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Quality of care of patients with chronic lymphoedema in Germany.

Identifieur interne : 001A31 ( PubMed/Corpus ); précédent : 001A30; suivant : 001A32

Quality of care of patients with chronic lymphoedema in Germany.

Auteurs : K. Herberger ; C. Blome ; A. Sandner ; F. Altheide ; K. Heyer ; K C Münter ; W R Gottlieb ; M. Augustin

Source :

RBID : pubmed:23838341

English descriptors

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

Links to Exploration step

pubmed:23838341

Le document en format XML

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<title xml:lang="en">Quality of care of patients with chronic lymphoedema in Germany.</title>
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<name sortKey="Herberger, K" sort="Herberger, K" uniqKey="Herberger K" first="K" last="Herberger">K. Herberger</name>
<affiliation>
<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>
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<author>
<name sortKey="Blome, C" sort="Blome, C" uniqKey="Blome C" first="C" last="Blome">C. Blome</name>
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<name sortKey="Sandner, A" sort="Sandner, A" uniqKey="Sandner A" first="A" last="Sandner">A. Sandner</name>
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<name sortKey="Altheide, F" sort="Altheide, F" uniqKey="Altheide F" first="F" last="Altheide">F. Altheide</name>
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<name sortKey="Heyer, K" sort="Heyer, K" uniqKey="Heyer K" first="K" last="Heyer">K. Heyer</name>
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<name sortKey="Munter, K C" sort="Munter, K C" uniqKey="Munter K" first="K C" last="Münter">K C Münter</name>
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<name sortKey="Gottlieb, W R" sort="Gottlieb, W R" uniqKey="Gottlieb W" first="W R" last="Gottlieb">W R Gottlieb</name>
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<name sortKey="Augustin, M" sort="Augustin, M" uniqKey="Augustin M" first="M" last="Augustin">M. Augustin</name>
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<title xml:lang="en">Quality of care of patients with chronic lymphoedema in Germany.</title>
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<name sortKey="Herberger, K" sort="Herberger, K" uniqKey="Herberger K" first="K" last="Herberger">K. Herberger</name>
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<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>
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<name sortKey="Altheide, F" sort="Altheide, F" uniqKey="Altheide F" first="F" last="Altheide">F. Altheide</name>
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<title level="j">Dermatology (Basel, Switzerland)</title>
<idno type="eISSN">1421-9832</idno>
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<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="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="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>
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<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>
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<DateCreated>
<Year>2013</Year>
<Month>08</Month>
<Day>14</Day>
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<DateCompleted>
<Year>2014</Year>
<Month>04</Month>
<Day>28</Day>
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<DateRevised>
<Year>2015</Year>
<Month>11</Month>
<Day>19</Day>
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<ISSN IssnType="Electronic">1421-9832</ISSN>
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<Volume>226</Volume>
<Issue>3</Issue>
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<Year>2013</Year>
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<Title>Dermatology (Basel, Switzerland)</Title>
<ISOAbbreviation>Dermatology (Basel)</ISOAbbreviation>
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<ArticleTitle>Quality of care of patients with chronic lymphoedema in Germany.</ArticleTitle>
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</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>
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