The Prevalence and Functional Impact of Chronic Edema and Lymphedema in Japan: LIMPRINT Study
The Prevalence and Functional Impact of Chronic Edema and Lymphedema in Japan: LIMPRINT Study
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DOI：
10.1089/lrb.2018.0080
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发表时间：
2019-04-01
影响因子：
1.4
通讯作者：
Sanada, Hiromi
中科院分区：
文献类型：
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作者：
Dai, Misako;Nakagami, Gojiro;Sanada, Hiromi
背景：这是LIMPRINT(淋巴水肿影响和流行-国际)的一部分，LIMPRINT是一项国际研究，旨在捕捉不同国家和世界各地卫生服务中淋巴水肿和慢性水肿的大小和影响。这项研究的目的是阐明日本慢性水肿病的患病率和影响。方法和结果：这是一项以设施为基础的两阶段研究，旨在确定2014至2015年间日本成人人群中慢性水肿病的患病率和功能影响。这项患病率研究涉及一所大学医院、一家急性社区医院和一家长期医疗机构。影响研究涉及六个设施，包括急性护理医院的两个门诊诊所(一个由医生领导，另一个由护士领导)，两个急性护理医院的住院病房，以及两个疗养院/长期护理设施。使用各种问卷和临床评估来收集患者的人口统计数据，并评估慢性水肿病的功能影响。结果表明，慢性水肿病在长期护理机构中比在急症护理医院中更为普遍；在妇科医生主导的门诊诊所中，尽管80.0%的患者接受了标准的水肿病治疗，但仍有接近50%的患者发生蜂窝组织炎；躯干区域，包括臀部、腹部和胸-乳区，除上肢和下肢外，还存在水肿症；尽管生活质量评分良好，但患者对水肿病控制的主观满意度很低。结论：慢性水肿的患病率因设施类型不同而不同，从5.0%到66.1%不等。水肿位于全身各部位，包括躯干部位。患者对浮肿控制的主观满意度较低，总体生活质量较好。这个大的医疗保健问题需要更多的关注。
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 six 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 similar to 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.