Evidence map›Paper›PMID 36902514›Full record

ArticleJournal of clinical medicine2023

Comparison of the Effectiveness of Liposuction for Lower Limb versus Upper Limb Lymphedema.

Shuhei Yoshida, Hirofumi Imai, Solji Roh, Toshiro Mese, Isao Koshima

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Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
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

5 authors.

Shuhei YoshidaThe Plastic and Reconstructive Surgery, the International Center for Lymphedema, Hiroshima University Hospital, 1-2-3, Kasumi, Minami Ward, Hiroshima 734-8551, Japan.
Hirofumi ImaiThe Plastic and Reconstructive Surgery, the International Center for Lymphedema, Hiroshima University Hospital, 1-2-3, Kasumi, Minami Ward, Hiroshima 734-8551, Japan.ORCID 0000-0002-8658-9877
Solji RohThe Plastic and Reconstructive Surgery, the International Center for Lymphedema, Hiroshima University Hospital, 1-2-3, Kasumi, Minami Ward, Hiroshima 734-8551, Japan.ORCID 0000-0001-6751-2439
Toshiro MeseThe Plastic and Reconstructive Surgery, the International Center for Lymphedema, Hiroshima University Hospital, 1-2-3, Kasumi, Minami Ward, Hiroshima 734-8551, Japan.ORCID 0000-0003-3490-9071
Isao KoshimaThe Plastic and Reconstructive Surgery, the International Center for Lymphedema, Hiroshima University Hospital, 1-2-3, Kasumi, Minami Ward, Hiroshima 734-8551, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveLiposuction is the most frequently performed debulking procedure in patients with lymphedema. However, it remains uncertain whether liposuction is equally effective for upper extremity lymphedema (UEL) and lower extremity lymphedema (LEL). In this study, we retrospectively compared the effectiveness of liposuction according to whether it was performed for LEL or UEL, and identified factors associated with outcomes. MATERIALS AND

methodsAll patients had been treated at least once by lymphovenous anastomosis or vascularized lymphatic transplant before liposuction but without sufficient volume reduction. The patients were divided into an LEL group and a UEL group, and then subdivided further according to whether they completed their planned compression therapy into an LEL compliance group, an LEL non-compliance group, a UEL compliance group, and a UEL non-compliance group. The reduction rates in LEL (REL) and in UEL (REU) were compared between the groups.

resultsIn total, 28 patients with unilateral lymphedema were enrolled (LEL compliance group,

conclusionLiposuction seems to be more effective in UEL than in LEL, probably because the compression therapy required for management after liposuction is easier to implement for UEL. The lower pressure and smaller coverage area required for postoperative management after liposuction in the upper limb may explain why liposuction is more effective in UEL than in LEL.

Indexed as

liposuctionlower extremitylymphedemaupper extremity

Identifiers

PMID36902514
PMCPMC10003574

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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.