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Lymphoedema, a significant health problem in Israel: A descriptive community‐based study

Lymphoedema (LE) is recognised as a chronic disabling disease. Knowledge on patient characteristics, treatments, and outcomes in Israel is lacking. The aim of the study was to (a) describe demographic and health characteristics, treatments, utilisation, and functional outcomes of patients receiving...

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Detalles Bibliográficos
Autores principales: Tidhar, Dorit, Deutscher, Daniel, Armer, Jane M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10088862/
https://www.ncbi.nlm.nih.gov/pubmed/33236836
http://dx.doi.org/10.1111/iwj.13523
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author Tidhar, Dorit
Deutscher, Daniel
Armer, Jane M.
author_facet Tidhar, Dorit
Deutscher, Daniel
Armer, Jane M.
author_sort Tidhar, Dorit
collection PubMed
description Lymphoedema (LE) is recognised as a chronic disabling disease. Knowledge on patient characteristics, treatments, and outcomes in Israel is lacking. The aim of the study was to (a) describe demographic and health characteristics, treatments, utilisation, and functional outcomes of patients receiving physical therapy due to LE in a large nationwide healthcare provider in Israel; and (b) assess the feasibility of conducting a future practice‐based evidence (PBE) study. This is a retrospective observational cohort study. Descriptive analyses of an electronic medical record database were performed. Data from 6013 patient episodes were analysed. A high proportion of patients had two or more comorbidities (80%) and chronic medication use (85%) with increasing rates over the 8‐year period. The most frequent LE classification was stage 2 (45%). A majority of LE was in the lower limbs (51%) with increasing rates over the years. The most frequent treatment‐related activity was measuring limb circumference and the most frequent intervention was educating for self‐management. This study provides a first comprehensive description of patient characteristics receiving physical therapy for LE in Israel. The available database offers an opportunity for PBE studies. Recommendations for improvements in specific data collection processes were identified.
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spelling pubmed-100888622023-04-12 Lymphoedema, a significant health problem in Israel: A descriptive community‐based study Tidhar, Dorit Deutscher, Daniel Armer, Jane M. Int Wound J Original Articles Lymphoedema (LE) is recognised as a chronic disabling disease. Knowledge on patient characteristics, treatments, and outcomes in Israel is lacking. The aim of the study was to (a) describe demographic and health characteristics, treatments, utilisation, and functional outcomes of patients receiving physical therapy due to LE in a large nationwide healthcare provider in Israel; and (b) assess the feasibility of conducting a future practice‐based evidence (PBE) study. This is a retrospective observational cohort study. Descriptive analyses of an electronic medical record database were performed. Data from 6013 patient episodes were analysed. A high proportion of patients had two or more comorbidities (80%) and chronic medication use (85%) with increasing rates over the 8‐year period. The most frequent LE classification was stage 2 (45%). A majority of LE was in the lower limbs (51%) with increasing rates over the years. The most frequent treatment‐related activity was measuring limb circumference and the most frequent intervention was educating for self‐management. This study provides a first comprehensive description of patient characteristics receiving physical therapy for LE in Israel. The available database offers an opportunity for PBE studies. Recommendations for improvements in specific data collection processes were identified. Blackwell Publishing Ltd 2020-11-25 /pmc/articles/PMC10088862/ /pubmed/33236836 http://dx.doi.org/10.1111/iwj.13523 Text en © 2020 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Articles
Tidhar, Dorit
Deutscher, Daniel
Armer, Jane M.
Lymphoedema, a significant health problem in Israel: A descriptive community‐based study
title Lymphoedema, a significant health problem in Israel: A descriptive community‐based study
title_full Lymphoedema, a significant health problem in Israel: A descriptive community‐based study
title_fullStr Lymphoedema, a significant health problem in Israel: A descriptive community‐based study
title_full_unstemmed Lymphoedema, a significant health problem in Israel: A descriptive community‐based study
title_short Lymphoedema, a significant health problem in Israel: A descriptive community‐based study
title_sort lymphoedema, a significant health problem in israel: a descriptive community‐based study
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10088862/
https://www.ncbi.nlm.nih.gov/pubmed/33236836
http://dx.doi.org/10.1111/iwj.13523
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