cicatrizante; Dermatología</SD>
<LO>INIST-1043.354000504038320180</LO>
<ID>12-0310905</ID>
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