Health-related Quality of Life Measurement Tools for Lymphedema: A Review of the Literature

Background:. Lymphedema can significantly affect patients’ health-related quality of life (HRQoL). Various quality of life scales have been developed to assess the extent of the disease burden. The purpose of this study is to review various HRQoL instruments that have been used in lymphedema studies...

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Main Authors: Pelicia Lim, BBiomed, MBBS, Henry Li, MBBS, Derek Neoh, MBBS, FRACS, Sally Kiu-Huen Ng, MBBS (Hons), FRACS
Format: Article
Language:English
Published: Wolters Kluwer 2022-04-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004276
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author Pelicia Lim, BBiomed, MBBS
Henry Li, MBBS
Derek Neoh, MBBS, FRACS
Sally Kiu-Huen Ng, MBBS (Hons), FRACS
author_facet Pelicia Lim, BBiomed, MBBS
Henry Li, MBBS
Derek Neoh, MBBS, FRACS
Sally Kiu-Huen Ng, MBBS (Hons), FRACS
author_sort Pelicia Lim, BBiomed, MBBS
collection DOAJ
description Background:. Lymphedema can significantly affect patients’ health-related quality of life (HRQoL). Various quality of life scales have been developed to assess the extent of the disease burden. The purpose of this study is to review various HRQoL instruments that have been used in lymphedema studies and compare their qualities against the COSMIN checklist. Methods:. A systematic literature review search was conducted for clinical lymphedema studies published between January 1, 1984, and February 1, 2020, using Pubmed database. All clinical lymphedema studies which used HRQoL instruments as outcome measures were identified. Results:. One thousand seventy-six studies were screened—of which, 288 studies were individually assessed. Thirty-nine HRQoL instruments were identified in these clinical lymphedema studies. Of these, there are eight lymphedema-specific questionnaires that cover all HRQoL domains, all of which have been validated for use in lymphedema. We contrasted the two most popular questionnaires [LYMQOL and Upper Limb Lymphedema (ULL)-27] and compared their features. Conclusion:. There is currently no ideal lymphedema HRQoL measurement tool available based on the COSMIN criteria. However, our review suggested that LYMQOL and ULL-27 are the most used and most validated instruments at present, but each has their own limitations. We recommend the use of LYMQOL and ULL-27 for future studies to allow direct HRQoL comparison to current literature. Further research is required to develop an optimal HRQoL questionnaire that can ultimately become the gold standard HRQoL instrument for lymphedema.
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spelling doaj.art-93e16505ead64fa9a014e7c8c3ab9d6f2023-04-24T10:07:28ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742022-04-01104e427610.1097/GOX.0000000000004276202204000-00062Health-related Quality of Life Measurement Tools for Lymphedema: A Review of the LiteraturePelicia Lim, BBiomed, MBBS0Henry Li, MBBS1Derek Neoh, MBBS, FRACS2Sally Kiu-Huen Ng, MBBS (Hons), FRACS3From the Austin Hospital, Heidelberg, VIC, Australia.From the Austin Hospital, Heidelberg, VIC, Australia.From the Austin Hospital, Heidelberg, VIC, Australia.From the Austin Hospital, Heidelberg, VIC, Australia.Background:. Lymphedema can significantly affect patients’ health-related quality of life (HRQoL). Various quality of life scales have been developed to assess the extent of the disease burden. The purpose of this study is to review various HRQoL instruments that have been used in lymphedema studies and compare their qualities against the COSMIN checklist. Methods:. A systematic literature review search was conducted for clinical lymphedema studies published between January 1, 1984, and February 1, 2020, using Pubmed database. All clinical lymphedema studies which used HRQoL instruments as outcome measures were identified. Results:. One thousand seventy-six studies were screened—of which, 288 studies were individually assessed. Thirty-nine HRQoL instruments were identified in these clinical lymphedema studies. Of these, there are eight lymphedema-specific questionnaires that cover all HRQoL domains, all of which have been validated for use in lymphedema. We contrasted the two most popular questionnaires [LYMQOL and Upper Limb Lymphedema (ULL)-27] and compared their features. Conclusion:. There is currently no ideal lymphedema HRQoL measurement tool available based on the COSMIN criteria. However, our review suggested that LYMQOL and ULL-27 are the most used and most validated instruments at present, but each has their own limitations. We recommend the use of LYMQOL and ULL-27 for future studies to allow direct HRQoL comparison to current literature. Further research is required to develop an optimal HRQoL questionnaire that can ultimately become the gold standard HRQoL instrument for lymphedema.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004276
spellingShingle Pelicia Lim, BBiomed, MBBS
Henry Li, MBBS
Derek Neoh, MBBS, FRACS
Sally Kiu-Huen Ng, MBBS (Hons), FRACS
Health-related Quality of Life Measurement Tools for Lymphedema: A Review of the Literature
Plastic and Reconstructive Surgery, Global Open
title Health-related Quality of Life Measurement Tools for Lymphedema: A Review of the Literature
title_full Health-related Quality of Life Measurement Tools for Lymphedema: A Review of the Literature
title_fullStr Health-related Quality of Life Measurement Tools for Lymphedema: A Review of the Literature
title_full_unstemmed Health-related Quality of Life Measurement Tools for Lymphedema: A Review of the Literature
title_short Health-related Quality of Life Measurement Tools for Lymphedema: A Review of the Literature
title_sort health related quality of life measurement tools for lymphedema a review of the literature
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004276
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