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6. The effectiveness and safety of heat/cold therapy in adults with lymphoedema: systematic review.

Author

Hill, J. E., Whitaker, J. C., Sharafi, N., Hamer, O., Chohan, A., Harris, C., and Clegg, A.

Subjects
LYMPHEDEMA treatment, MEDICAL information storage & retrieval systems, AMED (Information retrieval system), PATIENT safety, RESEARCH funding, THERMOTHERAPY, CINAHL database, STATISTICAL sampling, TREATMENT effectiveness, COLD therapy, SYSTEMATIC reviews, MEDLINE, MEDICAL databases, ADVERSE health care events, EVALUATION, ADULTS
Abstract

The aim of this review is to assess the efficacy and safety of using heat and cold therapy for adults with lymphoedema. A multi-database search was undertaken. Only studies which included adults with lymphoedema who were treated with heat or cold therapy reporting any outcome were included. Screening, data extraction, and assessment of bias were undertaken by a single reviewer and verified by a second. Due to the substantial heterogeneity, a descriptive synthesis was undertaken. Eighteen studies were included. All nine studies which assessed the effects of heat-therapy on changes in limb circumference reported a point estimate indicating some reduction from baseline to end of study. Similarly, the five studies evaluating the use of heat-therapy on limb volume demonstrated a reduction in limb volume from baseline to end-of-study. Only four studies reported adverse events of which all were deemed to be minor. Only two studies explored the effects of cold therapy on lymphoedema. Tentative evidence suggests heat-therapy may have some benefit in treating lymphoedema with minimal side effects. However, further high-quality randomised controlled trials are required, with a particular focus on moderating factors and assessment of adverse events. This review highlights the potential benefit that heat therapy may have on reducing limb circumference and volume for adults with lymphoedema. There was no evidence that controlled localised heat therapy was unsafe. The current evidence-base is at a point where no specific clinical recommendations can be made. The use of heat therapy should only be applied as part of a methodologically robust study to treat lymphoedema. [ABSTRACT FROM AUTHOR]

Published
2024
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19. Die Diagnose liegt auf der Hand

Author

Fisser, C., additional, Wiest, C., additional, Hamer, O. W., additional, Müller, T., additional, Lubnow, M., additional, Pfeifer, M., additional, Lerzer, C., additional, and Dvorak, I., additional

Published
2020
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29. Präoperative Evaluation der lokalen Infiltration chirurgisch relevanter Nachbarstrukturen durch Thymome mit Hilfe der Cine-Magnetresonanztomographie

Author

Ried, M, Hnevkovsky, S, Neu, R, Sziklavari, Z, Götz, A, Hamer, O, Schalke, B, and Hofmann, HS

Subjects
ddc: 610, 610 Medical sciences, Medicine
Abstract

Zielsetzung: Thymome sind Raumforderungen des vorderen Mediastinums. Ihre Malignität zeichnet sich durch eine lokoregionäre Ausbreitung mit infiltrativen Wachstum aus. Die technische Operabilität ist bei Verdacht auf eine Infiltration der benachbarten Strukturen (insbesondere Gefäße,[for full text, please go to the a.m. URL], Gemeinsame Jahrestagung der Deutschen, Österreichischen und Schweizerischen Gesellschaft für Thoraxchirurgie

Published
2013
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34. Impact of sleep-disordered breathing on myocardial salvage and infarct size in patients with acute myocardial infarction

Author

Buchner, S., primary, Satzl, A., additional, Debl, K., additional, Hetzenecker, A., additional, Luchner, A., additional, Husser, O., additional, Hamer, O. W., additional, Poschenrieder, F., additional, Fellner, C., additional, Zeman, F., additional, Riegger, G. A. J., additional, Pfeifer, M., additional, and Arzt, M., additional

Published
2013
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