LymphedemaV1, PascalFrancis, Corpus, bibRecord, 000655

Lymphoedema: an underestimated health problem

Identifieur interne : 000655 ( PascalFrancis/Corpus ); précédent : 000654; suivant : 000656

Lymphoedema: an underestimated health problem

Auteurs : C. J. Moffatt ; P. J. Franks ; D. C. Doherty ; A. F. Williams ; C. Badger ; E. Jeffs ; N. Bosanquet ; P. S. Mortimer

Source :

QJM : (Oxford. 1994. Print) [ 1460-2725 ] ; 2003.

RBID : Pascal:04-0089879

Descripteurs français

Pascal (Inist)
- Lymphoedème, Homme, Royaume Uni, Chronique, Evaluation, Soin, Qualité vie, Emploi, Sexe, Age, Santé publique, Epidémiologie, Traitement, Enquête, Questionnaire, Service santé, Personnel sanitaire, Utilisateur, Morbidité.

English descriptors

KwdEn :
- Age, Care, Chronic, Employment, Epidemiology, Evaluation, Health service, Health staff, Human, Lymphedema, Morbidity, Public health, Quality of life, Questionnaire, Sex, Survey, Treatment, United Kingdom, User.

Abstract

Background: Lymphoedema/chronic oedema is an important cause of morbidity in the population, but little is known of its epidemiology and impact on patients or health services. Aim: To determine the magnitude of the problem of chronic oedema in the community, and the likely impact of oedema on use of health resources, employment and patient's quality of life. Design: Questionnaire-based survey. Methods: Health professionals from dedicated lymphoedema services, specific out-patient clinics, hospital wards and community services (GP clinics and district nurses) were contacted to provide information on patients from within South West London Community Trust. A subset of the identified patients was interviewed. Results: Within the catchment area, 823 patients had chronic oedema (crude prevalence 1.33/1000). Prevalence increased with age (5.4/1000 in those aged > 65 years), and was higher in women (2.15 vs. 0.47/1000). Only 529 (64%) were receiving treatment, despite two specialist lymphoedema clinics within the catchment area. Of 228 patients interviewed, 78% had oedema lasting > 1 year. Over the previous year, 64/218 (29%) had had an acute infection in the affected area, 17/64 (27%) being admitted for intravenous antibiotics. Mean length of stay for this condition was 12 days, estimated mean cost £2300. Oedema caused time off work in >80%, and affected employment status in 9%. Quality of life was below normal, with 50% experiencing pain or discomfort from their oedema. Discussion: Chronic oedema is a common problem in the community with at least 100000 patients suffering in the UK alone, a problem poorly recognized by health professionals. Lymphoedema arising for reasons other than cancer treatment is much more prevalent than generally perceived, yet resources for treatment are mainly cancer-based, leading to inequalities of care.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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C01	`01`		`ENG`	@0 Background: Lymphoedema/chronic oedema is an important cause of morbidity in the population, but little is known of its epidemiology and impact on patients or health services. Aim: To determine the magnitude of the problem of chronic oedema in the community, and the likely impact of oedema on use of health resources, employment and patient's quality of life. Design: Questionnaire-based survey. Methods: Health professionals from dedicated lymphoedema services, specific out-patient clinics, hospital wards and community services (GP clinics and district nurses) were contacted to provide information on patients from within South West London Community Trust. A subset of the identified patients was interviewed. Results: Within the catchment area, 823 patients had chronic oedema (crude prevalence 1.33/1000). Prevalence increased with age (5.4/1000 in those aged > 65 years), and was higher in women (2.15 vs. 0.47/1000). Only 529 (64%) were receiving treatment, despite two specialist lymphoedema clinics within the catchment area. Of 228 patients interviewed, 78% had oedema lasting > 1 year. Over the previous year, 64/218 (29%) had had an acute infection in the affected area, 17/64 (27%) being admitted for intravenous antibiotics. Mean length of stay for this condition was 12 days, estimated mean cost £2300. Oedema caused time off work in >80%, and affected employment status in 9%. Quality of life was below normal, with 50% experiencing pain or discomfort from their oedema. Discussion: Chronic oedema is a common problem in the community with at least 100000 patients suffering in the UK alone, a problem poorly recognized by health professionals. Lymphoedema arising for reasons other than cancer treatment is much more prevalent than generally perceived, yet resources for treatment are mainly cancer-based, leading to inequalities of care.
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Format Inist (serveur)

NO :	PASCAL 04-0089879 INIST
ET :	Lymphoedema: an underestimated health problem
AU :	MOFFATT (C. J.); FRANKS (P. J.); DOHERTY (D. C.); WILLIAMS (A. F.); BADGER (C.); JEFFS (E.); BOSANQUET (N.); MORTIMER (P. S.)
AF :	Centre for Research and Implementation of Clinical Practice, Faculty of Health & Human Sciences, Thames Valley University/London/Royaume-Uni (1 aut., 2 aut., 3 aut., 4 aut.); St George's Hospital Medical School/London/Royaume-Uni (5 aut., 8 aut.); The Haven Trust/London/Royaume-Uni (6 aut.); Department of Bio-engineering, Imperial College/London/Royaume-Uni (7 aut.)
DT :	Publication en série; Niveau analytique
SO :	QJM : (Oxford. 1994. Print); ISSN 1460-2725; Royaume-Uni; Da. 2003; Vol. 96; No. 10; Pp. 731-738; Bibl. 21 ref.
LA :	Anglais
EA :	Background: Lymphoedema/chronic oedema is an important cause of morbidity in the population, but little is known of its epidemiology and impact on patients or health services. Aim: To determine the magnitude of the problem of chronic oedema in the community, and the likely impact of oedema on use of health resources, employment and patient's quality of life. Design: Questionnaire-based survey. Methods: Health professionals from dedicated lymphoedema services, specific out-patient clinics, hospital wards and community services (GP clinics and district nurses) were contacted to provide information on patients from within South West London Community Trust. A subset of the identified patients was interviewed. Results: Within the catchment area, 823 patients had chronic oedema (crude prevalence 1.33/1000). Prevalence increased with age (5.4/1000 in those aged > 65 years), and was higher in women (2.15 vs. 0.47/1000). Only 529 (64%) were receiving treatment, despite two specialist lymphoedema clinics within the catchment area. Of 228 patients interviewed, 78% had oedema lasting > 1 year. Over the previous year, 64/218 (29%) had had an acute infection in the affected area, 17/64 (27%) being admitted for intravenous antibiotics. Mean length of stay for this condition was 12 days, estimated mean cost £2300. Oedema caused time off work in >80%, and affected employment status in 9%. Quality of life was below normal, with 50% experiencing pain or discomfort from their oedema. Discussion: Chronic oedema is a common problem in the community with at least 100000 patients suffering in the UK alone, a problem poorly recognized by health professionals. Lymphoedema arising for reasons other than cancer treatment is much more prevalent than generally perceived, yet resources for treatment are mainly cancer-based, leading to inequalities of care.
CC :	002B12B06
FD :	Lymphoedème; Homme; Royaume Uni; Chronique; Evaluation; Soin; Qualité vie; Emploi; Sexe; Age; Santé publique; Epidémiologie; Traitement; Enquête; Questionnaire; Service santé; Personnel sanitaire; Utilisateur; Morbidité
FG :	Europe; Appareil circulatoire pathologie; Lymphatique pathologie
ED :	Lymphedema; Human; United Kingdom; Chronic; Evaluation; Care; Quality of life; Employment; Sex; Age; Public health; Epidemiology; Treatment; Survey; Questionnaire; Health service; Health staff; User; Morbidity
EG :	Europe; Cardiovascular disease; Lymphatic vessel disease
SD :	Linfedema; Hombre; Reino Unido; Crónico; Evaluación; Cuidado; Calidad vida; Empleo; Sexo; Edad; Salud pública; Epidemiología; Tratamiento; Encuesta; Cuestionario; Servicio sanidad; Personal sanitario; Usuario; Morbilidad
LO :	INIST-5050.354000114843840040
ID :	04-0089879

Links to Exploration step

Pascal:04-0089879

Le document en format XML

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<front><div type="abstract" xml:lang="en">Background: Lymphoedema/chronic oedema is an important cause of morbidity in the population, but little is known of its epidemiology and impact on patients or health services. Aim: To determine the magnitude of the problem of chronic oedema in the community, and the likely impact of oedema on use of health resources, employment and patient's quality of life. Design: Questionnaire-based survey. Methods: Health professionals from dedicated lymphoedema services, specific out-patient clinics, hospital wards and community services (GP clinics and district nurses) were contacted to provide information on patients from within South West London Community Trust. A subset of the identified patients was interviewed. Results: Within the catchment area, 823 patients had chronic oedema (crude prevalence 1.33/1000). Prevalence increased with age (5.4/1000 in those aged > 65 years), and was higher in women (2.15 vs. 0.47/1000). Only 529 (64%) were receiving treatment, despite two specialist lymphoedema clinics within the catchment area. Of 228 patients interviewed, 78% had oedema lasting > 1 year. Over the previous year, 64/218 (29%) had had an acute infection in the affected area, 17/64 (27%) being admitted for intravenous antibiotics. Mean length of stay for this condition was 12 days, estimated mean cost £2300. Oedema caused time off work in >80%, and affected employment status in 9%. Quality of life was below normal, with 50% experiencing pain or discomfort from their oedema. Discussion: Chronic oedema is a common problem in the community with at least 100000 patients suffering in the UK alone, a problem poorly recognized by health professionals. Lymphoedema arising for reasons other than cancer treatment is much more prevalent than generally perceived, yet resources for treatment are mainly cancer-based, leading to inequalities of care.</div>
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<fA08 i1="01" i2="1" l="ENG"><s1>Lymphoedema: an underestimated health problem</s1>
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<fA11 i1="01" i2="1"><s1>MOFFATT (C. J.)</s1>
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<fA11 i1="02" i2="1"><s1>FRANKS (P. J.)</s1>
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<fA11 i1="08" i2="1"><s1>MORTIMER (P. S.)</s1>
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<fA14 i1="01"><s1>Centre for Research and Implementation of Clinical Practice, Faculty of Health & Human Sciences, Thames Valley University</s1>
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<fA14 i1="02"><s1>St George's Hospital Medical School</s1>
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<sZ>8 aut.</sZ>
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<fA14 i1="03"><s1>The Haven Trust</s1>
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<sZ>6 aut.</sZ>
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<fA14 i1="04"><s1>Department of Bio-engineering, Imperial College</s1>
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<sZ>7 aut.</sZ>
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<fA20><s1>731-738</s1>
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</fA66>
<fC01 i1="01" l="ENG"><s0>Background: Lymphoedema/chronic oedema is an important cause of morbidity in the population, but little is known of its epidemiology and impact on patients or health services. Aim: To determine the magnitude of the problem of chronic oedema in the community, and the likely impact of oedema on use of health resources, employment and patient's quality of life. Design: Questionnaire-based survey. Methods: Health professionals from dedicated lymphoedema services, specific out-patient clinics, hospital wards and community services (GP clinics and district nurses) were contacted to provide information on patients from within South West London Community Trust. A subset of the identified patients was interviewed. Results: Within the catchment area, 823 patients had chronic oedema (crude prevalence 1.33/1000). Prevalence increased with age (5.4/1000 in those aged > 65 years), and was higher in women (2.15 vs. 0.47/1000). Only 529 (64%) were receiving treatment, despite two specialist lymphoedema clinics within the catchment area. Of 228 patients interviewed, 78% had oedema lasting > 1 year. Over the previous year, 64/218 (29%) had had an acute infection in the affected area, 17/64 (27%) being admitted for intravenous antibiotics. Mean length of stay for this condition was 12 days, estimated mean cost £2300. Oedema caused time off work in >80%, and affected employment status in 9%. Quality of life was below normal, with 50% experiencing pain or discomfort from their oedema. Discussion: Chronic oedema is a common problem in the community with at least 100000 patients suffering in the UK alone, a problem poorly recognized by health professionals. Lymphoedema arising for reasons other than cancer treatment is much more prevalent than generally perceived, yet resources for treatment are mainly cancer-based, leading to inequalities of care.</s0>
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<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG"><s0>Lymphedema</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA"><s0>Linfedema</s0>
<s5>01</s5>
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<fC03 i1="02" i2="X" l="FRE"><s0>Homme</s0>
<s5>02</s5>
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<s5>02</s5>
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<s2>NG</s2>
<s5>03</s5>
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<s2>NG</s2>
<s5>03</s5>
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<fC03 i1="04" i2="X" l="FRE"><s0>Chronique</s0>
<s5>04</s5>
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<fC03 i1="04" i2="X" l="ENG"><s0>Chronic</s0>
<s5>04</s5>
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<fC03 i1="04" i2="X" l="SPA"><s0>Crónico</s0>
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<s5>05</s5>
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<fC03 i1="05" i2="X" l="SPA"><s0>Evaluación</s0>
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<fC03 i1="12" i2="X" l="FRE"><s0>Epidémiologie</s0>
<s5>12</s5>
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<s5>12</s5>
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<s5>12</s5>
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<fC03 i1="13" i2="X" l="FRE"><s0>Traitement</s0>
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<fC03 i1="13" i2="X" l="ENG"><s0>Treatment</s0>
<s5>13</s5>
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<fC03 i1="13" i2="X" l="SPA"><s0>Tratamiento</s0>
<s5>13</s5>
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<fC03 i1="14" i2="X" l="FRE"><s0>Enquête</s0>
<s5>18</s5>
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<s5>18</s5>
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<fC03 i1="14" i2="X" l="SPA"><s0>Encuesta</s0>
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<s5>23</s5>
</fC03>
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<s5>23</s5>
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<s5>37</s5>
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<s5>38</s5>
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<s5>38</s5>
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<server><NO>PASCAL 04-0089879 INIST</NO>
<ET>Lymphoedema: an underestimated health problem</ET>
<AU>MOFFATT (C. J.); FRANKS (P. J.); DOHERTY (D. C.); WILLIAMS (A. F.); BADGER (C.); JEFFS (E.); BOSANQUET (N.); MORTIMER (P. S.)</AU>
<AF>Centre for Research and Implementation of Clinical Practice, Faculty of Health & Human Sciences, Thames Valley University/London/Royaume-Uni (1 aut., 2 aut., 3 aut., 4 aut.); St George's Hospital Medical School/London/Royaume-Uni (5 aut., 8 aut.); The Haven Trust/London/Royaume-Uni (6 aut.); Department of Bio-engineering, Imperial College/London/Royaume-Uni (7 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>QJM : (Oxford. 1994. Print); ISSN 1460-2725; Royaume-Uni; Da. 2003; Vol. 96; No. 10; Pp. 731-738; Bibl. 21 ref.</SO>
<LA>Anglais</LA>
<EA>Background: Lymphoedema/chronic oedema is an important cause of morbidity in the population, but little is known of its epidemiology and impact on patients or health services. Aim: To determine the magnitude of the problem of chronic oedema in the community, and the likely impact of oedema on use of health resources, employment and patient's quality of life. Design: Questionnaire-based survey. Methods: Health professionals from dedicated lymphoedema services, specific out-patient clinics, hospital wards and community services (GP clinics and district nurses) were contacted to provide information on patients from within South West London Community Trust. A subset of the identified patients was interviewed. Results: Within the catchment area, 823 patients had chronic oedema (crude prevalence 1.33/1000). Prevalence increased with age (5.4/1000 in those aged > 65 years), and was higher in women (2.15 vs. 0.47/1000). Only 529 (64%) were receiving treatment, despite two specialist lymphoedema clinics within the catchment area. Of 228 patients interviewed, 78% had oedema lasting > 1 year. Over the previous year, 64/218 (29%) had had an acute infection in the affected area, 17/64 (27%) being admitted for intravenous antibiotics. Mean length of stay for this condition was 12 days, estimated mean cost £2300. Oedema caused time off work in >80%, and affected employment status in 9%. Quality of life was below normal, with 50% experiencing pain or discomfort from their oedema. Discussion: Chronic oedema is a common problem in the community with at least 100000 patients suffering in the UK alone, a problem poorly recognized by health professionals. Lymphoedema arising for reasons other than cancer treatment is much more prevalent than generally perceived, yet resources for treatment are mainly cancer-based, leading to inequalities of care.</EA>
<CC>002B12B06</CC>
<FD>Lymphoedème; Homme; Royaume Uni; Chronique; Evaluation; Soin; Qualité vie; Emploi; Sexe; Age; Santé publique; Epidémiologie; Traitement; Enquête; Questionnaire; Service santé; Personnel sanitaire; Utilisateur; Morbidité</FD>
<FG>Europe; Appareil circulatoire pathologie; Lymphatique pathologie</FG>
<ED>Lymphedema; Human; United Kingdom; Chronic; Evaluation; Care; Quality of life; Employment; Sex; Age; Public health; Epidemiology; Treatment; Survey; Questionnaire; Health service; Health staff; User; Morbidity</ED>
<EG>Europe; Cardiovascular disease; Lymphatic vessel disease</EG>
<SD>Linfedema; Hombre; Reino Unido; Crónico; Evaluación; Cuidado; Calidad vida; Empleo; Sexo; Edad; Salud pública; Epidemiología; Tratamiento; Encuesta; Cuestionario; Servicio sanidad; Personal sanitario; Usuario; Morbilidad</SD>
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Lymphoedema: an underestimated health problem

Lymphoedema: an underestimated health problem

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