Patient-Reported Outcomes of Liposuction for Lipedema Treatment

被引:3
|
作者
Kirstein, Fiona [1 ,2 ]
Hamatschek, Matthias [1 ,2 ]
Knors, Henning [1 ,2 ,3 ]
Aitzetmueller-Klietz, Marie-Luise [1 ,2 ,3 ]
Aitzetmueller-Klietz, Matthias [1 ,2 ,3 ]
Wiebringhaus, Philipp [1 ,2 ,3 ]
Varnava, Charalampos [1 ,2 ,3 ]
Hirsch, Tobias [1 ,2 ,3 ]
Kueckelhaus, Maximilian [1 ,2 ,3 ]
机构
[1] Fachklin Hornheide, Dept Plast Reconstruct & Aesthet Surg Hand Surg, D-48157 Munster, Germany
[2] Westfalian Wilhelms Univ, Inst Musculoskeletal Med, Plast & Reconstruct Surg, D-48149 Munster, Germany
[3] Univ Hosp Muenster, Dept Trauma Hand & Reconstruct Surg, Div Plast & Reconstruct Surg, D-48149 Munster, Germany
关键词
lipedema; liposuction; QOL; PHQ-9; WHOQOL-BREF; restrictions in daily life; JET-ASSISTED LIPOSUCTION; LIPOEDEMA; DIAGNOSIS; VALIDITY; DISEASE; FACTS; LEGS;
D O I
10.3390/healthcare11142020
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Lipedema, as a disabling and consequential disease, is gaining more awareness due to its potential omnipresence. Patients suffering from lipedema show a characteristic painful display of symmetric accumulations of adipose tissue. The combination of swelling, pain and decreased quality of life (QOL) is outstanding for the diagnosis. The aim of this study was to identify the effect of liposuction in terms of the QOL for patients and underline important factors of current and pending research regarding surgical therapy of lipoedema. Methods: Patients suffering from lipedema prior to and after receiving liposuction at our hospital were included in this study. Patients completed a lipedema-specific self-designed 50 item questionnaire: the World Health Organization Quality of Life BREF (WHOQOL-BREF) and the Patient Health Questionnaire 9 (PHQ-9). A linear mixed model was used for outcome analysis. Results: In total, 511 patients completed a questionnaire prior to the surgery at primary presentation to the hospital and a total number of 56 patients completed a questionnaire after liposuction. A total of 34 of these patients filled in both questionnaires prior to and after surgery. The general characteristics of the disease, such as daily symptoms and psychological health, pertinently improved after surgery. Conclusions: Liposuction can have a general improving effect on the QOL of patients, both in private and professional life. Liposuction may currently be the most evident and promising method in the treatment of lipedema.
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页数:21
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