Palliative care for cancer-related lymphedema: a systematic review.
BACKGROUND
Cancer-related lymphedema management in palliative care remains a challenge for health care professionals. We conducted a systematic review of the published literature related to the effectiveness of cancer-related lymphedema management in the palliative care setting.


METHODS
Eleven major medical databases were searched. Manuscripts were selected for articles published from January 2004 to October 30, 2011, using search terms for lymphedema and palliative care. Eleven articles were selected based on defined eligibility criteria for final review and were categorized as lymphedema management in palliative care by topic experts. Articles were also rated for quality according to the Oncology Nursing Society Putting Evidence into Practice(®) classification.


RESULTS
Five case studies were identified addressing closed-controlled subcutaneous drainage; one retrospective study on manual lymphatic drainage (MLD); two case studies on compression therapy; and three case studies on complete decongestive therapy (CDT). All studies were rated in the category of "effectiveness not established" due to study limitations in design and sample size. Few studies included objective measures of outcomes, and there were no randomized controlled trials. There is a need for larger, well-designed research studies to test the effectiveness of management of cancer-related lymphedema in palliative care.
Women's Health Breast Center, Truman Medical Centers, Kansas City, Missouri, USA.
Marcia
M
Beck
Ausanee
A
Wanchai
Bob R
BR
Stewart
Janice N
JN
Cormier
Jane M
JM
Armer
D006801:Humans; D008209:Lymphedema / Q000209:etiology / Q000628:therapy*; D009369:Neoplasms / Q000150:complications*; D010166:Palliative Care / Q000379:methods*