{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T14:30:30Z","timestamp":1791988230766,"version":"4.4.0"},"reference-count":33,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"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":[[2021,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>A variety of objective and subjective assessments are available for clinical assessment of lymphedema. The aim of this study was to explore the clinical reasoning underpinning the assessment of upper limb lymphedema by experienced lymphedema clinicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results:<\/jats:title>\n                    <jats:p>\n                      Semistructured, individual, interviews were conducted with lymphedema therapists (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200914) from a variety of treatment settings. These interviews were conducted after observations of these therapists assessing patients with lymphedema and focused on: (1) the therapists' rationale for the assessments selected, (2) how the data were analyzed, and (3) how the information was then used. Assessment selection was guided by the purpose of the visit, patient preference, resources, and time available. Subjective measures of visible and palpated tissue changes were used to target treatment, and objective measures of circumference and bioimpedance spectroscopy and patient report of symptoms informed treatment evaluation and disease progression. Objective data collected were primarily analyzed for interlimb difference and change between appointments.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>A range of clinical assessments were used in the evaluation of lymphedema to detect the presence of lymphedema, estimate the extent of soft tissue change, understand the patient experience of lymphedema, and evaluate treatment response. A primary determinant for the collection of objective measures was the appointment duration. Current methods of data analysis and reporting do not facilitate the review of change over time.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lrb.2020.0006","type":"journal-article","created":{"date-parts":[[2020,8,18]],"date-time":"2020-08-18T12:03:12Z","timestamp":1597752192000},"page":"151-158","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Assessment of Upper Limb Lymphedema: A Qualitative Study Exploring Clinicians' Clinical Reasoning"],"prefix":"10.1177","volume":"19","author":[{"given":"Robyn","family":"Sierla","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Sydney, Australia."},{"name":"Department of Occupational Therapy, Royal Prince Alfred Hospital, Sydney, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth S.","family":"Dylke","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Sydney, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Shaw","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Sydney, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Poon","sequence":"additional","affiliation":[{"name":"School of Computer Science, The University of Sydney, Sydney, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon L.","family":"Kilbreath","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Sydney, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,4,15]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1172\/JCI71608"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.15238"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/07357907.2018.1517362"},{"key":"e_1_3_3_5_2","first-page":"390","article-title":"Postmastectomy lymphedema","volume":"89","author":"Rydell JR","year":"1958","unstructured":"Rydell JR, , Jennings WK, , Smith ET. 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Grounded theory and the constant comparative method: Valid research strategies for educators. J Emerg Trends Educ Res Policy Stud, 2012; 3:83\u201386.","journal-title":"J Emerg Trends Educ Res Policy Stud"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.23494"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2005.3.208"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-018-4902-z"},{"key":"e_1_3_3_15_2","first-page":"1098","article-title":"Segmental limb volume change as a predictor of the onset of lymphedema in women with early breast cancer","volume":"3","author":"Stout NL","year":"2011","unstructured":"Stout NL, , Pfalzer LA, , Levy E, et al. Segmental limb volume change as a predictor of the onset of lymphedema in women with early breast cancer. 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