Please use this identifier to cite or link to this item: https://hdl.handle.net/11147/11833
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dc.contributor.authorSoran, Atilla-
dc.contributor.authorToktaş, Osman-
dc.contributor.authorGrassi, Ariel-
dc.contributor.authorSezgin, Efe-
dc.date.accessioned2021-12-02T18:16:17Z-
dc.date.available2021-12-02T18:16:17Z-
dc.date.issued2022-
dc.identifier.issn1539-6851-
dc.identifier.issn1557-8585-
dc.identifier.urihttps://doi.org/10.1089/lrb.2020.0086-
dc.identifier.urihttps://hdl.handle.net/11147/11833-
dc.description.abstractBackground: Lymphedema (LE) is a chronic condition that requires lifelong treatment. Although pneumatic compression therapy (PCT) is one treatment option, current algorithms consider it as an adjunct to standard LE. The purpose of this study is to evaluate the importance of adapting PCT for lower extremity LE (LEL) in relation to patient compliance and rate of infection.</p> Materials and Methods: Patients diagnosed with LEL were followed prospectively. Patient demographics, comorbidities, treatment modality, compliance, infection due to LE, and hospitalization were recorded. LEL patients with no-PCT were also recorded in the same time period to evaluate the treatment compliance and the need for physical therapy visits. The no-PCT group received the standard LE care, whereas the PCT group received the standard LE care plus a new-generation pneumatic compression device.</p> Results: A total of 69 patients were enrolled in this study. The PCT group had 50 patients and no-PCT group had 19 patients. The PCT group had median 58.5 months of LE symptoms, while non-PCT patients had median 23 months of LE symptoms (p = 0.11). Infection rates decreased by 32% and hospitalizations due to infection decreased by 14% after PCT treatment had been initiated. Physical therapy needs decreased by 24% after PCT use. At median 18 months, follow-up compliance for PCT was 84%, but compliance for manual lymphatic drainage was almost half (53%) in no-PCT group.</p> Conclusions: PCT leads to a decrease in infection rate, hospital admissions, and physical therapy (PT) visits in clinically significant LEL. Although there is no cost calculation in this study, it can be correlated to significant cost savings due to a reduction of infection and hospitalization and the need for PT visits. Adoption of PCT offers a superior value proposition to not only patients but also the health care system. Cost analysis should be followed.</p>en_US
dc.language.isoenen_US
dc.publisherMary Ann Liebert, Incen_US
dc.relation.ispartofLymphatic Research and Biologyen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectlymphedemaen_US
dc.subjectPneumatic compression therapyen_US
dc.subjectManagement of lymphedemaen_US
dc.titleAdding pneumatic compression therapy in lower extremity lymphedema increases compliance of treatment, while decreasing the infection rateen_US
dc.typeArticleen_US
dc.authorid0000-0002-8000-7485-
dc.institutionauthorSezgin, Efe-
dc.departmentİzmir Institute of Technology. Food Engineeringen_US
dc.identifier.wosWOS:000709085100001en_US
dc.identifier.scopus2-s2.0-85131903887en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.doi10.1089/lrb.2020.0086-
dc.identifier.pmid34652229en_US
dc.identifier.wosqualityQ3-
dc.identifier.scopusqualityQ2-
item.languageiso639-1en-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.grantfulltextembargo_20240601-
item.fulltextWith Fulltext-
item.openairetypeArticle-
crisitem.author.dept03.08. Department of Food Engineering-
Appears in Collections:Food Engineering / Gıda Mühendisliği
PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection
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