The Quality of Life after Lymphaticovenous Anastomosis in 118 Lower Limb Lymphedema Patients

Author:

Kwon Jin Geun1ORCID,Kim Yeongsong1ORCID,Jang Min Young1,Suh Hyunsuk Peter1ORCID,Pak Changsik John1ORCID,Keeley Vaughan2ORCID,Jeon Jae Yong3ORCID,Hong Joon Pio1ORCID

Affiliation:

1. Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea

2. Lymphoedema Service, Royal Derby Hospital, Derby, United Kingdom

3. Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea

Abstract

Abstract Background This is a prospective study on 118 patients who underwent lymphaticovenous anastomosis (LVA) due to secondary lower limb lymphedema between January 2018 and October 2020 to evaluate patients' quality of life (QOL) using the Quality of Life Measure for Limb Lymphedema (LYMQoL) questionnaire. Methods The outcome measurement included the LYMQoL leg scoring system tool evaluating the function, appearance, symptom, mood, and overall outcome. In addition, correlation analysis was performed for three factors: based on International Society of Lymphology (ISL) stages, disease duration, and amount of volume reduction. Results The LYMQoL tool overall satisfaction score significantly increased at all intervals from 4.4 ± 0.2 preoperative to 6.5 ± 0.3 postoperative at 12 months (p < 0.001). Significant findings were seen for each domain scores compared preoperatively and at 12 months: function score (18.6 ± 0.5 to 15.4 ± 0.6), appearance score (17.8 ± 0.5 to 16.0 ± 0.6), symptom score (11.8 ± 0.3 to 8.9 ± 0.4), and mood score (14.5 ± 0.4 to 11.4 ± 0.5; p < 0.05). The correlation analysis between improvement of the overall score and the ISL stage (p = 0.610, correlation coefficient [r] = − 0.047), disease duration (p = 0.659, r = − 0.041), and amount of limb volume reduction (p = 0.454, r = − 0.070) showed no statistical significance. Conclusion The QOL of secondary lower limb lymphedema patients was significantly improved after LVA regardless of the severity of disease, duration of disease, and amount of volume reduction after LVA. Understanding the patient-reported outcome measurement will help the surgeons to manage and guide the expectations of the patients.

Funder

National Research Foundation of Korea

Asan Institute for Life Sciences, Asan Medical Center

Publisher

Georg Thieme Verlag KG

Subject

Surgery

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1. Update December 2023;Lymphatic Research and Biology;2023-12-01

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