Primary lower limb lymphedema: a focus on its functional, social and emotional impact
Identifieur interne : 003F65 ( Pmc/Curation ); précédent : 003F64; suivant : 003F66Primary lower limb lymphedema: a focus on its functional, social and emotional impact
Auteurs : Emmanouil K. Symvoulakis ; Dimitrios I. Anyfantakis ; Christos LionisSource :
- International Journal of Medical Sciences [ 1449-1907 ] ; 2010.
Abstract
Primary lymphedema is a rare, chronic and distressing condition with negative effects on physical, social and emotional level. The purpose of these reports was to present and discuss two different cases of primary lower limb lymphedema with a focus on its physical and mental impact and on some qualitative aspects of patients' self-reported experiences. The patients were recruited as they used occasional services within the University Hospital of Heraklion (Crete, Greece). The functional and mental impact of primary lymphedema was measured using the generic Medical Outcome Study short form-36 questionnaire and open-ended questions led to give more emphasis to patients' experiences. The analysis of short form-36 results in the first patient disclosed a significant functional impairment with a minor impact of the condition on emotional and social domains. For the second patient quality of life scores in the emotional and social domains were affected. Our findings support further the statement that physicians should pay full attention to appraise the patient's physical and emotional condition. General practitioners have the opportunity to monitor the long-term impact of chronic disorders. Posing simple open-ended questions and assessing the level of physical and mental deficits in terms of well-being through the use of specific metric tools can effectively follow-up rare conditions in the community.
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PubMed: 20975845
PubMed Central: 2962263
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<author><name sortKey="Symvoulakis, Emmanouil K" sort="Symvoulakis, Emmanouil K" uniqKey="Symvoulakis E" first="Emmanouil K" last="Symvoulakis">Emmanouil K. Symvoulakis</name>
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<author><name sortKey="Anyfantakis, Dimitrios I" sort="Anyfantakis, Dimitrios I" uniqKey="Anyfantakis D" first="Dimitrios I" last="Anyfantakis">Dimitrios I. Anyfantakis</name>
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<front><div type="abstract" xml:lang="en"><p>Primary lymphedema is a rare, chronic and distressing condition with negative effects on physical, social and emotional level. The purpose of these reports was to present and discuss two different cases of primary lower limb lymphedema with a focus on its physical and mental impact and on some qualitative aspects of patients' self-reported experiences. The patients were recruited as they used occasional services within the University Hospital of Heraklion (Crete, Greece). The functional and mental impact of primary lymphedema was measured using the generic Medical Outcome Study short form-36 questionnaire and open-ended questions led to give more emphasis to patients' experiences. The analysis of short form-36 results in the first patient disclosed a significant functional impairment with a minor impact of the condition on emotional and social domains. For the second patient quality of life scores in the emotional and social domains were affected. Our findings support further the statement that physicians should pay full attention to appraise the patient's physical and emotional condition. General practitioners have the opportunity to monitor the long-term impact of chronic disorders. Posing simple open-ended questions and assessing the level of physical and mental deficits in terms of well-being through the use of specific metric tools can effectively follow-up rare conditions in the community.</p>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Med Sci</journal-id>
<journal-id journal-id-type="publisher-id">ijms</journal-id>
<journal-title-group><journal-title>International Journal of Medical Sciences</journal-title>
</journal-title-group>
<issn pub-type="epub">1449-1907</issn>
<publisher><publisher-name>Ivyspring International Publisher</publisher-name>
<publisher-loc>Sydney</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">20975845</article-id>
<article-id pub-id-type="pmc">2962263</article-id>
<article-id pub-id-type="publisher-id">ijmsv07p0353</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Short Research Communication</subject>
</subj-group>
</article-categories>
<title-group><article-title>Primary lower limb lymphedema: a focus on its functional, social and emotional impact</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Symvoulakis</surname>
<given-names>Emmanouil K</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Anyfantakis</surname>
<given-names>Dimitrios I</given-names>
</name>
<xref ref-type="corresp" rid="FNA_envelop">✉</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lionis</surname>
<given-names>Christos</given-names>
</name>
</contrib>
</contrib-group>
<aff>Clinic of Social and Family Medicine, Department of Social Medicine, Faculty of Medicine, University of Crete, Heraklion, Crete, Greece.</aff>
<author-notes><corresp id="FNA_envelop">✉ Corresponding author: Dimitrios Anyfantakis, Clinic of Social and Family Medicine, Department of Social Medicine, Faculty of Medicine, University of Crete, Heraklion 71003, Crete, Greece. Tel +302832021309; Mobile: +36937473215; E-mail: <email>danyfantakis@med.uoc.gr</email>
</corresp>
<fn fn-type="conflict"><p>Conflict of Interest: The authors have declared that no conflict of interest exists.</p>
</fn>
</author-notes>
<pub-date pub-type="collection"><year>2010</year>
</pub-date>
<pub-date pub-type="epub"><day>22</day>
<month>10</month>
<year>2010</year>
</pub-date>
<volume>7</volume>
<issue>6</issue>
<fpage>353</fpage>
<lpage>357</lpage>
<history><date date-type="received"><day>6</day>
<month>9</month>
<year>2010</year>
</date>
<date date-type="accepted"><day>18</day>
<month>10</month>
<year>2010</year>
</date>
</history>
<permissions><copyright-statement>© Ivyspring International Publisher. This is an open-access article distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Reproduction is permitted for personal, noncommercial use, provided that the article is in whole, unmodified, and properly cited.</copyright-statement>
</permissions>
<abstract><p>Primary lymphedema is a rare, chronic and distressing condition with negative effects on physical, social and emotional level. The purpose of these reports was to present and discuss two different cases of primary lower limb lymphedema with a focus on its physical and mental impact and on some qualitative aspects of patients' self-reported experiences. The patients were recruited as they used occasional services within the University Hospital of Heraklion (Crete, Greece). The functional and mental impact of primary lymphedema was measured using the generic Medical Outcome Study short form-36 questionnaire and open-ended questions led to give more emphasis to patients' experiences. The analysis of short form-36 results in the first patient disclosed a significant functional impairment with a minor impact of the condition on emotional and social domains. For the second patient quality of life scores in the emotional and social domains were affected. Our findings support further the statement that physicians should pay full attention to appraise the patient's physical and emotional condition. General practitioners have the opportunity to monitor the long-term impact of chronic disorders. Posing simple open-ended questions and assessing the level of physical and mental deficits in terms of well-being through the use of specific metric tools can effectively follow-up rare conditions in the community.</p>
</abstract>
<kwd-group><kwd>lymphedema</kwd>
<kwd>diagnosis</kwd>
<kwd>quality of life</kwd>
<kwd>primary health care</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><fig id="F1" position="float"><label>Figure 1</label>
<caption><p>Left lower limb lymphedema in a 53-year old man.</p>
</caption>
<graphic xlink:href="ijmsv07p0353g01"></graphic>
</fig>
<fig id="F2" position="float"><label>Figure 2</label>
<caption><p>Left lower limb lymphedema in a 33-year old female.</p>
</caption>
<graphic xlink:href="ijmsv07p0353g02"></graphic>
</fig>
<table-wrap id="T1" position="float"><label>Table 1</label>
<caption><p>SF-36 Scale Scores (score range: 0-100)</p>
</caption>
<table frame="hsides" rules="groups"><thead valign="top"><tr><th rowspan="2" colspan="1"></th>
<th colspan="8" align="center" rowspan="1">SF-36 scale domains</th>
</tr>
<tr><th rowspan="1" colspan="1">Physical Functioning</th>
<th rowspan="1" colspan="1">Role Physical</th>
<th rowspan="1" colspan="1">Bodily Pain</th>
<th rowspan="1" colspan="1">General Health</th>
<th rowspan="1" colspan="1">Vitality</th>
<th rowspan="1" colspan="1">Social Functioning</th>
<th rowspan="1" colspan="1">Role Emotional</th>
<th rowspan="1" colspan="1">Mental Health</th>
</tr>
</thead>
<tbody valign="top"><tr><td rowspan="1" colspan="1"><bold><italic>Case 1</italic>
</bold>
</td>
<td rowspan="1" colspan="1">20</td>
<td rowspan="1" colspan="1">50</td>
<td rowspan="1" colspan="1">51</td>
<td rowspan="1" colspan="1">35</td>
<td rowspan="1" colspan="1">70</td>
<td rowspan="1" colspan="1">100</td>
<td rowspan="1" colspan="1">100</td>
<td rowspan="1" colspan="1">60</td>
</tr>
<tr><td rowspan="1" colspan="1"><bold><italic>Case 2</italic>
</bold>
</td>
<td rowspan="1" colspan="1">65</td>
<td rowspan="1" colspan="1">25</td>
<td rowspan="1" colspan="1">74</td>
<td rowspan="1" colspan="1">10</td>
<td rowspan="1" colspan="1">75</td>
<td rowspan="1" colspan="1">50</td>
<td rowspan="1" colspan="1">33.3</td>
<td rowspan="1" colspan="1">72</td>
</tr>
</tbody>
</table>
<table-wrap-foot><fn><p>100: Best Health</p>
<p>0: Poorest Health</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
</record>
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