Conservative management of lymphoedema in children: a systematic review

Phillips, J. Jane, and Gordon, Susan J. (2014) Conservative management of lymphoedema in children: a systematic review. Journal of Pediatric Rehabilitation Medicine, 7 (4). pp. 361-372.

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Purpose: A systematic literature review was conducted to determine best practice conservative management of pediatric lymphoedema.

Method: The PRISMA protocol was followed; a search of Ovid Medline, Cinahl and Scopus was conducted using the search terms children OR pediatric OR adolescent AND lymphoedema OR lymphedema. Studies about management or treatment of lymphoedema in children were included while studies about filariasis, imaging, pathology, secondary lymphoedema, surgical techniques, central lymphoedema and those with participants with a median age greater than 18 years were excluded.

Results: Of 738 possible studies identified, eight studies were eligible for inclusion in the review: four case reports, two retrospective service reviews and two prospective studies investigating different interventions. All studies were rated using the NHMRC hierarchy of evidence and appraised by both authors using the McMaster University Critical Review Form. Studies were of low quality with poor descriptions of management, small sample size, unclear and inconsistent methodology and irreproducible outcome measures.

Conclusion: This review identified low level evidence to support the use of pneumatic compression in the management of pediatric lymphoedema. Further research is required to identify optimal parameters for application of pneumatic compression and to investigate the use of other interventions for conservative management of pediatric lymphoedema.

Item ID: 37798
Item Type: Article (Research - C1)
ISSN: 1875-8894
Keywords: lymphoedema, pediatric, therapeutics, management, self-management, disease-management
Date Deposited: 18 Mar 2015 01:01
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1199 Other Medical and Health Sciences > 119999 Medical and Health Sciences not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920201 Allied Health Therapies (excl. Mental Health Services) @ 100%
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