LIMPRINT: the UK experience - subjective control of swelling in patients attending specialist lymphedema services

Moffatt, C.J. ORCID: 0000-0002-2436-0129, Keeley, V., Hughes, A., Clark, K., Lisle, J., Benson, M., Gaskin, R., Sykorova, M., Dring, E., Murray, S., Mercier, G., Quere, I. and Franks, P.J., 2019. LIMPRINT: the UK experience - subjective control of swelling in patients attending specialist lymphedema services. Lymphatic Research and Biology, 17 (2), pp. 211-220. ISSN 1539-6851

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Abstract

Background and study design: This study was undertaken as part of the UK LIMPRINT international study to determine the number of people with chronic oedema and its impact on health services. Overall 7436 with chronic oedema (CO) were recruited in the main UK study from a range of health settings.

Methods and results: Subjective control of arm and leg chronic oedema (CO) was defined for patients attending three Lymphoedema services in the UK. Of the total available in the UK dataset 5165 (69.4%)/ 7436(100%) of participants were included. Reasons for exclusions included the following: lack of information (1669), having both arm and leg swelling (272), lack of description of control (5) and professional inability to decide whether CO was controlled (325). Arm swelling occurred in 953 (18.5%), with leg CO in 4212 (81.5%). Poor control was found in 1430 (27.7%) and good control in 3735 (72.3%). Control of arm swelling was worse in men and control increased overall in those aged over 45 years. In contrast control of CO worsened in those with leg CO with increasing age and multiple co-morbidities. Obesity and cellulitis, particularly an episode in the last year were associated with poor control. Independent risk factors for arm CO were obesity, neurological disease and cellulitis in the last year and for leg CO: obesity, poor mobility, heart disease, presence of a wound, cellulitis in the last year and duration of swelling.

Conclusion: Control of CO within specialised centres is complex due to sociodemographic and clinical comorbidities.

Item Type: Journal article
Publication Title: Lymphatic Research and Biology
Creators: Moffatt, C.J., Keeley, V., Hughes, A., Clark, K., Lisle, J., Benson, M., Gaskin, R., Sykorova, M., Dring, E., Murray, S., Mercier, G., Quere, I. and Franks, P.J.
Publisher: Mary Ann Liebert
Date: 22 April 2019
Volume: 17
Number: 2
ISSN: 1539-6851
Identifiers:
NumberType
10.1089/lrb.2019.0020DOI
Rights: This is an open access article distributed under the terms of the Creative Commons CC BY license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Divisions: Schools > School of Social Sciences
Depositing User: Jonathan Gallacher
Date Added: 20 Mar 2019 15:43
Last Modified: 29 Apr 2019 10:07
URI: http://irep.ntu.ac.uk/id/eprint/36104

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