Levenhagen Kimberly, Davies Claire, Perdomo Marisa, Ryans Kathryn, Gilchrist Laura
Department of Physical Therapy & Athletic Training, Doisy College of Health Sciences, Saint Louis University, St Louis, MO.
Certified Lymphedema Therapist-Lymphology Association of North America (CLT-LANA), Rehabilitation Services, Baptist Health Lexington, Lexington, KY.
Rehabil Oncol. 2017 Jul;35(3):E1-E18. doi: 10.1097/01.REO.0000000000000073. Epub 2017 Jun 30.
The Oncology Section of APTA developed a clinical practice guideline to aid the clinician in diagnosing secondary upper-quadrant cancer-related lymphedema.
Following a systematic review of published studies and a structured appraisal process, recommendations were written to guide the physical therapist and other health care clinicians in their diagnostic process. Overall, clinical practice recommendations were formulated on the basis of the evidence for each diagnostic method and were assigned a grade based on the strength of the evidence for different patient presentations and clinical utility.
In an effort to make these clinically applicable, recommendations were based on the characteristics as to the location and stage of a patient's upper-quadrant lymphedema.
美国物理治疗协会肿瘤学分会制定了一项临床实践指南，以协助临床医生诊断继发性上象限癌症相关淋巴水肿。
在对已发表研究进行系统综述和结构化评估过程之后，撰写了相关建议，以指导物理治疗师和其他医疗保健临床医生的诊断过程。总体而言，临床实践建议是根据每种诊断方法的证据制定的，并根据不同患者表现和临床实用性的证据强度进行分级。
为使这些建议具有临床适用性，建议基于患者上象限淋巴水肿的位置和阶段特征制定。
