LymphedemaV1, PascalFrancis, Corpus, bibRecord, 000412

Learning from a Lymphedema Clinic : An Algorithm for the Management of Localized Swelling

Identifieur interne : 000412 ( PascalFrancis/Corpus ); précédent : 000411; suivant : 000413

Learning from a Lymphedema Clinic : An Algorithm for the Management of Localized Swelling

Auteurs : Evan S. Garfein ; Loren J. Borud ; Anne G. Warren ; Sumner A. Slavin

Source :

Plastic and reconstructive surgery : (1963) [ 0032-1052 ] ; 2008.

RBID : Pascal:08-0119374

Descripteurs français

Pascal (Inist)
- Lymphoedème, Chirurgie, Apprentissage, Processus acquisition, Algorithme, Conduite à tenir, Traitement, Localisé, Gonflement, Oedème.

English descriptors

KwdEn :
- Acquisition process, Algorithm, Clinical management, Edema, Learning, Localized, Lymphedema, Surgery, Swelling, Treatment.

Abstract

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. 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. 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. 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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A05				`@2 121`
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A08	`01`	`1`	`ENG`	`@1 Learning from a Lymphedema Clinic : An Algorithm for the Management of Localized Swelling`
A11	`01`	`1`		`@1 GARFEIN (Evan S.)`
A11	`02`	`1`		`@1 BORUD (Loren J.)`
A11	`03`	`1`		`@1 WARREN (Anne G.)`
A11	`04`	`1`		`@1 SLAVIN (Sumner A.)`
A14	`01`			`@1 Harvard Plastic Surgery Program, Harvard Medical School, and the Division of Plastic Surgery, Beth Israel Deaconess Medical Center @3 USA @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut.`
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A21				`@1 2008`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 11075 @5 354000183509270200`
A44				`@0 0000 @1 © 2008 INIST-CNRS. All rights reserved.`
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A47	`01`	`1`		`@0 08-0119374`
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A64	`01`	`1`		`@0 Plastic and reconstructive surgery : (1963)`
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C01	`01`		`ENG`	@0 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. 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. 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. 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.
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C03	`09`	`X`	`ENG`	`@0 Swelling @5 16`
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Format Inist (serveur)

NO :	PASCAL 08-0119374 INIST
ET :	Learning from a Lymphedema Clinic : An Algorithm for the Management of Localized Swelling
AU :	GARFEIN (Evan S.); BORUD (Loren J.); WARREN (Anne G.); SLAVIN (Sumner A.)
AF :	Harvard Plastic Surgery Program, Harvard Medical School, and the Division of Plastic Surgery, Beth Israel Deaconess Medical Center/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut.)
DT :	Publication en série; Niveau analytique
SO :	Plastic and reconstructive surgery : (1963); ISSN 0032-1052; Etats-Unis; Da. 2008; Vol. 121; No. 2; Pp. 521-528; Bibl. 26 ref.
LA :	Anglais
EA :	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. 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. 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. 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.
CC :	002B25; 002B12B04
FD :	Lymphoedème; Chirurgie; Apprentissage; Processus acquisition; Algorithme; Conduite à tenir; Traitement; Localisé; Gonflement; Oedème
FG :	Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques
ED :	Lymphedema; Surgery; Learning; Acquisition process; Algorithm; Clinical management; Treatment; Localized; Swelling; Edema
EG :	Cardiovascular disease; Lymphatic vessel disease
SD :	Linfedema; Cirugía; Aprendizaje; Proceso adquisición; Algoritmo; Actitud médica; Tratamiento; Localizado; Inflamiento; Edema
LO :	INIST-11075.354000183509270200
ID :	08-0119374

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Pascal:08-0119374

Le document en format XML

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<front><div type="abstract" xml:lang="en">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. 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. 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. 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.</div>
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<server><NO>PASCAL 08-0119374 INIST</NO>
<ET>Learning from a Lymphedema Clinic : An Algorithm for the Management of Localized Swelling</ET>
<AU>GARFEIN (Evan S.); BORUD (Loren J.); WARREN (Anne G.); SLAVIN (Sumner A.)</AU>
<AF>Harvard Plastic Surgery Program, Harvard Medical School, and the Division of Plastic Surgery, Beth Israel Deaconess Medical Center/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Plastic and reconstructive surgery : (1963); ISSN 0032-1052; Etats-Unis; Da. 2008; Vol. 121; No. 2; Pp. 521-528; Bibl. 26 ref.</SO>
<LA>Anglais</LA>
<EA>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. 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. 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. 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.</EA>
<CC>002B25; 002B12B04</CC>
<FD>Lymphoedème; Chirurgie; Apprentissage; Processus acquisition; Algorithme; Conduite à tenir; Traitement; Localisé; Gonflement; Oedème</FD>
<FG>Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques</FG>
<ED>Lymphedema; Surgery; Learning; Acquisition process; Algorithm; Clinical management; Treatment; Localized; Swelling; Edema</ED>
<EG>Cardiovascular disease; Lymphatic vessel disease</EG>
<SD>Linfedema; Cirugía; Aprendizaje; Proceso adquisición; Algoritmo; Actitud médica; Tratamiento; Localizado; Inflamiento; Edema</SD>
<LO>INIST-11075.354000183509270200</LO>
<ID>08-0119374</ID>
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Learning from a Lymphedema Clinic : An Algorithm for the Management of Localized Swelling

Learning from a Lymphedema Clinic : An Algorithm for the Management of Localized Swelling

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