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The development, implementation and evauluation of guidelines for the management of breast cancer related lymphoedema

Kirshbaum, Marilynne (1996). The development, implementation and evauluation of guidelines for the management of breast cancer related lymphoedema. European Journal of Cancer Care,5(4):246-251.

Document type: Journal Article
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Title The development, implementation and evauluation of guidelines for the management of breast cancer related lymphoedema
Author Kirshbaum, Marilynne
Journal Name European Journal of Cancer Care
Publication Date 1996
Volume Number 5
Issue Number 4
eISSN 1365-2354
Start Page 246
End Page 251
Total Pages 6
Place of Publication United Kingdom
Publisher Wiley-Blackwell Publishing Ltd.
Field of Research MEDICAL AND HEALTH SCIENCES
Abstract A project was funded by the UK's Department of Health to develop national guidelines for breast cancer related lymphoedema using a Consensus Strategy. This involved the organization of a consensus conference with a multidisciplinary panel of experts, an extensive literature review, the production of clinical guidelines and the implementation of the guidelines at three pilot sites (breast unit, hospice and community). The EORTC QLQ-30, MOS SF-36 and a standard assessment form were used to evaluate patient outcome. Diaries and semi-structured interviews were used to elicit data on practitioner compliance and practical issues of implementing change using clinical practice guidelines. Results showed stable or improved scores in all categories of physical, social and emotional functioning and a stable or measured decrease in limb volume for 75% of the sample. Qualitative data obtained from practitioners demonstrated high levels of compliance from practitioners and patients and offers useful recommendations. This project highlights the importance of raising awareness of lymphoedema through the development and utilization of research-based, patient-centred guidelines.
Keywords Breast cancer related lymphoedema
Guidelines
Quality of life
Consensus conference measurement
DOI http://dx.doi.org/10.1111/j.1365-2354.1996.tb00243.x   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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Created: Tue, 27 Jan 2015, 13:38:10 CST by Marion Farram