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.

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@article{24019147350d422ead740dc23f3349f1,
title = "Quality of care of patients with chronic lymphoedema in Germany",
abstract = "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.",
keywords = "Adult, Aged, Aged, 80 and over, Chronic Disease, Community Networks, Cross-Sectional Studies, Delphi Technique, Dermatology, Drainage, Female, General Practice, Germany, Guideline Adherence, Gynecology, Humans, Internal Medicine, Lymphedema, Male, Middle Aged, Patient Satisfaction, Practice Guidelines as Topic, Quality Indicators, Health Care, Quality of Life, Questionnaires, Stockings, Compression, Young Adult",
author = "K Herberger and C Blome and A Sandner and F Altheide and K Heyer and M{\"u}nter, {K C} and Gottlieb, {W R} and M Augustin",
note = "Copyright {\textcopyright} 2013 S. Karger AG, Basel.",
year = "2013",
month = jan,
day = "1",
doi = "10.1159/000349988",
language = "English",
volume = "226",
pages = "238--46",
journal = "DERMATOLOGY",
issn = "1018-8665",
publisher = "S. Karger AG",
number = "3",

}

RIS

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 -