Quality of care of patients with chronic lymphoedema in Germany.
Identifieur interne : 001932 ( PubMed/Checkpoint ); précédent : 001931; suivant : 001933Quality of care of patients with chronic lymphoedema in Germany.
Auteurs : K. Herberger [Allemagne] ; C. Blome ; A. Sandner ; F. Altheide ; K. Heyer ; K C Münter ; W R Gottlieb ; M. AugustinSource :
- Dermatology (Basel, Switzerland) [ 1421-9832 ] ; 2013.
Descripteurs français
- KwdFr :
- Adhésion aux directives, Adulte, Adulte d'âge moyen, Allemagne, Bas de contention, Dermatologie, Drainage, Enquêtes et questionnaires, Femelle, Guides de bonnes pratiques cliniques comme sujet, Gynécologie, Humains, Indicateurs qualité santé, Jeune adulte, Lymphoedème (), Lymphoedème (diagnostic), Maladie chronique, Mâle, Médecine générale, Médecine interne, Méthode Delphi, Qualité de vie, Réseaux communautaires (normes), Satisfaction du patient, Sujet âgé, Sujet âgé de 80 ans ou plus, Études transversales.
- MESH :
- diagnostic : Lymphoedème.
- normes : Réseaux communautaires.
- Adhésion aux directives, Adulte, Adulte d'âge moyen, Allemagne, Bas de contention, Dermatologie, Drainage, Enquêtes et questionnaires, Femelle, Guides de bonnes pratiques cliniques comme sujet, Gynécologie, Humains, Indicateurs qualité santé, Jeune adulte, Lymphoedème, Maladie chronique, Mâle, Médecine générale, Médecine interne, Méthode Delphi, Qualité de vie, Satisfaction du patient, Sujet âgé, Sujet âgé de 80 ans ou plus, Études transversales.
- Wicri :
- geographic : Allemagne.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Chronic Disease, Community Networks (standards), Cross-Sectional Studies, Delphi Technique, Dermatology, Drainage, Female, General Practice, Germany, Guideline Adherence, Gynecology, Humans, Internal Medicine, Lymphedema (diagnosis), Lymphedema (therapy), Male, Middle Aged, Patient Satisfaction, Practice Guidelines as Topic, Quality Indicators, Health Care, Quality of Life, Stockings, Compression, Surveys and Questionnaires, Young Adult.
- MESH :
- geographic : Germany.
- diagnosis : Lymphedema.
- standards : Community Networks.
- therapy : Lymphedema.
- Adult, Aged, Aged, 80 and over, Chronic Disease, Cross-Sectional Studies, Delphi Technique, Dermatology, Drainage, Female, General Practice, Guideline Adherence, Gynecology, Humans, Internal Medicine, Male, Middle Aged, Patient Satisfaction, Practice Guidelines as Topic, Quality Indicators, Health Care, Quality of Life, Stockings, Compression, Surveys and Questionnaires, Young Adult.
Abstract
The management of lymphoedema is complex and should be based on guidelines. To date, no data assessing quality of care in lymphoedema in Germany are available.
DOI: 10.1159/000349988
PubMed: 23838341
Affiliations:
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Blome</name></author><author><name sortKey="Sandner, A" sort="Sandner, A" uniqKey="Sandner A" first="A" last="Sandner">A. Sandner</name></author><author><name sortKey="Altheide, F" sort="Altheide, F" uniqKey="Altheide F" first="F" last="Altheide">F. Altheide</name></author><author><name sortKey="Heyer, K" sort="Heyer, K" uniqKey="Heyer K" first="K" last="Heyer">K. Heyer</name></author><author><name sortKey="Munter, K C" sort="Munter, K C" uniqKey="Munter K" first="K C" last="Münter">K C Münter</name></author><author><name sortKey="Gottlieb, W R" sort="Gottlieb, W R" uniqKey="Gottlieb W" first="W R" last="Gottlieb">W R Gottlieb</name></author><author><name sortKey="Augustin, M" sort="Augustin, M" uniqKey="Augustin M" first="M" last="Augustin">M. 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Herberger</name><affiliation wicri:level="3"><nlm:affiliation>CVderm-German Center for Health Services Research in Dermatology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. k.herberger@uke.uni-hamburg.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>CVderm-German Center for Health Services Research in Dermatology, University Medical Center Hamburg-Eppendorf, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Blome, C" sort="Blome, C" uniqKey="Blome C" first="C" last="Blome">C. Blome</name></author><author><name sortKey="Sandner, A" sort="Sandner, A" uniqKey="Sandner A" first="A" last="Sandner">A. Sandner</name></author><author><name sortKey="Altheide, F" sort="Altheide, F" uniqKey="Altheide F" first="F" last="Altheide">F. 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Augustin</name></author></analytic><series><title level="j">Dermatology (Basel, Switzerland)</title><idno type="eISSN">1421-9832</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Chronic Disease</term><term>Community Networks (standards)</term><term>Cross-Sectional Studies</term><term>Delphi Technique</term><term>Dermatology</term><term>Drainage</term><term>Female</term><term>General Practice</term><term>Germany</term><term>Guideline Adherence</term><term>Gynecology</term><term>Humans</term><term>Internal Medicine</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (therapy)</term><term>Male</term><term>Middle Aged</term><term>Patient Satisfaction</term><term>Practice Guidelines as Topic</term><term>Quality Indicators, Health Care</term><term>Quality of Life</term><term>Stockings, Compression</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adhésion aux directives</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Allemagne</term><term>Bas de contention</term><term>Dermatologie</term><term>Drainage</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Guides de bonnes pratiques cliniques comme sujet</term><term>Gynécologie</term><term>Humains</term><term>Indicateurs qualité santé</term><term>Jeune adulte</term><term>Lymphoedème ()</term><term>Lymphoedème (diagnostic)</term><term>Maladie chronique</term><term>Mâle</term><term>Médecine générale</term><term>Médecine interne</term><term>Méthode Delphi</term><term>Qualité de vie</term><term>Réseaux communautaires (normes)</term><term>Satisfaction du patient</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Germany</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Réseaux communautaires</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Community Networks</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Chronic Disease</term><term>Cross-Sectional Studies</term><term>Delphi Technique</term><term>Dermatology</term><term>Drainage</term><term>Female</term><term>General Practice</term><term>Guideline Adherence</term><term>Gynecology</term><term>Humans</term><term>Internal Medicine</term><term>Male</term><term>Middle Aged</term><term>Patient Satisfaction</term><term>Practice Guidelines as Topic</term><term>Quality Indicators, Health Care</term><term>Quality of Life</term><term>Stockings, Compression</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adhésion aux directives</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Allemagne</term><term>Bas de contention</term><term>Dermatologie</term><term>Drainage</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Guides de bonnes pratiques cliniques comme sujet</term><term>Gynécologie</term><term>Humains</term><term>Indicateurs qualité santé</term><term>Jeune adulte</term><term>Lymphoedème</term><term>Maladie chronique</term><term>Mâle</term><term>Médecine générale</term><term>Médecine interne</term><term>Méthode Delphi</term><term>Qualité de vie</term><term>Satisfaction du patient</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Allemagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The management of lymphoedema is complex and should be based on guidelines. To date, no data assessing quality of care in lymphoedema in Germany are available.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23838341</PMID><DateCreated><Year>2013</Year><Month>08</Month><Day>14</Day></DateCreated><DateCompleted><Year>2014</Year><Month>04</Month><Day>28</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1421-9832</ISSN><JournalIssue CitedMedium="Internet"><Volume>226</Volume><Issue>3</Issue><PubDate><Year>2013</Year></PubDate></JournalIssue><Title>Dermatology (Basel, Switzerland)</Title><ISOAbbreviation>Dermatology (Basel)</ISOAbbreviation></Journal><ArticleTitle>Quality of care of patients with chronic lymphoedema in Germany.</ArticleTitle><Pagination><MedlinePgn>238-46</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1159/000349988</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The management of lymphoedema is complex and should be based on guidelines. To date, no data assessing quality of care in lymphoedema in Germany are available.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">We aimed at evaluating the quality of care of lymphoedema in the metropolitan area of Hamburg using guideline-based indicators.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Cross-sectional, community-based study including patients with lymphoedema. Assessment included a structured interview, clinical examination and patient-reported outcomes. Quality indicators derived from guidelines by a Delphi consensus were applied.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">348 patients (median age 60.5 years) with lymphoedema (66.4%), lipoedema (9.5%) or combined oedema (24.1%) were included. 86.4% performed compression therapy, 85.6% received lymphatic drainage. On average 55.0% of the quality of care criteria were met; 64.8% were satisfied with care. The distribution curve of the health care index was almost normal. Treatment by specialists led to a higher quality of care index.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Although overall quality of care in lymphoedema is fair, many patients are not treated properly according to guidelines.</AbstractText><CopyrightInformation>Copyright © 2013 S. Karger AG, Basel.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Herberger</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>CVderm-German Center for Health Services Research in Dermatology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. k.herberger@uke.uni-hamburg.de</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Blome</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Sandner</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Altheide</LastName><ForeName>F</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Heyer</LastName><ForeName>K</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Münter</LastName><ForeName>K C</ForeName><Initials>KC</Initials></Author><Author ValidYN="Y"><LastName>Gottlieb</LastName><ForeName>W R</ForeName><Initials>WR</Initials></Author><Author ValidYN="Y"><LastName>Augustin</LastName><ForeName>M</ForeName><Initials>M</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>07</Month><Day>02</Day></ArticleDate></Article><MedlineJournalInfo><Country>Switzerland</Country><MedlineTA>Dermatology</MedlineTA><NlmUniqueID>9203244</NlmUniqueID><ISSNLinking>1018-8665</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002908" MajorTopicYN="N">Chronic Disease</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019058" MajorTopicYN="N">Community Networks</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003697" MajorTopicYN="N">Delphi Technique</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003880" MajorTopicYN="N">Dermatology</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004322" MajorTopicYN="N">Drainage</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058006" MajorTopicYN="N">General Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005858" MajorTopicYN="N" Type="Geographic">Germany</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019983" MajorTopicYN="N">Guideline Adherence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006176" MajorTopicYN="N">Gynecology</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007388" MajorTopicYN="N">Internal Medicine</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017060" MajorTopicYN="N">Patient Satisfaction</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017410" MajorTopicYN="N">Practice Guidelines as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019984" MajorTopicYN="Y">Quality Indicators, Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="Y">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053828" MajorTopicYN="N">Stockings, Compression</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>01</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>02</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>7</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>7</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>4</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23838341</ArticleId><ArticleId IdType="pii">000349988</ArticleId><ArticleId IdType="doi">10.1159/000349988</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country><region><li>Hambourg</li></region><settlement><li>Hambourg</li></settlement></list><tree><noCountry><name sortKey="Altheide, F" sort="Altheide, F" uniqKey="Altheide F" first="F" last="Altheide">F. Altheide</name><name sortKey="Augustin, M" sort="Augustin, M" uniqKey="Augustin M" first="M" last="Augustin">M. Augustin</name><name sortKey="Blome, C" sort="Blome, C" uniqKey="Blome C" first="C" last="Blome">C. Blome</name><name sortKey="Gottlieb, W R" sort="Gottlieb, W R" uniqKey="Gottlieb W" first="W R" last="Gottlieb">W R Gottlieb</name><name sortKey="Heyer, K" sort="Heyer, K" uniqKey="Heyer K" first="K" last="Heyer">K. Heyer</name><name sortKey="Munter, K C" sort="Munter, K C" uniqKey="Munter K" first="K C" last="Münter">K C Münter</name><name sortKey="Sandner, A" sort="Sandner, A" uniqKey="Sandner A" first="A" last="Sandner">A. Sandner</name></noCountry><country name="Allemagne"><region name="Hambourg"><name sortKey="Herberger, K" sort="Herberger, K" uniqKey="Herberger K" first="K" last="Herberger">K. Herberger</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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