The Effect of Hygiene-Based Lymphedema Management in Lymphatic Filariasis-Endemic Areas: A Systematic Review and Meta-analysis.
Identifieur interne : 000B67 ( PubMed/Curation ); précédent : 000B66; suivant : 000B68The Effect of Hygiene-Based Lymphedema Management in Lymphatic Filariasis-Endemic Areas: A Systematic Review and Meta-analysis.
Auteurs : Meredith E. Stocks [États-Unis] ; Matthew C. Freeman [États-Unis] ; David G. Addiss [États-Unis]Source :
- PLoS neglected tropical diseases [ 1935-2735 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- complications : Elephantiasis, Filarial.
- epidemiology : Elephantiasis, Filarial, Lymphedema.
- prevention & control : Disease Transmission, Infectious, Lymphedema.
- Endemic Diseases, Humans, Hygiene.
Abstract
Lymphedema of the leg and its advanced form, known as elephantiasis, are significant causes of disability and morbidity in areas endemic for lymphatic filariasis (LF), with an estimated 14 million persons affected worldwide. The twin goals of the World Health Organization's Global Program to Eliminate Lymphatic Filariasis include interrupting transmission of the parasitic worms that cause LF and providing care to persons who suffer from its clinical manifestations, including lymphedema-so-called morbidity management and disability prevention (MMDP). Scaling up of MMDP has been slow, in part because of a lack of consensus about the effectiveness of recommended hygiene-based interventions for clinical lymphedema.
DOI: 10.1371/journal.pntd.0004171
PubMed: 26496129
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The Effect of Hygiene-Based Lymphedema Management in Lymphatic Filariasis-Endemic Areas: A Systematic Review and Meta-analysis.</title><author><name sortKey="Stocks, Meredith E" sort="Stocks, Meredith E" uniqKey="Stocks M" first="Meredith E" last="Stocks">Meredith E. Stocks</name><affiliation wicri:level="1"><nlm:affiliation>Children Without Worms, Task Force for Global Health, Decatur, Georgia, United States of America; Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Children Without Worms, Task Force for Global Health, Decatur, Georgia, United States of America; Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia</wicri:regionArea></affiliation></author><author><name sortKey="Freeman, Matthew C" sort="Freeman, Matthew C" uniqKey="Freeman M" first="Matthew C" last="Freeman">Matthew C. Freeman</name><affiliation wicri:level="1"><nlm:affiliation>Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia</wicri:regionArea></affiliation></author><author><name sortKey="Addiss, David G" sort="Addiss, David G" uniqKey="Addiss D" first="David G" last="Addiss">David G. Addiss</name><affiliation wicri:level="1"><nlm:affiliation>Children Without Worms, Task Force for Global Health, Decatur, Georgia, United States of America.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Children Without Worms, Task Force for Global Health, Decatur, Georgia</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:26496129</idno><idno type="pmid">26496129</idno><idno type="doi">10.1371/journal.pntd.0004171</idno><idno type="wicri:Area/PubMed/Corpus">000B67</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000B67</idno><idno type="wicri:Area/PubMed/Curation">000B67</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000B67</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The Effect of Hygiene-Based Lymphedema Management in Lymphatic Filariasis-Endemic Areas: A Systematic Review and Meta-analysis.</title><author><name sortKey="Stocks, Meredith E" sort="Stocks, Meredith E" uniqKey="Stocks M" first="Meredith E" last="Stocks">Meredith E. Stocks</name><affiliation wicri:level="1"><nlm:affiliation>Children Without Worms, Task Force for Global Health, Decatur, Georgia, United States of America; Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Children Without Worms, Task Force for Global Health, Decatur, Georgia, United States of America; Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia</wicri:regionArea></affiliation></author><author><name sortKey="Freeman, Matthew C" sort="Freeman, Matthew C" uniqKey="Freeman M" first="Matthew C" last="Freeman">Matthew C. Freeman</name><affiliation wicri:level="1"><nlm:affiliation>Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia</wicri:regionArea></affiliation></author><author><name sortKey="Addiss, David G" sort="Addiss, David G" uniqKey="Addiss D" first="David G" last="Addiss">David G. Addiss</name><affiliation wicri:level="1"><nlm:affiliation>Children Without Worms, Task Force for Global Health, Decatur, Georgia, United States of America.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Children Without Worms, Task Force for Global Health, Decatur, Georgia</wicri:regionArea></affiliation></author></analytic><series><title level="j">PLoS neglected tropical diseases</title><idno type="eISSN">1935-2735</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Disease Transmission, Infectious (prevention & control)</term><term>Elephantiasis, Filarial (complications)</term><term>Elephantiasis, Filarial (epidemiology)</term><term>Endemic Diseases</term><term>Humans</term><term>Hygiene</term><term>Lymphedema (epidemiology)</term><term>Lymphedema (prevention & control)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Filariose lymphatique ()</term><term>Filariose lymphatique (épidémiologie)</term><term>Humains</term><term>Hygiène</term><term>Lymphoedème ()</term><term>Lymphoedème (épidémiologie)</term><term>Maladies endémiques</term><term>Transmission de maladie infectieuse ()</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Elephantiasis, Filarial</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Disease Transmission, Infectious</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Filariose lymphatique</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Endemic Diseases</term><term>Humans</term><term>Hygiene</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Filariose lymphatique</term><term>Humains</term><term>Hygiène</term><term>Lymphoedème</term><term>Maladies endémiques</term><term>Transmission de maladie infectieuse</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphedema of the leg and its advanced form, known as elephantiasis, are significant causes of disability and morbidity in areas endemic for lymphatic filariasis (LF), with an estimated 14 million persons affected worldwide. The twin goals of the World Health Organization's Global Program to Eliminate Lymphatic Filariasis include interrupting transmission of the parasitic worms that cause LF and providing care to persons who suffer from its clinical manifestations, including lymphedema-so-called morbidity management and disability prevention (MMDP). Scaling up of MMDP has been slow, in part because of a lack of consensus about the effectiveness of recommended hygiene-based interventions for clinical lymphedema.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26496129</PMID><DateCreated><Year>2015</Year><Month>10</Month><Day>27</Day></DateCreated><DateCompleted><Year>2016</Year><Month>04</Month><Day>13</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">1935-2735</ISSN><JournalIssue CitedMedium="Internet"><Volume>9</Volume><Issue>10</Issue><PubDate><Year>2015</Year><Month>Oct</Month></PubDate></JournalIssue><Title>PLoS neglected tropical diseases</Title><ISOAbbreviation>PLoS Negl Trop Dis</ISOAbbreviation></Journal><ArticleTitle>The Effect of Hygiene-Based Lymphedema Management in Lymphatic Filariasis-Endemic Areas: A Systematic Review and Meta-analysis.</ArticleTitle><Pagination><MedlinePgn>e0004171</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1371/journal.pntd.0004171</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lymphedema of the leg and its advanced form, known as elephantiasis, are significant causes of disability and morbidity in areas endemic for lymphatic filariasis (LF), with an estimated 14 million persons affected worldwide. The twin goals of the World Health Organization's Global Program to Eliminate Lymphatic Filariasis include interrupting transmission of the parasitic worms that cause LF and providing care to persons who suffer from its clinical manifestations, including lymphedema-so-called morbidity management and disability prevention (MMDP). Scaling up of MMDP has been slow, in part because of a lack of consensus about the effectiveness of recommended hygiene-based interventions for clinical lymphedema.</AbstractText><AbstractText Label="METHODS AND FINDINGS" NlmCategory="RESULTS">We conducted a systemic review and meta-analyses to estimate the effectiveness of hygiene-based interventions on LF-related lymphedema. We systematically searched PubMed, Embase, ISI Web of Knowledge, MedCarib, Lilacs, REPIDISCA, DESASTRES, and African Index Medicus databases through March 23, 2015 with no restriction on year of publication. Studies were eligible for inclusion if they (1) were conducted in an area endemic for LF, (2) involved hygiene-based interventions to manage lymphedema, and (3) assessed lymphedema-related morbidity. For clinical outcomes for which three or more studies assessed comparable interventions for lymphedema, we conducted random-effects meta-analyses. Twenty-two studies met the inclusion criteria and two meta-analyses were possible. To evaluate study quality, we developed a set of criteria derived from the GRADE methodology. Publication bias was assessed using funnel plots. Participation in hygiene-based lymphedema management was associated with a lower incidence of acute dermatolymphagioadenitis (ADLA), (Odds Ratio 0.32, 95% CI 0.25-0.40), as well as with a decreased percentage of patients reporting at least one episode of ADLA during follow-up (OR 0.29, 95% CI 0.12-0.47). Limitations included high heterogeneity across studies and variation in components of lymphedema management.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Available evidence strongly supports the effectiveness of hygiene-based lymphedema management in LF-endemic areas. Despite the aforementioned limitations, these findings highlight the potential to significantly reduce LF-associated morbidity and disability as well as the need to develop standardized approaches to MMDP in LF-endemic areas.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Stocks</LastName><ForeName>Meredith E</ForeName><Initials>ME</Initials><AffiliationInfo><Affiliation>Children Without Worms, Task Force for Global Health, Decatur, Georgia, United States of America; Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Freeman</LastName><ForeName>Matthew C</ForeName><Initials>MC</Initials><AffiliationInfo><Affiliation>Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Addiss</LastName><ForeName>David G</ForeName><Initials>DG</Initials><AffiliationInfo><Affiliation>Children Without Worms, Task Force for Global Health, Decatur, Georgia, United States of America.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D017418">Meta-Analysis</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>10</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>PLoS Negl Trop Dis</MedlineTA><NlmUniqueID>101291488</NlmUniqueID><ISSNLinking>1935-2727</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Soc Sci Med. 2009 Jan;68(1):30-8</RefSource><PMID 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RefType="Cites"><RefSource>PLoS Med. 2014 Mar;11(3):e1001620</RefSource><PMID Version="1">24667810</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Indian J Med Res. 1995 Sep;102:114-8</RefSource><PMID Version="1">8543349</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D018562" MajorTopicYN="N">Disease Transmission, Infectious</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004605" MajorTopicYN="N">Elephantiasis, Filarial</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019353" MajorTopicYN="Y">Endemic Diseases</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" 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