{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:15:36Z","timestamp":1777922136264,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T00:00:00Z","timestamp":1554076800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T00:00:00Z","timestamp":1554076800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Lymphatic Research and Biology"],"published-print":{"date-parts":[[2019,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The acronym Limprint stands for Lymphedema IMpact and PRevalence INTernational and was run under the auspices of the International Lymphedema Framework (ILF), a charity dedicated to improving provision of care globally. The primary aim was to identify the number of people with chronic edema (chronic edema present for &gt;3 months and due to a range of underlying etiologies and associated risk factors) within diverse health services in nine participating countries and to determine its impact using validated methods. An international protocol and sampling framework, online data capture system, and standard operating procedures were adopted. An international consensus was used to create a core data tool that covered 13 domains. Specialist data on demographics and disability, details of swelling, wounds, cancer, and health-related quality of life were also available for sites. The study protocol was designed to allow flexibility in the types of studies undertaken within complex health care systems. All cases were confirmed using the modified pitting test. Sensitivity and specificity for this method were determined in Japanese and European populations. Following confirmation of a chronic edema case, Lymphologists defined whether it was a primary of a secondary form. The study was designed to provide robust evidence that chronic edema is an important and unrecognized public health problem in health services with significant morbidity. Without evidence of the size and complexity, it will remain considered a rare phenomenon and people affected will be denied access to appropriate treatment that would allow them to have fulfilled and productive lives.<\/jats:p>","DOI":"10.1089\/lrb.2018.0081","type":"journal-article","created":{"date-parts":[[2019,4,17]],"date-time":"2019-04-17T15:30:01Z","timestamp":1555515001000},"page":"127-134","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["The Development and Validation of the LIMPRINT Methodology"],"prefix":"10.1177","volume":"17","author":[{"given":"Christine","family":"Moffatt","sequence":"first","affiliation":[{"name":"School of Social Sciences, Nottingham Trent University, Nottingham, United Kingdom."},{"name":"Montpellier Medecine Vasculaire, EA2992, Universite Montpellier I, CHU Saint Eloi, Montpellier, France."},{"name":"Copenhagen Wound Healing and Lymphoedema Centre, Bisperberg University Hospital, Copenhagen, Denmark."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Franks","sequence":"additional","affiliation":[{"name":"Center for Research &amp; Implementation of Clinical Practice, London, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vaughan","family":"Keeley","sequence":"additional","affiliation":[{"name":"Royal Derby Hospital, Derby, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susie","family":"Murray","sequence":"additional","affiliation":[{"name":"Center for Research &amp; Implementation of Clinical Practice, London, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregoire","family":"Mercier","sequence":"additional","affiliation":[{"name":"Montpellier Medecine Vasculaire, EA2992, Universite Montpellier I, CHU Saint Eloi, Montpellier, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabelle","family":"Qu\u00e9r\u00e9","sequence":"additional","affiliation":[{"name":"Montpellier Medecine Vasculaire, EA2992, Universite Montpellier I, CHU Saint Eloi, Montpellier, France."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,4,22]]},"reference":[{"key":"e_1_3_2_2_2","volume-title":"International Consensus: Best Practice for the Management of Lymphoedema","author":"International Lymphoedema Framework","year":"2006","unstructured":"International Lymphoedema Framework. 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Available at: www.invo.org.uk\/about-involve (Accessed December15 2018)."},{"key":"e_1_3_2_7_2","unstructured":"Declaration of Helsinki. World Medical Association. 2008. Available at: www.wma.net\/wp-content\/uploads\/2018\/07\/DoH-Oct2008.pdf (Accessed Decemeber 15 2018)."},{"key":"e_1_3_2_8_2","first-page":"1","article-title":"Inter-rater reliability study of pitting test for oedema evaluation in the Kanazawa LIMPRINT study","volume":"3","author":"Dai M","year":"2015","unstructured":"Dai M, , Sugama J, , Tsuchiya S, , Sato A, , Matsumato M, , Iuchi T, , Maeba H, , Okuwa M, , Sanada H, , Moffatt C. Inter-rater reliability study of pitting test for oedema evaluation in the Kanazawa LIMPRINT study. Lymphoedema Res Pract, 2015; 3:1\u20137.","journal-title":"Lymphoedema Res Pract"},{"key":"e_1_3_2_9_2","first-page":"27","article-title":"A systematic review of care delivery models and economic analyses in lymphedema: Health policy impact (2004\u20132011)","volume":"46","author":"Stout NL","year":"2013","unstructured":"Stout NL, , Weiss R, , Feldman JL, , Stewart BR, , Armer JM, , Cormier JN, , Shih Y-CT. A systematic review of care delivery models and economic analyses in lymphedema: Health policy impact (2004\u20132011). Lymphology, 2013; 46:27\u201341.","journal-title":"Lymphology"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hch075"},{"key":"e_1_3_2_11_2","unstructured":"WHO obesity Branca F Nikogosian H Lobstein T. (Eds.) The Challenge of Obesity in the WHO European Region and the Strategies for Response. Denmark: WHO; 2007. 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