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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Prevalence and Impact of Chronic Edema in Bariatric Patients: A LIMPRINT Study

Research output: Contribution to journalJournal articlepeer-review

DOI

  1. Global Knowledge Gaps in Equitable Delivery of Chronic Edema Care: A Political Economy Case Study Analysis

    Research output: Contribution to journalJournal articlepeer-review

  2. "I Cry. I Simply Cry." An Ethnography of a Lymphedema Summer Camp

    Research output: Contribution to journalJournal articlepeer-review

  3. LIMPRINT in Italy

    Research output: Contribution to journalJournal articlepeer-review

  1. Global Knowledge Gaps in Equitable Delivery of Chronic Edema Care: A Political Economy Case Study Analysis

    Research output: Contribution to journalJournal articlepeer-review

  2. "I Cry. I Simply Cry." An Ethnography of a Lymphedema Summer Camp

    Research output: Contribution to journalJournal articlepeer-review

  3. LIMPRINT in Italy

    Research output: Contribution to journalJournal articlepeer-review

  • Amy Newman
  • Vaughan Keeley
  • Lorraine Pinnington
  • Carol Green
  • Katie Riches
  • Peter J Franks
  • Iskandar Idris
  • Christine J Moffatt
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Background: Chronic edema (CO) is a complex condition, arising from different factors, including immobility and obesity. Edema and obesity can have a significant impact on quality of life of patients and their families. Understanding how to manage edema in obese patients is an increasing challenge for both patients and clinicians. As effective treatment options are limited for this population, it is more cost-effective for patients to lose weight before starting treatment. When patients cannot maintain weight loss, one option is to have bariatric surgery. This study was part of LIMPRINT: Lymphedema IMpact and PRevalence INTernational, a study with the aim of identifying the prevalence and impact of CO in different countries and health care settings. Study Purpose: To evaluate the prevalence and impact of CO among patients in a United Kingdom bariatric surgical service. Methods and Results: The gold standard pitting test assessed the presence of edema. General (EuroQOL-5 Dimensions [EQ-5D], RAND 36-Item Short Form Health Survey, Version 1.0 [SF-36], Generalized Anxiety Disorder 7-Item Scale [GAD-7] and Patient Health Questionnaire-9 [PHQ-9]), and edema-specific (Lymphedema Quality of Life [LYMQOL]) quality-of-life questionnaires were used to evaluate impact of edema. The prevalence of edema was 52.1% (25 of 48 participants had edema), potentially linked to obesity, immobility, and medications. Most participants had International Society of Lymphology (ISL) Stage I edema. There were no statistically significant differences between the quality of life of participants with and without edema. However, comparing SF-36 results and normative population data indicated that quality of life was much lower than those in the normative population. Conclusions: This study highlights the high prevalence of edema and low quality of life of this bariatric population. ClinicalTrials.gov ID: NCT03154593.

Original languageEnglish
JournalLymphatic Research and Biology
Volume19
Issue number5
Pages (from-to)431-441
Number of pages11
ISSN1539-6851
DOIs
Publication statusPublished - Oct 2021

ID: 73458526