{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T14:47:46Z","timestamp":1792853266038,"version":"4.5.0"},"reference-count":38,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,4,17]],"date-time":"2023-04-17T00:00:00Z","timestamp":1681689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Patients treated for head and neck cancer are at high risk of developing head and neck lymphedema (HNL). We describe outcomes of HNL management at an Australian institution from 2018 to 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Electronic records from Chris O'Brien Lifehouse were retrospectively reviewed from January 1, 2018 to December 31, 2020. Objective changes in HNL were assessed using The M. D. Anderson Cancer Center (MDACC) HNL rating scale and Assessment of Lymphedema of the Head and Neck (ALOHA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 100 patients referred for management of HNL, surgery was the most frequent treatment modality (80%; 70% with neck dissection) and 69% underwent radiotherapy. Manual lymphatic drainage (MLD) was most often prescribed (96%), followed by self\u2010MLD (93%). Small but significant improvements in ALOHA measurements were observed for 50 patients (50%). Only 5\/29 (17%) patients had post\u2010treatment improvements on the MDACC scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Standardized, prospective measurement of treatment approaches and outcomes is needed to further evaluate the service.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.27369","type":"journal-article","created":{"date-parts":[[2023,4,17]],"date-time":"2023-04-17T11:34:15Z","timestamp":1681731255000},"page":"1539-1548","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Treatment approaches and outcomes of a head and neck lymphedema service at an Australian comprehensive cancer center"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6493-7933","authenticated-orcid":false,"given":"Rebecca Louise","family":"Venchiarutti","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse  Camperdown New South Wales Australia"},{"name":"Sydney School of Public Health, Faculty of Medicine and Health The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Templeton","sequence":"additional","affiliation":[{"name":"Department of Integrative Oncology and Supportive Care Chris O'Brien Lifehouse  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lara","family":"Mathers","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8246-210X","authenticated-orcid":false,"given":"Emma","family":"Charters","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse  Camperdown New South Wales Australia"},{"name":"Sydney School of Health Sciences, Faculty of Medicine and Health The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan Robert","family":"Clark","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse  Camperdown New South Wales Australia"},{"name":"Sydney Medical School, Faculty of Medicine and Health The University of Sydney  Camperdown New South Wales Australia"},{"name":"Royal Prince Alfred Institute of Academic Surgery Sydney Local Health District  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,17]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"170","article-title":"The diagnosis and treatment of peripheral lymphedema: 2016 consensus document of the international society of lymphology","volume":"49","author":"Executive Committee","year":"2016","journal-title":"Lymphology"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e3283393799"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2015.61.3836"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2015.61.4115"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2016.0001"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.26484"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.12894"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814558402"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2019.0034"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-018-4428-2"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.26394"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-020-05725-1"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2020.04.041"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.13474"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2011.03.019"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.12134"},{"key":"e_1_2_9_18_1","volume-title":"Best Practice for the Management of Lymphoedema. International Consensus","author":"Lymphoedema Framework","year":"2006"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1188\/11.ONF.E1-E10"},{"key":"e_1_2_9_20_1","volume-title":"Position Paper: Early Detection of Breast Cancer\u2010Related Lymphoedema","author":"Australasian Lymphology Association","year":"2019"},{"key":"e_1_2_9_21_1","volume-title":"Position Paper: The Use of Compression in the Management of Lymphoedema","author":"Australasian Lymphology Association","year":"2019"},{"key":"e_1_2_9_22_1","unstructured":"RianCorp.Low level laser therapy (LLLT); 2022."},{"key":"e_1_2_9_23_1","unstructured":"LymphaTouch.LymphaTouch Product LT01; 2022."},{"key":"e_1_2_9_24_1","first-page":"8","article-title":"Head and neck lymphoedema management practices","volume":"8","author":"Purcell A","year":"2013","journal-title":"J Lymphoedema"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23853"},{"key":"e_1_2_9_26_1","volume-title":"Lymphoedema: A Guide for Clinical Services","author":"NSW Agency for Clinical Innovation","year":"2018"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25086"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2021.26.Sup10.S6"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.455"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.3390\/jpm5040370"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2016.0018"},{"key":"e_1_2_9_32_1","first-page":"22","volume-title":"Effects of Manual Lymph Drainage on Lymphoedema and Dysphagia in Head and Neck Cancer: A Case Series","author":"Deng J","year":"2019"},{"key":"e_1_2_9_33_1","unstructured":"Delfin Technologies.LymphScanner; 2022."},{"key":"e_1_2_9_34_1","volume-title":"Lymphedema","author":"American Head & Neck Society","year":"2022"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-019-6192-1"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.26110"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.24995"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-020-05540-8"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599818823180"}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.27369","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T14:09:17Z","timestamp":1692713357000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.27369"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,17]]},"references-count":38,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1002\/hed.27369"],"URL":"https:\/\/doi.org\/10.1002\/hed.27369","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,17]]},"assertion":[{"value":"2022-09-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}