8 results on '"Ahlner, Eva"'
Search Results
2. Risk factors for lymphedema and method of assessment in endometrial cancer: a prospective longitudinal multicenter study
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Wedin, Madelene, Stalberg, Karin, Marcickiewicz, Janusz, Ahlner, Eva, Ottander, Ulrika, Åkesson, Åsa, Lindahl, Gabriel, Wodlin, Ninnie Borendal, and Kjølhede, Preben
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- 2021
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3. Impact of lymphadenectomy and lymphoedema on health-related quality of life 1 year after surgery for endometrial cancer : A prospective longitudinal multicentre study
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Wedin, Madelene, Stålberg, K., Marcickiewicz, J., Ahlner, Eva, Åkesson, Å., Lindahl, Gabriel, Borendal Wodlin, Ninnie, Kjölhede, Preben, Wedin, Madelene, Stålberg, K., Marcickiewicz, J., Ahlner, Eva, Åkesson, Å., Lindahl, Gabriel, Borendal Wodlin, Ninnie, and Kjölhede, Preben
- Abstract
Objective To assess the impact of lymphadenectomy and lymphoedema of the lower limbs (LLL) on health-related quality of life (HRQoL) 1 year after surgery for endometrial cancer (EC). Design Prospective longitudinal cohort multicentre study. Setting Departments of obstetrics and gynaecology at four university hospitals, six central hospitals and four county hospitals in Sweden. Population Two-hundred-and-thirty-five women with early stage EC were included; 116 with high-risk EC underwent surgery including lymphadenectomy (+LA), and 119 with low-risk EC had surgery without lymphadenectomy (-LA). Methods The generic SF-36 and EQ-5D-3L and the lymphoedema-specific LYMQOL questionnaire were used to assess HRQoL. LLL was assessed by systematic circumferential measurements of the legs enabling volume estimation, clinical evaluation and patient-reported perception of leg swelling. All assessments were carried out on four occasions; preoperatively, and 4-6 weeks, 6 months and 1 year postoperatively. Main outcome measure HRQoL scores. Results No significant differences were seen in HRQoL between the +LA and -LA groups 1 year postoperatively. Irrespective of method of determining LLL, women with LLL were significantly more affected in the LYMQOL domains Function, Appearance/body image and Physical symptoms, but not in the domain Emotion/mood, than women without LLL. No such differences were seen in the generic HRQoL or in the LYMQOL global score between the groups with and without LLL. Conclusions Lymphadenectomy did not seem to affect generic HRQoL adversely. Irrespective of the method of measuring, LLL affected the lymphoedema-specific HRQoL negatively, mainly in physical domains, but had no impact on the generic HRQoL. Tweetable abstract Lymphoedema has impact on lymphoedema-specific, but not on generic, HRQoL, 1 year after surgery for EC., Funding Agencies|Swedish Cancer Society (Cancerfonden)Swedish Cancer Society [CAN2013/620]; Medical Research Council of Southeast SwedenUK Research & Innovation (UKRI)Medical Research Council UK (MRC) [FORSS-308611, FORSS-391311, FORSS-662141, FORSS-858611]; Uppsala-Orebro Regional Research Council [LUL-349271]; Scientific Council of the Region Halland; County Council of Ostergotland; Linkoping University
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- 2022
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4. Validation of the Lymphoedema Quality of Life Questionnaire (LYMQOL) in Swedish cancer patients
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Wedin, Madelene, Fredrikson, Mats, Ahlner, Eva, Falk, Annika, Sandstrom, Asa, Lindahl, Gabriel, Rosenberg, Per, Kjölhede, Preben, Wedin, Madelene, Fredrikson, Mats, Ahlner, Eva, Falk, Annika, Sandstrom, Asa, Lindahl, Gabriel, Rosenberg, Per, and Kjölhede, Preben
- Abstract
Background: The aim of this study was to validate a translated Swedish version of the lymphoedema-specific quality of life questionnaire (LYMQOL) in a cohort of Swedish cancer patients with secondary lymphoedema of the limbs after cancer treatment. Material and methods: We recruited 102 patients with lymphoedema of the arms or legs after cancer treatment who were visiting lymphoedema therapists at the departments of oncology at the university hospitals in Linköping and Umeå. The LYMQOL questionnaires were translated forward and backward from English to Swedish. Content and face validity were evaluated. The construct validity was assessed by comparing the LYMQOL with the Short Form Health Survey (SF-36) and the perceived degree of lymphoedema of the limbs, respectively. Reliability was determined through test-retest. The internal consistency was assessed by determining Cronbach’s alpha and by factor analysis. Results: The content and face validity assessments showed that LYMQOL was an easy, clear and not too long questionnaire to use for patients with lymphoedema. Construct validity was high in both versions when compared with the SF-36. The association between the degrees of perceived lymphoedema and the LYMQOL was only significant in the domains Function and Body Image in the arm version, whereas all domains in the leg version were significant. The reliability was good for the arm version (intra-class-correlation coefficients 0.53–0.87) and very good for the leg version (intra-class-correlation coefficients 0.78–0.90). The internal consistency was acceptable to excellent, with Cronbach’s alpha values between 0.79–0.93 (arm-version) and 0.87–0.94 (leg-version). The factor analysis confirmed the usefulness of the four domains in the LYMQOL versions. Conclusions: This study confirmed the validity of the Swedish version of LYMQOL and demonstrated that LYMQOL may be a simple and useful tool for use in clinical practice and scientific conte, Funding Agencies|Swedish Cancer SocietySwedish Cancer Society [CAN 2013/620]; Linkoping University; County Council of Ostergotland
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- 2020
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5. Validation of the Lymphoedema Quality of Life Questionnaire (LYMQOL) in Swedish cancer patients
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Wedin, Madelene, primary, Fredrikson, Mats, additional, Ahlner, Eva, additional, Falk, Annika, additional, Sandström, Åsa, additional, Lindahl, Gabriel, additional, Rosenberg, Per, additional, and Kjølhede, Preben, additional
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- 2019
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6. Transition to sustainable consumption patterns : Synthesis within the framework of the in-depth evaluation of the environmental objectives 2015
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Ahlner, Eva and Carlsson, Annica
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consumption ,Sustainable ,natural resources ,Miljövetenskap ,environment ,climate ,Environmental Sciences - Abstract
THE ENVIRONMENTAL PROTECTION AGENCY IS TASKED WITH REGULARLY CONDUCTING evaluations of the progress being made towards the 16 Swedish environmental quality objectives and the generational goal. The in-depth evaluation for 2015 will provide a basis for: • The government’s policies and priorities • Public debate • The planning and development of work relating to the environment by government agencies • Dialogue between stakeholders As a basis for the 2015 evaluation, certain aspects of the overarching analysis were carried out within the framework of three selected focus areas: • Environmental and climate-related efforts of the business sector • Sustainable consumption • Sustainable urban development This report summarises the work being carried out within the framework of the focus area Sustainable consumption. By placing the spotlight on consumers in the transition, we highlight how different stakeholders in society can contribute to more environmentally compatible consumer behaviour and analyse how policies and instruments can incentivise environmentally sustainable choices and behaviour. This report has been prepared by the Environmental Protection Agency’s experts, working closely with a working group consisting of representatives of the Energy Agency, Public Health Agency, Agency for Marine and Water Management, Chemicals Agency, Consumer Agency, Royal Institute of Technology (KTH), National Food Administration, Society for Nature Conservation, County Administration Board of Gotland, RUS - Regional Development & Cooperation within the environmental objectives system, Forest Industries Federation, Trade Federation, Consumers’ Association and Region Västra Götaland. The Agency for Growth Policy Analysis and the County Administrative Board of Dalarna also contributed to the work. The Environmental Protection Agency is responsible for the content of the report. The Agency would like to thank all the contributors for their commitment and contributions to this synthesis report. Eva Ahlner (project leader for the focus area ‘Sustainable consumption’) and Annica Carlsson (Section for Instruments, Natural Resources and Ecocycles) were responsible for writing this report. Stockholm, October 2015 Björn Risinger Director General
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- 2015
7. Eckpfeiler erweiterte Produzentenverantwortung
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Ahlner, Eva, primary, Westin, Erik, additional, and Markusson, Nils, additional
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- 2000
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8. Validation of the Lymphoedema Quality of Life Questionnaire (LYMQOL) in Swedish cancer patients.
- Author
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Wedin M, Fredrikson M, Ahlner E, Falk A, Sandström Å, Lindahl G, Rosenberg P, and Kjølhede P
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- Adult, Aged, Aged, 80 and over, Cohort Studies, Factor Analysis, Statistical, Female, Humans, Male, Middle Aged, Neoplasms physiopathology, Reproducibility of Results, Sweden, Lymphedema psychology, Neoplasms psychology, Quality of Life, Surveys and Questionnaires standards
- Abstract
Background: The aim of this study was to validate a translated Swedish version of the lymphoedema-specific quality of life questionnaire (LYMQOL) in a cohort of Swedish cancer patients with secondary lymphoedema of the limbs after cancer treatment. Material and methods: We recruited 102 patients with lymphoedema of the arms or legs after cancer treatment who were visiting lymphoedema therapists at the departments of oncology at the university hospitals in Linköping and Umeå. The LYMQOL questionnaires were translated forward and backward from English to Swedish. Content and face validity were evaluated. The construct validity was assessed by comparing the LYMQOL with the Short Form Health Survey (SF-36) and the perceived degree of lymphoedema of the limbs, respectively. Reliability was determined through test-retest. The internal consistency was assessed by determining Cronbach's alpha and by factor analysis. Results: The content and face validity assessments showed that LYMQOL was an easy, clear and not too long questionnaire to use for patients with lymphoedema. Construct validity was high in both versions when compared with the SF-36. The association between the degrees of perceived lymphoedema and the LYMQOL was only significant in the domains Function and Body Image in the arm version, whereas all domains in the leg version were significant. The reliability was good for the arm version (intra-class-correlation coefficients 0.53-0.87) and very good for the leg version (intra-class-correlation coefficients 0.78-0.90). The internal consistency was acceptable to excellent, with Cronbach's alpha values between 0.79-0.93 (arm-version) and 0.87-0.94 (leg-version). The factor analysis confirmed the usefulness of the four domains in the LYMQOL versions. Conclusions: This study confirmed the validity of the Swedish version of LYMQOL and demonstrated that LYMQOL may be a simple and useful tool for use in clinical practice and scientific contexts for evaluating QoL in patients with lymphoedema of the limbs.
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- 2020
- Full Text
- View/download PDF
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