{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T10:46:10Z","timestamp":1762685170050,"version":"build-2065373602"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T00:00:00Z","timestamp":1753315200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Ministry of Health, Labor, and Welfare, Japan","award":["23EA1019"],"award-info":[{"award-number":["23EA1019"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Lymphedema has a significant impact on patient quality of life. However, it remains unclear whether the provision of lymphedema treatment in Japan is uniform across regions. This study aimed to clarify the current situation regarding lymphedema treatment with emphasis on complex decongestive therapies (CDT) availability and implementation in Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A nationwide web-based survey was conducted. Respondents included healthcare professionals from designated cancer care hospitals and other medical institutions treating lymphedema in Japan. The distribution of variables, including the implementation of lymphedema treatment, was compared between designated cancer care hospitals and other facilities using the chi-square test. Japan was divided into nine regions to compare and analyze access to medical institutions providing CDT for lymphedema on both inpatient and outpatient bases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 372 facility responses analyzed, \u02c395% reported treating secondary lymphedema of the extremities, whereas \u02c230% treated head and neck lymphedema. The number of CDT inpatients per 100\u2009000 people in the region with the lowest patient volume was approximately 2% of that in the region with the highest volume. Similarly, the number of CDT outpatients per 100\u2009000 people in the lowest-volume region was one-third of that in the highest-volume region. There was no significant correlation between facilities with high outpatient numbers and those with low outpatient numbers (\u03c1 =0.57, P-value\u00a0=\u00a00.11).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Eliminating regional disparities in access to lymphedema treatment facilities, particularly for inpatient CDT, would improve quality of life and enable patients to manage the condition regardless of where they live.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jjco\/hyaf120","type":"journal-article","created":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T07:44:01Z","timestamp":1753343041000},"page":"1267-1273","source":"Crossref","is-referenced-by-count":0,"title":["Regional disparities in lymphedema treatment and access to complex decongestive therapy: a nationwide survey in Japan"],"prefix":"10.1093","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4282-3107","authenticated-orcid":false,"given":"Mariko","family":"Masujima","sequence":"first","affiliation":[{"name":"Graduate School of Nursing, Chiba University , 1-8-1, Inohana, Chuo-ku, Chiba-shi, Chiba 260-8672 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7075-6602","authenticated-orcid":false,"given":"Shinsuke","family":"Akita","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive, and Aesthetic Surgery, Graduate School of Medicine , 1-8-1, Inohana, Chuo-ku, Chiba-shi, , Chiba 260-8670 ,","place":["Japan"]},{"name":"Chiba University , 1-8-1, Inohana, Chuo-ku, Chiba-shi, , Chiba 260-8670 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makiko","family":"Tazaki","sequence":"additional","affiliation":[{"name":"Graduate School of Nursing, Chiba University , 1-8-1, Inohana, Chuo-ku, Chiba-shi, Chiba 260-8672 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akane","family":"Tsujimoto","sequence":"additional","affiliation":[{"name":"Graduate School of Nursing, Chiba University , 1-8-1, Inohana, Chuo-ku, Chiba-shi, Chiba 260-8672 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryoko","family":"Katagiri","sequence":"additional","affiliation":[{"name":"Faculty of Informatics, Graduate School of Informatics, Chiba University , 1-33, Yayoicho, Inage-ku, Chiba-shi, Chiba 263-8522 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chikao","family":"Yasuda","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Japan Community Healthcare Organization Hoshigaoka Medical Center , 4-8-1, Hoshigaoka, Hirakata-shi, Osaka 573-8511 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuya","family":"Tsuji","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Keio University School of Medicine , 35, Shinanomachi, Shinjuku-ku, Tokyo 160-8582 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,24]]},"reference":[{"key":"2025110905441600100_ref1","doi-asserted-by":"publisher","first-page":"2005","DOI":"10.1007\/s00520-018-4048-x","article-title":"Living with lympheodema-the perspective of cancer patients: A qualitative study","volume":"26","author":"R\u00edo-Gonz\u00e1lez","year":"2018","journal-title":"Support Care Cancer"},{"key":"2025110905441600100_ref2","first-page":"8","article-title":"Experience of patients with lymphoedema after breast cancer surgery: A meta-synthesis","volume":"10","author":"Xiao","year":"2022","journal-title":"Lymphoedema Res Practice"},{"key":"2025110905441600100_ref3","doi-asserted-by":"crossref","first-page":"e0304577","DOI":"10.1371\/journal.pone.0304577","article-title":"Galea M, et\u00a0al hit by the wave: The experiences of adult males living with lymphoedema","volume":"19","author":"Scerri","year":"2024","journal-title":"PloS One"},{"volume-title":"Cancer statistics","year":"2021","author":"National cancer registry, Ministry of Health, Labour and Welfare. Projected number of cancer incidence by Site","key":"2025110905441600100_ref4"},{"key":"2025110905441600100_ref5","doi-asserted-by":"publisher","first-page":"101909","DOI":"10.1016\/j.ejon.2021.101909","article-title":"Prevalence and predictors of breast cancer-related arm lymphedema over a 10-year period in postoperative breast cancer patients: A cross-sectional study","volume":"51","author":"Liu","year":"2021","journal-title":"Eur J Oncol Nurs"},{"key":"2025110905441600100_ref6","doi-asserted-by":"publisher","first-page":"623","DOI":"10.1016\/j.ygyno.2017.06.004","article-title":"Lymphedema following gynecological cancer: Results from a prospective, longitudinal cohort study on prevalence, incidence and risk factors","volume":"146","author":"Hayes","year":"2017","journal-title":"Gynecol Oncol"},{"key":"2025110905441600100_ref7","doi-asserted-by":"publisher","first-page":"1279","DOI":"10.1080\/0284186X.2023.2251669","article-title":"Patient-reported lower limb edema after primary radiotherapy for prostate cancer","volume":"62","author":"Fokdal","year":"2023","journal-title":"Acta Oncol"},{"key":"2025110905441600100_ref8","first-page":"318","article-title":"The designated regional cancer centers and hospitals in Japan: Present status and problems awaiting solution","volume":"47","author":"Yamaguchi","year":"2008","journal-title":"J Natl Inst Public Health"},{"key":"2025110905441600100_ref9","first-page":"133","article-title":"The diagnosis and treatment of peripheral lymphedema: 2023 consensus document of the International Society of Lymphology","volume":"56","author":"Executive Committee of the International Society of Lymphology","year":"2023","journal-title":"Lymphology"},{"key":"2025110905441600100_ref10","doi-asserted-by":"publisher","first-page":"2225","DOI":"10.31557\/APJCP.2023.24.7.2225","article-title":"Complete decongestive therapy effect on breast cancer related to lymphedema: A systemic review and meta-analysis of randomized controlled trials","volume":"24","author":"Shamoun","year":"2023","journal-title":"Asian Pac J Cancer Prev"},{"key":"2025110905441600100_ref11","doi-asserted-by":"crossref","first-page":"192","DOI":"10.4274\/jtsm.galenos.2024.72324","article-title":"The effect of complex decongestive therapy on sleep quality and quality of life in patients with secondary lymphedema after cancer surgery","volume":"11","author":"Pirincci","year":"2024","journal-title":"J Turk Sleep Med"},{"key":"2025110905441600100_ref12","first-page":"124","article-title":"A survey on lymphedema care in designated cancer hospitals in Japan","volume":"31","author":"Oku","year":"2017","journal-title":"J Jpn Soc Cancer Nurs"},{"key":"2025110905441600100_ref13","first-page":"330","article-title":"Multi-center survey of exercise status in patients with lymphedema treated on an outpatient basis","volume":"48","author":"Ishii","year":"2021","journal-title":"Phys Ther Jpn"},{"key":"2025110905441600100_ref14","volume-title":"Norton lymphedema management: The comprehensive guide for practitioners","author":"Zuther","year":"2018","edition":"4th"},{"key":"2025110905441600100_ref15","doi-asserted-by":"publisher","first-page":"3147","DOI":"10.1111\/jan.13071","article-title":"A qualitative national focus group study of the experience of living with lymphoedema and accessing local multiprofessional lymphoedema clinics","volume":"72","author":"Watts","year":"2016","journal-title":"J Adv Nurs"},{"volume-title":"Institute for Cancer Control","author":"Current status report of designated cancer care hospitals in 2023 [Internet]","key":"2025110905441600100_ref16"}],"container-title":["Japanese Journal of Clinical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jjco\/article-pdf\/55\/11\/1267\/63836856\/hyaf120.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jjco\/article-pdf\/55\/11\/1267\/63836856\/hyaf120.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T10:44:26Z","timestamp":1762685066000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jjco\/article\/55\/11\/1267\/8211479"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,24]]},"references-count":16,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2025,7,24]]},"published-print":{"date-parts":[[2025,11,8]]}},"URL":"https:\/\/doi.org\/10.1093\/jjco\/hyaf120","relation":{},"ISSN":["1465-3621"],"issn-type":[{"type":"electronic","value":"1465-3621"}],"subject":[],"published-other":{"date-parts":[[2025,11]]},"published":{"date-parts":[[2025,7,24]]}}}