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LIMPRINT in Australia.

Gordon, SJ; Murray, SG; Sutton, T; Coulombe, M-M; James, SJ; Van Zanten, M; Lawson, JK; Moffatt, C (2019) LIMPRINT in Australia. Lymphat Res Biol, 17 (2). pp. 173-177. ISSN 1557-8585 https://doi.org/10.1089/lrb.2018.0087
SGUL Authors: Van Zanten, Malou Catharina

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Abstract

Background and Study Objective: Australia was one of nine participating countries in the epidemiology Phase II Lymphoedema Impact and Prevalence - International (LIMPRINT) project to determine the number of people with chronic edema (CO) in local health services. Methods and Results: Data collection occurred through questionnaire-based interviews and clinical assessment with provided LIMPRINT tools. Four different types of services across three states in Australia participated. A total of 222 adults participated with an age range from 22 to 102 years, and 60% were female. Site 1 included three residential care facilities (54% of participants had swelling), site 2 was community-delivered aged care services (24% of participants had swelling), site 3 was a hospital setting (facility-based prevalence study; 28% of participants had swelling), and site 4 was a wound treatment center (specific patient population; 100% of participants had swelling). Of those with CO or secondary lymphedema, 93% were not related to cancer, the lower limbs were affected in 51% of cases, and 18% of participants with swelling reported one or more episodes of cellulitis in the previous year. Wounds were identified in 47% (n = 105) of all participants with more than half of those with wounds coming from the dedicated wound clinic. Leg/foot ulcer was the most common type of wound (65%, n = 68). Conclusions: Distances between services, lack of specialized services, and various state funding models contribute to inequities in CO treatment. Understanding the high number of noncancer-related CO presentations will assist health services to provide timely effective care and improve referral pathways.

Item Type: Article
Additional Information: © Susan J. Gordon et al. 2019; Published by Mary Ann Liebert, Inc. This Open Access article is distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: edema, health services, lymphedema, lymphoedema, wounds, edema, health services, wounds, lymphedema, lymphoedema, 1107 Immunology, Oncology & Carcinogenesis
SGUL Research Institute / Research Centre: Academic Structure > Molecular and Clinical Sciences Research Institute (MCS)
Journal or Publication Title: Lymphat Res Biol
ISSN: 1557-8585
Language: eng
Dates:
DateEvent
17 April 2019Published
12 March 2019Accepted
Publisher License: Creative Commons: Attribution 4.0
PubMed ID: 30995183
Web of Science ID: WOS:000465143200010
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/110906
Publisher's version: https://doi.org/10.1089/lrb.2018.0087

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