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Quality‐of‐life outcomes after operative management of primary and secondary lymphoedema: a systematic review

Abstract
Background
Lymphoedema is an incurable and progressive disease that affects not only physical function but overall quality of life. Surgical treatment options for the management of lymphoedema are being increasingly performed. This study aims to review post‐operative health‐related quality of life (HRQOL) following surgical treatment of lymphoedema.

Methods
A systematic search of the PubMed and Medline databases was performed from the date of their inception until September 2018 to evaluate HRQOL following different surgical options for the treatment of lymphoedema.

Results
One hundred and thirteen articles were identified. Twenty‐one articles were included in the final review, comprising a total of 736 patients. HRQOL improvements appear to be sustained for at least 6–12 months post‐operatively. In particular, major benefits were noted in the domains based around physical functioning. Patient satisfaction similarly mirrors HRQOL improvements, following an initial dip in the immediate post‐operative period.

Conclusion
All surgical treatment modalities for the management of lymphoedema confer significant HRQOL improvements across a diverse range of health domains, with this critical outcome of surgery an important pre‐operative consideration. Recommendations for ongoing research are suggested.

More information

Type
Journal Article
Author
Tang NSJ
Ramakrishnan A
Shayan R
Year of Publication
2021
Journal
ANZ Journal of Surgery
Language
eng
ISSN Number
1445-1433, 1445-2197
DOI
10.1111/ans.16764
Publication Language
eng