Health‐related quality of life in patients with lymphoedema – a cross‐sectional study.
Introduction: Lymphoedema may cause complex problems that can strongly influence patients' health‐related quality of life (HRQoL). The main purpose of this study was to investigate the impact of lymphoedema on HRQoL in patients with varying forms of lymphoedema. Methods: The Lymphoedema Quality of L...
| Published in: | Scandinavian Journal of Caring Sciences Vol. 32; no. 2; pp. 634 - 645 |
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| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
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Wiley-Blackwell
Jun2018
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130361872&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 130361872 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02839318 BD4 jtl: Scandinavian Journal of Caring Sciences issn: 02839318 maglogo: Y pubinfo: dt: Jun2018 vid: 32 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 130361872 130361872 130361872 10.1111/scs.12488 130361872 ppf: 634 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Health‐related quality of life in patients with lymphoedema – a cross‐sectional study. aug: au: Klernäs, Pia Johnsson, Aina Horstmann, Vibeke Johansson, Karin affil: Department of Health Sciences, Division of Physiotherapy, Lund University, Sweden sug: subj: Lymphedema Quality of Life Health Status Human Funding Source Short Form-36 Health Survey (SF-36) Questionnaires Scales Descriptive Statistics Socioeconomic Factors Cross Sectional Studies Multicenter Studies Sweden Academic Medical Centers Rehabilitation Centers Test-Retest Reliability Summated Rating Scaling Functional Assessment Mann-Whitney U Test Chi Square Test Spearman's Rank Correlation Coefficient Kruskal-Wallis Test Male Female Adult Middle Age Aged Outpatients Activities of Daily Living Lymphedema Symptoms Lymphedema Classification Lymphedema Psychosocial Factors Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Introduction: Lymphoedema may cause complex problems that can strongly influence patients' health‐related quality of life (HRQoL). The main purpose of this study was to investigate the impact of lymphoedema on HRQoL in patients with varying forms of lymphoedema. Methods: The Lymphoedema Quality of Life Inventory (LyQLI), measuring three domains, physical, psychosocial and practical, and the Short Form 36 Health Survey Questionnaire (SF‐36), measuring eight health domains, were sent to 200 lymphoedema patients. Out of those who answered both questionnaires, 88 patients had lymphoedema secondary to cancer treatment and they additionally received the Functional Assessment of Cancer Therapy Scale‐General (FACT‐G). The relation between continuous variables and the three domains were analysed by Spearman's correlation coefficients, and Kruskal–Wallis test was used to analyse categorical variables. Results: Altogether 129 patients completed the LyQLI and SF‐36 and 79 of them also completed FACT‐G. Twenty per cent had a high mean score (≥2.0) in at least one domain of the LyQLI, thus having a low HRQoL. Lower HRQoL was found in the practical domain of LyQLI in patients with lower limb lymphoedema compared to patient with lymphoedema in upper limb or head/neck (p = 0.002) and in patients working part‐time compared to patients working full‐time (p = 0.005). The impact on HRQoL tended to decrease with age, with a significant correlation in the psychosocial domain (rs = 0.194, p = 0.028). Compared with the general Swedish population, patients with lymphoedema scored significantly lower in general health (p = 0.006), vitality (p = 0.002) and social functioning (p = 0.025) assessed by the SF‐36. From a cancer‐specific view, HRQoL was similar to other Swedish studies using the FACT‐G. Conclusions: This study indicates that about 20% of the patients with lymphoedema had major impact on their HRQoL. More effort and research is needed to identify, understand and support groups of patients with severe lymphoedema‐related problems. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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