Disability and rehabilitation · 2026
Use of knowledge translation frameworks to implement diagnosis of upper quadrant lymphedema clinical practice guideline to improve patient care.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Wampler Meredith, Campione Elizabeth, Newell Alaina, Kidd Angela, Deistler Jodi
Аннотация
PURPOSE: This knowledge translation (KT) descriptive study aimed to improve adherence to upper quadrant lymphedema clinical practice guideline (CPG) volume measurement recommendations.
METHODS: Physical therapists and leaders from 3-outpatient clinics who receive referrals for surveillance and treatment of cancer-related upper quadrant lymphedema were included in this 2-year descriptive study. The Knowledge to Action and Consolidated Framework for Implementation Research were used to improve fidelity and adherence to CPG recommended practices.
RESULTS: Clinicians and leaders scored highly on readiness for change questions at baseline. Chart audits (n = 176) showed improvement in all fidelity metrics: use of consistent increment of circumference measures improved from 0% to 94%, bilateral measures 43% to 94%, follow-up circumference measures 60% to 77%, and use of evidence-based volume difference metrics for appropriate referral 0% to 80%. Adherence decreased over time, ranging between 33% to 90% at the last chart audit. There was variability in the changes to clinician knowledge and beliefs about lymphedema measures documented at the end of the project.
CONCLUSIONS: This study demonstrated a feasible KT process to improve adherence to lymphedema measurement guidelines in outpatient clinics. Inconsistent adherence may impact clinical decision-making and limit patient access to appropriate care to manage this chronic condition.
METHODS: Physical therapists and leaders from 3-outpatient clinics who receive referrals for surveillance and treatment of cancer-related upper quadrant lymphedema were included in this 2-year descriptive study. The Knowledge to Action and Consolidated Framework for Implementation Research were used to improve fidelity and adherence to CPG recommended practices.
RESULTS: Clinicians and leaders scored highly on readiness for change questions at baseline. Chart audits (n = 176) showed improvement in all fidelity metrics: use of consistent increment of circumference measures improved from 0% to 94%, bilateral measures 43% to 94%, follow-up circumference measures 60% to 77%, and use of evidence-based volume difference metrics for appropriate referral 0% to 80%. Adherence decreased over time, ranging between 33% to 90% at the last chart audit. There was variability in the changes to clinician knowledge and beliefs about lymphedema measures documented at the end of the project.
CONCLUSIONS: This study demonstrated a feasible KT process to improve adherence to lymphedema measurement guidelines in outpatient clinics. Inconsistent adherence may impact clinical decision-making and limit patient access to appropriate care to manage this chronic condition.