The prevalence and functional impact of chronic edema and lymphedema in Japan: LIMPRINT study

Dai, M., Nakagami, G., Sugama, J., Kobayashi, J., Kimura, E., Arai, Y., Sato, A., Mercier, G., Moffatt, C. ORCID: 0000-0002-2436-0129, Murray, S. and Sanada, H., 2019. The prevalence and functional impact of chronic edema and lymphedema in Japan: LIMPRINT study. Lymphatic Research and Biology, 17 (2), pp. 195-201. ISSN 1539-6851

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Abstract

Background: This was a part of LIMPRINT (Lymphoedema IMpact and PRevalence – INTernational), an international study aimed at capturing the size and impact of lymphedema and chronic edema in different countries and health services across the world. The purpose of this study was to clarify the prevalence and the impact of chronic edema in Japan.

Methods and Results: This was a two-phase facility-based study to determine the prevalence and functional impact of chronic edema in the adult population in Japan between 2014 and 2015. The prevalence study involved a university hospital, an acute community hospital, and a long-term medical facility. The impact study involved 6 facilities, including two outpatient clinics in acute care hospitals (one led by a physician and the other led by a nurse), inpatient wards in two acute care hospitals, and two nursing home/long-term care facilities. Various questionnaires and clinical assessments were used to gather patient demographic data and assess the functional impact of chronic edema. The results showed that: chronic edema was much more prevalent in the long-term care facility than in acute care hospitals; cellulitis episodes occurred in approximately 50% of cases in the gynecologist-led outpatient clinic, even though >80.0% of patients received standard management for edema; edema was found in the trunk region, including the buttock, abdomen, and chest-breast areas, in addition to the upper and lower limbs; and subjective satisfaction with edema control was low, even though the quality of life scores were good.

Conclusions: The prevalence of chronic edema varied according to the facility type, ranging from 5.0% to 66.1%. The edema was located in all body parts, including the trunk region. Subjective satisfaction with control of edema was poor, while general quality of life was good. This large health care issue needs more attention.

Item Type: Journal article
Publication Title: Lymphatic Research and Biology
Creators: Dai, M., Nakagami, G., Sugama, J., Kobayashi, J., Kimura, E., Arai, Y., Sato, A., Mercier, G., Moffatt, C., Murray, S. and Sanada, H.
Publisher: Mary Ann Liebert
Date: 17 April 2019
Volume: 17
Number: 2
ISSN: 1539-6851
Identifiers:
NumberType
10.1089/lrb.2018.0080DOI
Divisions: Schools > School of Social Sciences
Depositing User: Jonathan Gallacher
Date Added: 21 Mar 2019 09:14
Last Modified: 24 Sep 2019 13:19
URI: http://irep.ntu.ac.uk/id/eprint/36114

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