Impact of lymphedema programs on ADL Sample Clauses

Impact of lymphedema programs on ADL. To summarize the work done to date, the majority of studies have found that lymphedema management programs decrease the frequency of ADL episodes in LF endemic populations, offering substantive evidence that lymphedema management programs have a beneficial effect on the occurrence of acute ADL attacks. Despite this evidence, the studies vary in their methods of data collection, intervals and length of follow-up and statistical methods. There is a dearth of articles that calculate an actual rate of ADL and explore the effects of lymphedema programs using correlated GEE models for longitudinal data [37, 75]. Most of the articles reported decreases in the mean or total number of ADL episodes reported over time [34-36, 48, 81, 82]. Others reported a decrease in the percentage of patients who reported 1 or more ADL episodes [38, 83] then tested using a chi-square test. Furthermore, most studies did not adjust for potential confounding or test for interaction. Finally, the majority do not attempt to find a comparison group. Although it may be considered unethical to deny patients access to a lymphedema management program, few studies have mentioned this limitation in their research. Without a comparison group, it is difficult to scientifically prove that lymphedema programs are truly causing a decrease in the incidence of ADL episodes.
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