{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T03:05:59Z","timestamp":1791774359047,"version":"4.3.4"},"reference-count":24,"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:sec>\n                    <jats:title>Background and Study Design:<\/jats:title>\n                    <jats:p>Chronic edema (CO) is believed to be a major clinical problem within community nursing services in the United Kingdom. This study was undertaken as part of the LIMPRINT international study to determine the number of people with CO and its impact on health services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results:<\/jats:title>\n                    <jats:p>\n                      Three urban-based community nursing services participated in the United Kingdom with prospective evaluation for 4 weeks of all patients receiving nursing care using a questionnaire-based interview and clinical assessment using the LIMPRINT tools. Of the total 2541 patients assessed, 1440 (56.7%) were considered to have CO, comprising Leicester City [768\/1298 (59.2%)], Nottingham West [124\/181 (68.5%)], and Nottingham City [548\/1062 (51.6%)]. The mean age for women with CO was 78.6 (standard deviation [SD] 12.8) years and that for men with CO was 72.9 (SD 14.5). More patients with CO suffered from diabetes (32.1% vs. 27.9%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.027), heart failure\/ischemic heart disease (27.3% vs. 14.0%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and peripheral arterial occlusive disease (5.5% vs. 1.9%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). By far the greatest association was with the presence of a wound (73.6% vs. 37.9%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Cellulitis affected 628 patients (24.7%) and 688 patients (47.8%) had a concurrent leg ulcer. Rates of reduced mobility (71.6% vs. 61.9%) and obesity were higher in those with CO. Six independent factors associated with CO were service location, age, ethnicity, obesity, heart failure, and the presence of a wound.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>CO is a major and growing health care problem within primary care that has been previously unrecognized and requires effective service provision.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lrb.2018.0086","type":"journal-article","created":{"date-parts":[[2019,4,17]],"date-time":"2019-04-17T15:30:01Z","timestamp":1555515001000},"page":"147-154","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":48,"title":["Prevalence and Risk Factors for Chronic Edema in U.K. Community Nursing Services"],"prefix":"10.1177","volume":"17","author":[{"given":"Christine J.","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":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Gaskin","sequence":"additional","affiliation":[{"name":"School of Health Sciences, University of Nottingham, Royal Derby Hospital Centre, Derby, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Sykorova","sequence":"additional","affiliation":[{"name":"Nottingham University Business School, University of Nottingham, Jubilee Campus, Nottingham, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleanor","family":"Dring","sequence":"additional","affiliation":[{"name":"Nottingham University Business School, University of Nottingham, Jubilee Campus, Nottingham, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aimee","family":"Aubeeluck","sequence":"additional","affiliation":[{"name":"School of Health Sciences, University of Nottingham, Queens Medical Centre, Nottingham, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter J.","family":"Franks","sequence":"additional","affiliation":[{"name":"Centre for Research &amp; Implementation of Clinical Practice, London, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Windrum","sequence":"additional","affiliation":[{"name":"Nottingham University Business School, University of Nottingham, Jubilee Campus, Nottingham, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregoire","family":"Mercier","sequence":"additional","affiliation":[{"name":"Montpellier Medecine Vasculaire, EA2992, Universite Montpellier I, CHU Saint Eloi, Montpellier, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorraine","family":"Pinnington","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Nottingham, Royal Derby Hospital Centre, Derby, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabelle","family":"Qu\u00e9r\u00e9","sequence":"additional","affiliation":[{"name":"Montpellier Medecine Vasculaire, EA2992, Universite Montpellier I, CHU Saint Eloi, Montpellier, France."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,4,22]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcg126"},{"key":"e_1_3_3_3_2","unstructured":"European Commission (2012). The 2012 Ageing Report. Available at: http:\/\/ec.europa.eu\/economy_finance\/publications\/european_economy\/2012\/pdf\/ee-2012-2_en.pdf (accessed on December14 2018)."},{"key":"e_1_3_3_4_2","volume-title":"The Challenge of Obesity in the WHO European Region and the Strategies for Response","author":"Branca F","year":"2007","unstructured":"Branca F, , Nikogosian H, , Lobstein T., eds. The Challenge of Obesity in the WHO European Region and the Strategies for Response. Denmark: WHO; 2007."},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12694"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1196\/annals.1413.014"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(13)70076-7"},{"key":"e_1_3_3_8_2","unstructured":"NHS England. Framework for commissioning community nursing. 2015. 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