Quality of care of patients with chronic lymphoedema in Germany
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Quality of care of patients with chronic lymphoedema in Germany. / Herberger, K; Blome, C; Sandner, A; Altheide, F; Heyer, K; Münter, K C; Gottlieb, W R; Augustin, M.
In: DERMATOLOGY, Vol. 226, No. 3, 01.01.2013, p. 238-46.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Quality of care of patients with chronic lymphoedema in Germany
AU - Herberger, K
AU - Blome, C
AU - Sandner, A
AU - Altheide, F
AU - Heyer, K
AU - Münter, K C
AU - Gottlieb, W R
AU - Augustin, M
N1 - Copyright © 2013 S. Karger AG, Basel.
PY - 2013/1/1
Y1 - 2013/1/1
N2 - BACKGROUND: The management of lymphoedema is complex and should be based on guidelines. To date, no data assessing quality of care in lymphoedema in Germany are available.OBJECTIVE: We aimed at evaluating the quality of care of lymphoedema in the metropolitan area of Hamburg using guideline-based indicators.METHODS: Cross-sectional, community-based study including patients with lymphoedema. Assessment included a structured interview, clinical examination and patient-reported outcomes. Quality indicators derived from guidelines by a Delphi consensus were applied.RESULTS: 348 patients (median age 60.5 years) with lymphoedema (66.4%), lipoedema (9.5%) or combined oedema (24.1%) were included. 86.4% performed compression therapy, 85.6% received lymphatic drainage. On average 55.0% of the quality of care criteria were met; 64.8% were satisfied with care. The distribution curve of the health care index was almost normal. Treatment by specialists led to a higher quality of care index.CONCLUSION: Although overall quality of care in lymphoedema is fair, many patients are not treated properly according to guidelines.
AB - BACKGROUND: The management of lymphoedema is complex and should be based on guidelines. To date, no data assessing quality of care in lymphoedema in Germany are available.OBJECTIVE: We aimed at evaluating the quality of care of lymphoedema in the metropolitan area of Hamburg using guideline-based indicators.METHODS: Cross-sectional, community-based study including patients with lymphoedema. Assessment included a structured interview, clinical examination and patient-reported outcomes. Quality indicators derived from guidelines by a Delphi consensus were applied.RESULTS: 348 patients (median age 60.5 years) with lymphoedema (66.4%), lipoedema (9.5%) or combined oedema (24.1%) were included. 86.4% performed compression therapy, 85.6% received lymphatic drainage. On average 55.0% of the quality of care criteria were met; 64.8% were satisfied with care. The distribution curve of the health care index was almost normal. Treatment by specialists led to a higher quality of care index.CONCLUSION: Although overall quality of care in lymphoedema is fair, many patients are not treated properly according to guidelines.
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Chronic Disease
KW - Community Networks
KW - Cross-Sectional Studies
KW - Delphi Technique
KW - Dermatology
KW - Drainage
KW - Female
KW - General Practice
KW - Germany
KW - Guideline Adherence
KW - Gynecology
KW - Humans
KW - Internal Medicine
KW - Lymphedema
KW - Male
KW - Middle Aged
KW - Patient Satisfaction
KW - Practice Guidelines as Topic
KW - Quality Indicators, Health Care
KW - Quality of Life
KW - Questionnaires
KW - Stockings, Compression
KW - Young Adult
U2 - 10.1159/000349988
DO - 10.1159/000349988
M3 - SCORING: Journal article
C2 - 23838341
VL - 226
SP - 238
EP - 246
JO - DERMATOLOGY
JF - DERMATOLOGY
SN - 1018-8665
IS - 3
ER -