{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:11:40Z","timestamp":1777943500694,"version":"3.51.4"},"reference-count":59,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T00:00:00Z","timestamp":1763769600000},"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":[[2026,2,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Cancer-related lymphedema is a common, lifelong, and disabling condition resulting from oncologic treatments. Although multidisciplinary collaboration enhances patient outcomes, a framework for research and therapeutic priorities for prevention and treatment is lacking. This study utilizes group concept mapping (GCM), a participatory research methodology, to highlight clinical and scholarly priorities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Providers and researchers involved in lymphedema care at The Ohio State University, a Lymphatic Education &amp; Research Network (LE&amp;RN) Center of Excellence, participated in a GCM study between November 2024 and January 2025. The groupwisdom\u00ae web-platform was used to (1) generate ideas for clinical\/academic priorities for multidisciplinary collaboration, (2) sort priorities into categories, and (3) rate priorities on (a) the basis of their contribution to value-based care and (b) likelihood to secure research funding. Hierarchical cluster analysis yielded two-dimensional representations of conceptual similarity between items. Ratings were synthesized into GoZone plots demonstrating priorities most likely to secure funding and contribute to high-value care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Thirty-five participants identified 74 priority areas. Cluster domains included: (1) identification\/validation of patient-reported outcome metrics, (2) optimizing prospective surveillance, (3) surgical prevention\/management of lymphedema, (4) diagnosis of lymphedema and downstream sequelae, (5) identifying risk factors\/prediction tools, (6) basic\/translational research, and (7) access to care\/resource utilization. Improving access to care and mitigating resource barriers were deemed most impactful for delivering high-value care and ability to secure research funding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Priorities identified at our LE&amp;RN Lymphedema Center of Excellence provide a framework for multidisciplinary collaboration to improve care delivery and patient outcomes for those with and at-risk for cancer-related lymphedema.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15578585251398872","type":"journal-article","created":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T12:07:06Z","timestamp":1764158826000},"page":"33-41","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Using Group Concept Mapping to Define Priorities for Lymphedema Care and Research"],"prefix":"10.1177","volume":"24","author":[{"given":"Sara P.","family":"Myers","sequence":"first","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA."},{"name":"CATALYST, Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research, College of Medicine, Wexner Medical Center, The Ohio State University, Columbus, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min-Jeong","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, The Ohio State University, Columbus, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin E.","family":"Burke","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Ashworth","sequence":"additional","affiliation":[{"name":"Oncology Rehabilitation, The James Cancer Hospital and Solove Research Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynne","family":"Brophy","sequence":"additional","affiliation":[{"name":"Health System Advanced Practice Providers, Ohio State University Comprehensive Cancer Center - Arthur G. James Hospital and Richard J. Solove Research Institute, Columbus, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brittany","family":"Knauss","sequence":"additional","affiliation":[{"name":"Oncology Rehabilitation, The James Cancer Hospital and Solove Research Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magdalena","family":"Blaszkiewicz","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, The Ohio State University, Columbus, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann S.","family":"McAlearney","sequence":"additional","affiliation":[{"name":"CATALYST, Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research, College of Medicine, Wexner Medical Center, The Ohio State University, Columbus, Ohio, USA."},{"name":"Department of Family and Community Medicine, College of Medicine, Wexner Medical Center, The Ohio State University, Columbus, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dionisia","family":"Quiroga","sequence":"additional","affiliation":[{"name":"Division of Medical Oncology, Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA."},{"name":"Pelotonia Institute of Immuno-Oncology, The Ohio State Comprehensive Cancer Center, Columbus, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William E.","family":"Carson","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel G.","family":"Stover","sequence":"additional","affiliation":[{"name":"Division of Medical Oncology, Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Electra D.","family":"Paskett","sequence":"additional","affiliation":[{"name":"Division of Cancer Prevention and Control, Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott R.","family":"Rosas","sequence":"additional","affiliation":[{"name":"Concept Systems, Inc., Ithaca, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Hock","sequence":"additional","affiliation":[{"name":"Oncology Rehabilitation, The James Cancer Hospital and Solove Research Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roman J.","family":"Skoracki","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, The Ohio State University, Columbus, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caitlin","family":"Kotian","sequence":"additional","affiliation":[{"name":"Oncology Rehabilitation, The James Cancer Hospital and Solove Research Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlo M.","family":"Contreras","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,22]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2015.01.014"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(13)70076-7"},{"key":"e_1_3_2_4_2","unstructured":"Key statistic for breast cancer: American cancer society 2023. 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