{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T20:42:17Z","timestamp":1776890537645,"version":"3.51.2"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,4,27]],"date-time":"2017-04-27T00:00:00Z","timestamp":1493251200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"medi Bayreuth, Germany"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Wound Repair Regeneration"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Lymphedema is a complex and burdensome medical problem and requires continuous specific therapy. The aim of this cross\u2010sectional study of community lymphedema care in the metropolitan area of Hamburg, Germany, was to evaluate health\u2010related quality of life (QoL) in lymphedema patients. Generic as well as disease\u2010specific health\u2010related QoL was assessed using EQ\u20105D and FLQA\u2010LK, respectively. Pain was assessed using a visual analogue scale (VAS). About 301 patients (median age of 60.5 years, 90.8% female) with lymphedema of any origin were included. About 66.4% had lymphedema, 24.1% combined lipolymphedema, and 9.5% lipoedema. Mean disease\u2010specific QoL (FLQA\u2010LK) was 2.4 (range 0\u2009=\u2009no to 4\u2009=\u2009maximum burden). The highest impairment values were observed in subscales for physical complaints, everyday life, and emotional well\u2010being. Mean EQ\u20105D VAS was 70.4, mean EQ\u20105D score 63.3. Lymphedema was associated with major impairments in QoL, which differed for subgroups of pain, clinical severity, and comorbidity. Pain as a common problem for lymphedema patients seemed to be underestimated and undertreated. Early diagnosis and structured treatment strategies are urgently needed.<\/jats:p>","DOI":"10.1111\/wrr.12529","type":"journal-article","created":{"date-parts":[[2017,4,4]],"date-time":"2017-04-04T14:29:42Z","timestamp":1491316182000},"page":"466-473","source":"Crossref","is-referenced-by-count":26,"title":["Quality of life in patients with primary and secondary lymphedema in the community"],"prefix":"10.1111","volume":"25","author":[{"given":"Katharina","family":"Herberger","sequence":"first","affiliation":[{"name":"CVderm \u2013 German Center for Health Services Research in Dermatology, Institute for Health Services Research in Dermatology and Nursing (IVDP) University Medical Center Hamburg\u2010Eppendorf Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Blome","sequence":"additional","affiliation":[{"name":"CVderm \u2013 German Center for Health Services Research in Dermatology, Institute for Health Services Research in Dermatology and Nursing (IVDP) University Medical Center Hamburg\u2010Eppendorf Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristina","family":"Heyer","sequence":"additional","affiliation":[{"name":"CVderm \u2013 German Center for Health Services Research in Dermatology, Institute for Health Services Research in Dermatology and Nursing (IVDP) University Medical Center Hamburg\u2010Eppendorf Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franziska","family":"Ellis","sequence":"additional","affiliation":[{"name":"CVderm \u2013 German Center for Health Services Research in Dermatology, Institute for Health Services Research in Dermatology and Nursing (IVDP) University Medical Center Hamburg\u2010Eppendorf Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl\u2010Christian","family":"M\u00fcnter","sequence":"additional","affiliation":[{"name":"Community Practice for Internal and General 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