Yarmohammadi Hossein, Rooddehghan Amirhossein, Soltanipur Masood, Sarafraz Amirabbas, Mahdavi Anari Seyed Fatah
Medical Students Research Committee, Shahed University, Tehran, Iran.
Department of Laboratory Sciences, Faculty of Paramedical Sciences, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
Int J Vasc Med. 2021 Dec 31;2021:3806150. doi: 10.1155/2021/3806150. eCollection 2021.
Lymphedema is neglected in medical education, and a review on healthcare practitioners' (HCPs) knowledge is necessary to shed light on gaps and to provide evidence for establishing educational programs on lymphedema.
This systematic review was performed based on the PRISMA guideline in PubMed, Scopus, Web of Science, and Google Scholar databases. There was no limitation on the type of lymphedema or HCPs. The quality assessment was performed based on QATSDD. Data regarding study characteristics, questionnaire context, and findings of the study were summarized from each article.
After the screening, 16 articles were included that 12 were cross-sectional, two were qualitative, and two were interventional pilot studies. Breast cancer and other cancer-related lymphedema, lymphatic filariasis, and podoconiosis were included, and the majority of articles were focused on primary HCPs. The overall knowledge was low and average in five and 11 articles, respectively, and prior education was a significant factor related to higher knowledge of lymphedema in two studies.
Structured education of lymphedema is needed to increase the knowledge of HCPs and to enhance their collaboration in multidisciplinary care teams. Improvement of HCPs' knowledge may lead to better outcomes of lymphedema patients' management which are neglected.
淋巴水肿在医学教育中被忽视，有必要对医疗从业者（HCPs）的知识进行综述，以揭示差距，并为建立淋巴水肿教育项目提供证据。
本系统综述依据PRISMA指南在PubMed、Scopus、Web of Science和谷歌学术数据库中进行。对淋巴水肿类型或医疗从业者没有限制。基于QATSDD进行质量评估。从每篇文章中总结关于研究特征、问卷内容和研究结果的数据。
筛选后纳入16篇文章，其中12篇为横断面研究，2篇为定性研究，2篇为干预性试点研究。包括乳腺癌及其他癌症相关淋巴水肿、淋巴丝虫病和足分支菌病，且大多数文章关注初级医疗从业者。在5篇和11篇文章中，总体知识水平分别较低和中等，两项研究中，先前教育是与淋巴水肿知识水平较高相关的一个重要因素。
需要对淋巴水肿进行结构化教育，以增加医疗从业者的知识，并加强他们在多学科护理团队中的协作。提高医疗从业者的知识水平可能会改善被忽视的淋巴水肿患者的管理效果。
