Clinical management of patients with breast cancer-related lymphedema: a best practice implementation project.

International Journal of Evidence-based Healthcare
Huihui ZhaoLiling Chen

Abstract

Breast cancer-related lymphedema (BCRL) is a burdensome complication of breast cancer that may significantly affect patients' quality of life. Best evidence-based interventions should be applied to the clinical management of BCRL to provide the best care for patients. This project aimed to promote evidence-based practices in the management of patients with BCRL and to assess the impact of these changes on improving clinical outcomes in a large tertiary hospital. The current evidence implementation project was conducted in the Breast Surgery Department of a tertiary hospital in China. Four audit criteria were developed for the baseline and follow-up audits. The project used the JBI Practical Application of Clinical Evidence System and the Getting Research into Practice audit and feedback tool to promote evidence-based healthcare into practice. Twenty patients with BCRL were assessed both in baseline and follow-up audits. The results of the baseline audit demonstrated that there was poor compliance with most of the audit criteria. Significant improvements were achieved in the four audit criteria in the follow-up audit compared with those in the baseline audit. The 55% of women with BCRL being offered complex decongestive therapy ...Continue Reading

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