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I N T E R N AT I O N A L C O N S E N S U S

BEST PRACTICE FOR THE MANAGEMENT OF LYMPHOEDEMA

LYMPHOEDEMA FRAMEWORK AN INTERNATIONAL PERSPECTIVE

ACKNOWLEDGEMENTS

Supported by an educational grant from Sigvaris.

SENIOR CONSULTANT EDITOR Christine Moffatt, Professor of Nursing and Co-director, Centre for Research and Implementation of Clinical Practice, Faculty of Health and SocialSciences, Thames Valley University, London, UK CONSULTANT EDITORS Debra Doherty, Senior Lecturer and Clinical Nurse Specialist in Lymphoedema; Phil Morgan, Post-doctoral Research Fellow; Centre for Research and Implementation of Clinical Practice, Faculty of Health and Social Sciences, Thames Valley University, London, UK THE LYMPHOEDEMA FRAMEWORK The Lymphoedema Framework is a UK based researchpartnership launched in 2002 that aims to raise the profile of lymphoedema and improve standards of care through the involvement of specialist practitioners, clinicians, patient groups, healthcare organisations, and the wound care and compression garment industry. Lymphoedema Framework Secretariat Centre for Research and Implementation of Clinical Practice Thames Valley University, 32-38 UxbridgeRoad, London, UK Tel: +44 (0)20 280 5050. Web: www.lf.cricp.org The Lymphoedema Framework would like to thank the following for their valuable participation in the consensus process that formed the basis of this document: All involved in the Working Groups British Lymphology Society (BLS) Centre for Research and Implementation of Clinical Practice, Thames Valley University Industry Consortium* King’sFund Lymphoedema Support Network (LSN) Members of the International Advisory Board Participating UK NHS Primary Care Trusts *List provided in Appendix 1 Managing Editor Lisa MacGregor Head of Wound Care Suzie Calne Editorial Project Manager Kathy Day Design and layout Jane Walker Printed by Viking Print Services, UK

The views expressed in this publication are those of the authors and do notnecessarily reflect those of Sigvaris. The images in Figures 2, 16, 18 and 23 are courtesy of Professor PS Mortimer.

THIS DOCUMENT HAS BEEN ENDORSED BY: American Society of Lymphology (ASL, USA) British Lymphology Society (BLS, UK) Deutsche Gesellschaft für Lymphologie (DGL, Germany) Fysioterapeuters Faggruppe for Lymføbehandling (FFL, Denmark) Japanese Society of Lymphology (JSL, Japan)Lymphedema Association of North America (LANA, USA) Lymphoedema Support Network (LSN, UK) MLDUK National Lymphedema Network (NLN, USA) Nederlands Lymfoedeem Netwerk (NLNet, The Netherlands) Norsk Lymfødemforening (NLF Norsk, Norway) Österreichische Lymph-Liga (Austria) Professor C Campisi, President of the Italian Society of Lymphangiology (SIL) and of the LatinMediterranean Chapter of the InternationalSociety of Lymphology (ISL) Professor N Piller on behalf of the Lymphoedema Association of Australia (LAA, Australia) Schweizerische Gesellschaft für Lymphologie (SGL, Switzerland) Sociedad Española de Rehabilitación y Medicina Fisica (SERMEF, Spain) Société Française de Lymphologie (SFL, France) Svensk Förening för Lymfologi (SFL, Sweden) Svenska Ödem Förbundet (Sweden) The editors of theLymphoedema Framework recognise that the standards of lymphoedema care advocated are based on the UK model and may not be adaptable to the healthcare systems of all other countries. Some of the organisations listed above endorse the document as a professional resource to advance lymphoedema diagnosis and treatment. STATEMENTS OF RECOGNITION The American Society of Lymphology (ASL, USA) and its National andInternational Board Members support the conclusion of this document that standards of education and treatment must be established for the benefit of patients with lymphoedema and the physicians charged with overseeing their therapist and medical care. The International Society of Lymphology (ISL) recommends the Lymphoedema Framework document as a valuable, useful, and illustrative educational...
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