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LIMPRINT in Australia.

Susan J Gordon1, Susie G Murray2, Trudie Sutton3

  • 11 College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.

Lymphatic Research and Biology
|April 18, 2019
PubMed
Summary

Chronic edema (CO) affects many Australians, with most cases unrelated to cancer. Understanding prevalence and contributing factors is crucial for improving healthcare access and treatment pathways for swelling.

Keywords:
edemahealth serviceslymphedemalymphoedemawounds

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Area of Science:

  • Epidemiology
  • Public Health
  • Clinical Medicine

Background:

  • The Lymphoedema Impact and Prevalence - International (LIMPRINT) project aimed to quantify chronic edema (CO) in local health services.
  • Australia participated in Phase II of this international project, collecting data on CO prevalence and characteristics.

Purpose of the Study:

  • To determine the prevalence of chronic edema (CO) in Australian local health services.
  • To identify characteristics of participants with CO, including affected limbs, comorbidities, and wound presence.
  • To explore factors contributing to inequities in CO treatment.

Main Methods:

  • Data collection involved questionnaire-based interviews and clinical assessments using LIMPRINT tools.
  • Four diverse service types across three Australian states participated.
  • 222 adult participants (aged 22-102 years, 60% female) were included.

Main Results:

  • Prevalence of swelling varied by service type, from 24% in community aged care to 100% in a wound treatment center.
  • Of those with CO or secondary lymphedema, 93% were non-cancer-related.
  • Lower limbs were affected in 51% of cases, 18% reported cellulitis, and 47% had wounds (most commonly leg/foot ulcers).

Conclusions:

  • Non-cancer-related chronic edema is a significant issue in Australian health services.
  • Geographical distances, service specialization, and funding models create treatment inequities.
  • Improved understanding of CO will enhance timely care and referral pathways.