Evidence map›Paper›PMID 34675250›Full record

ReviewNature reviews. Disease primers2021

Primary lymphoedema.

Pascal Brouillard, Marlys H Witte, Robert P Erickson, Robert J Damstra, Corinne Becker, Isabelle Quéré, Miikka Vikkula

2 registry-linked trialsOpen access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Disease primers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
5.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05731141 recruitingnot on this mapstarted 2023, after this paper: background citation

A Prospective Natural History Study of Lymphatic Anomalies

TypeobservationalSponsorEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)Ran2023 to 2028Enrolled1,200ConditionsLymphatic Diseases, Lymphatic Abnormalities
NCT06750679 nacompletednot on this mapstarted 2024, after this paper: background citation

Manual lymph drainage in lower extremity lymphedema management: an essential component or an optional extra ? - a single-blind, randomized non-inferiority trial

TypeinterventionalSponsorAbant Izzet Baysal UniversityRan2024 to 2026Enrolled31ConditionsLower Extremity LymphedemaArmsCompression bandage, Manual lymphatic drainage added to compression
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 92 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Spatial Profiling Shows That Lymphatic Endothelial Cells Form the Core of Kaposi Sarcoma (KS).Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2026
    Article
  11. Article
  12. Review
  13. Article
  14. Long-pulsed 1064-nm neodymium: yttrium-aluminum-garnet laser alleviates rosacea by improving lymphatic vessel dysfunction.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Article
  15. Clinical features and management of pediatric lymphedema.Turkish journal of physical medicine and rehabilitation · 2025
    Review
  16. Article
  17. Article
  18. Risk factors for severity of breast cancer-related lymphedema.Radiation oncology (London, England) · 2025
    Observational
  19. Article
  20. Understanding the Lymphatic System: Tissue-on-Chip Modeling.Annual review of biomedical engineering · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 4 countries.

Pascal BrouillardHuman Molecular Genetics, de Duve Institute, University of Louvain, Brussels, Belgium.
Marlys H WitteDepartment of Surgery, Neurosurgery, and Pediatrics, University of Arizona College of Medicine, Tucson, AZ, USA.ORCID 0000-0001-5505-934X
Robert P EricksonDepartment of Pediatrics, University of Arizona College of Medicine, Tucson, AZ, USA.
Robert J DamstraVASCERN PPL European Reference Centre; Department of Dermatology, Phlebology and Lymphology, Nij Smellinghe Hospital, Drachten, Netherlands.
Corinne BeckerLymphoedema Center, Clinique Jouvenet, Paris, France.
Isabelle QuéréDepartment of Vascular Medicine, Centre de référence des Maladies Lymphatiques et Vasculaires Rares, Inserm IDESP, CHU Montpellier, Université de Montpellier, Montpellier, France.ORCID 0000-0002-1492-9764
Miikka VikkulaHuman Molecular Genetics, de Duve Institute, University of Louvain, Brussels, Belgium. miikka.vikkula@uclouvain.be.ORCID 0000-0002-6236-338X
University of Arizona · USCliniques Universitaires Saint-Luc · BEde Duve Institute · BEInserm · FRInstitut de la Main · FRZiekenhuis Nij Smellinghe · NL

Funding

Short-Term Training to Increase the Diversity Pipeline in Heart/Lung/Blood ResearchR25HL108837 · NHLBI · UNIVERSITY OF ARIZONA · PI WITTE, MARLYS HEARST · 2011 to 2021
$2.4M
NHLBI NIH HHS R25 HL108837
6 · The paper itself

Abstract

Lymphoedema is the swelling of one or several parts of the body owing to lymph accumulation in the extracellular space. It is often chronic, worsens if untreated, predisposes to infections and causes an important reduction in quality of life. Primary lymphoedema (PLE) is thought to result from abnormal development and/or functioning of the lymphatic system, can present in isolation or as part of a syndrome, and can be present at birth or develop later in life. Mutations in numerous genes involved in the initial formation of lymphatic vessels (including valves) as well as in the growth and expansion of the lymphatic system and associated pathways have been identified in syndromic and non-syndromic forms of PLE. Thus, the current hypothesis is that most cases of PLE have a genetic origin, although a causative mutation is identified in only about one-third of affected individuals. Diagnosis relies on clinical presentation, imaging of the structure and functionality of the lymphatics, and in genetic analyses. Management aims at reducing or preventing swelling by compression therapy (with manual drainage, exercise and compressive garments) and, in carefully selected cases, by various surgical techniques. Individuals with PLE often have a reduced quality of life owing to the psychosocial and lifelong management burden associated with their chronic condition. Improved understanding of the underlying genetic origins of PLE will translate into more accurate diagnosis and prognosis and personalized treatment.

Indexed as

LymphedemaQuality of LifeDrainageHumansInfant, Newborn

Identifiers

PMID34675250
OpenAlexW4206514878

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.