ReviewJournal of multidisciplinary healthcare2026
Best Evidence for the Exercise-Based Management of Lower Limb Lymphedema After Gynecological Cancer: A Systematic Review and Evidence Synthesis.
Review in Journal of multidisciplinary healthcare, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: Lower limb lymphedema after gynecological cancer treatment significantly impairs quality-of-life, increases care needs, and escalates costs. Despite exercise benefits, evidence-based guidance on optimal interventions is lacking. This study addresses this gap by conducting a systematic review and evidence synthesis of current guidelines and high-quality studies. Patients and Methods: A systematic search was conducted based on the hierarchical "6S" evidence model to retrieve high-quality evidence. Searches in PubMed, CINAHL, Embase, Web of Science, Ovid, BMJ Best Practice, UpToDate, Cochrane Library, major guideline repositories, and PEDro identified guidelines, systematic reviews, recommended practices, evidence summaries, clinical decisions, and expert consensuses on exercise therapy (inception to February 2025). Two reviewers independently screened, evaluated, extracted, and synthesized evidence using the JBI system. Results: Seventeen publications were included. Synthesis across nine domains yielded 32 recommendations. Key findings: recommendations related to patients without active infections or lymphatic leakage only; conduct pre-exercise assessments by qualified professionals; recommend combined aerobic and resistance training. Aquatic therapy, low-impact exercises, and moderate-to-vigorous intensity exercise were beneficial/safe with individualized guidance; use appropriate compression garments during exercise; provide tailored supervision to enhance compliance. Evidence levels and grades specified. Conclusion: This review provides a structured synthesis of the best available evidence for exercise management of lower limb lymphedema in gynecological cancer survivors, covering nine critical aspects. Findings offer a practical guide for clinicians designing interventions.
Indexed as
Identifiers
What OpenQuestion holds
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.