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Quality of life after surgical reduction for severe primary lymphoedema of the limbs and genitalia

Identifieur interne : 000662 ( PascalFrancis/Curation ); précédent : 000661; suivant : 000663

Quality of life after surgical reduction for severe primary lymphoedema of the limbs and genitalia

Auteurs : S. O. Ogunbiyi [Royaume-Uni] ; B. Modarai [Royaume-Uni] ; A. Smith [Royaume-Uni] ; K. G. Burnand [Royaume-Uni]

Source :

RBID : Pascal:09-0451626

Descripteurs français

English descriptors

Abstract

Background: The aim was to assess the quality of life (QoL) of patients who had surgery for primary lymphoedema. Methods: A QoL questionnaire was administered to patients who had surgery between 1981 and 2003 (retrospective group) and between 2003 and 2006 (prospective group). Results: The response rate was 70.3 per cent (109 of 155 patients): 88 patients had limb reduction (78, retrospective; ten, prospective) and 21 had genital reduction (13, retrospective; eight, prospective). Forty-nine patients (63 per cent) who had limb reduction studied retrospectively reported satisfaction with the procedure and most of these would opt for surgery again. In the prospectively studied group, nine of ten patients reported improved limbs, and seven would opt for surgery again. Nineteen of 21 patients who had genital reduction would choose to have surgery again if needed (11 of the retrospectively assessed group and all of the prospective group). Patients' perception that surgery was worthwhile was greater in both of the prospectively assessed groups (P = 0.013). Conclusion: Surgery for severe lymphoedema improved QoL at early assessment. This, however, may not be sustained. Genital reduction appeared to provide greater benefit than limb reduction.
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A08 01  1  ENG  @1 Quality of life after surgical reduction for severe primary lymphoedema of the limbs and genitalia
A11 01  1    @1 OGUNBIYI (S. O.)
A11 02  1    @1 MODARAI (B.)
A11 03  1    @1 SMITH (A.)
A11 04  1    @1 BURNAND (K. G.)
A14 01      @1 Academic Department of Surgery, St Thomas' Hospital, Westminster Bridge Road @2 London SE1 7EH @3 GBR @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut.
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A44       @0 0000 @1 © 2009 INIST-CNRS. All rights reserved.
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A47 01  1    @0 09-0451626
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C01 01    ENG  @0 Background: The aim was to assess the quality of life (QoL) of patients who had surgery for primary lymphoedema. Methods: A QoL questionnaire was administered to patients who had surgery between 1981 and 2003 (retrospective group) and between 2003 and 2006 (prospective group). Results: The response rate was 70.3 per cent (109 of 155 patients): 88 patients had limb reduction (78, retrospective; ten, prospective) and 21 had genital reduction (13, retrospective; eight, prospective). Forty-nine patients (63 per cent) who had limb reduction studied retrospectively reported satisfaction with the procedure and most of these would opt for surgery again. In the prospectively studied group, nine of ten patients reported improved limbs, and seven would opt for surgery again. Nineteen of 21 patients who had genital reduction would choose to have surgery again if needed (11 of the retrospectively assessed group and all of the prospective group). Patients' perception that surgery was worthwhile was greater in both of the prospectively assessed groups (P = 0.013). Conclusion: Surgery for severe lymphoedema improved QoL at early assessment. This, however, may not be sustained. Genital reduction appeared to provide greater benefit than limb reduction.
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C03 01  X  FRE  @0 Chirurgie @5 01
C03 01  X  ENG  @0 Surgery @5 01
C03 01  X  SPA  @0 Cirugía @5 01
C03 02  X  FRE  @0 Qualité de vie @5 02
C03 02  X  ENG  @0 Quality of life @5 02
C03 02  X  SPA  @0 Calidad vida @5 02
C03 03  X  FRE  @0 Homme @5 03
C03 03  X  ENG  @0 Human @5 03
C03 03  X  SPA  @0 Hombre @5 03
C03 04  X  FRE  @0 Lymphoedème @5 04
C03 04  X  ENG  @0 Lymphedema @5 04
C03 04  X  SPA  @0 Linfedema @5 04
C03 05  X  FRE  @0 Réduction @5 05
C03 05  X  ENG  @0 Reduction @5 05
C03 05  X  SPA  @0 Reducción @5 05
C03 06  X  FRE  @0 Grave @5 06
C03 06  X  ENG  @0 Severe @5 06
C03 06  X  SPA  @0 Grave @5 06
C03 07  X  FRE  @0 Primaire @5 08
C03 07  X  ENG  @0 Primary @5 08
C03 07  X  SPA  @0 Primario @5 08
C03 08  X  FRE  @0 Membre @5 09
C03 08  X  ENG  @0 Limb @5 09
C03 08  X  SPA  @0 Miembro @5 09
C03 09  X  FRE  @0 Médecine @5 11
C03 09  X  ENG  @0 Medicine @5 11
C03 09  X  SPA  @0 Medicina @5 11
C03 10  X  FRE  @0 Traitement @5 25
C03 10  X  ENG  @0 Treatment @5 25
C03 10  X  SPA  @0 Tratamiento @5 25
C03 11  X  FRE  @0 Forme grave @4 INC @5 86
C07 01  X  FRE  @0 Pathologie de l'appareil circulatoire @5 37
C07 01  X  ENG  @0 Cardiovascular disease @5 37
C07 01  X  SPA  @0 Aparato circulatorio patología @5 37
C07 02  X  FRE  @0 Pathologie des vaisseaux lymphatiques @5 38
C07 02  X  ENG  @0 Lymphatic vessel disease @5 38
C07 02  X  SPA  @0 Linfático patología @5 38
N21       @1 327
N44 01      @1 OTO
N82       @1 OTO

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Pascal:09-0451626

Le document en format XML

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<term>Reduction</term>
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<div type="abstract" xml:lang="en">Background: The aim was to assess the quality of life (QoL) of patients who had surgery for primary lymphoedema. Methods: A QoL questionnaire was administered to patients who had surgery between 1981 and 2003 (retrospective group) and between 2003 and 2006 (prospective group). Results: The response rate was 70.3 per cent (109 of 155 patients): 88 patients had limb reduction (78, retrospective; ten, prospective) and 21 had genital reduction (13, retrospective; eight, prospective). Forty-nine patients (63 per cent) who had limb reduction studied retrospectively reported satisfaction with the procedure and most of these would opt for surgery again. In the prospectively studied group, nine of ten patients reported improved limbs, and seven would opt for surgery again. Nineteen of 21 patients who had genital reduction would choose to have surgery again if needed (11 of the retrospectively assessed group and all of the prospective group). Patients' perception that surgery was worthwhile was greater in both of the prospectively assessed groups (P = 0.013). Conclusion: Surgery for severe lymphoedema improved QoL at early assessment. This, however, may not be sustained. Genital reduction appeared to provide greater benefit than limb reduction.</div>
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