Funding sources The study was supported by medi Bayreuth, Germany.
Development and use of guideline-derived quality indicators for community lymphoedema
Article first published online: 20 FEB 2012
© 2012 The Authors. Journal of the European Academy of Dermatology and Venereology © 2012 European Academy of Dermatology and Venereology
Journal of the European Academy of Dermatology and Venereology
Volume 27, Issue 2, pages 227–234, February 2013
How to Cite
Herberger, K., Heyer, A.K., Blome, C., Sandner, A., Altheide, F., Lader-Holtorf, M. and Augustin, M. (2013), Development and use of guideline-derived quality indicators for community lymphoedema. Journal of the European Academy of Dermatology and Venereology, 27: 227–234. doi: 10.1111/j.1468-3083.2012.04452.x
Conflict of interest Katharina Herberger has no conflict of interest.
Christine Blome has received honoraria and travel expenses from medi Bayreuth.
Matthias Augustin has received a research grant from medi Bayreuth.
- Issue published online: 22 JAN 2013
- Article first published online: 20 FEB 2012
- Received: 11 October 2011; Accepted: 12 January 2012
Background Treatment of lymphoedema is complex and needs specific skills. There are no standards for the evaluation of quality of care.
Objective Development and application of indicators for the measurement of quality of care in lymphoedema.
Methods In a three-step process including a national Delphi expert consensus, quality indicators were derived from national and international guidelines. In a cross-sectional study involving a large spectrum of care providers, the quality of lymphoedema care in the community was assessed by transforming the indicators to one unweighted quality index (QI).
Results A total of 12 quality indicators were identified and applied to n = 348 patients with lymphoedema and lipolymphoedema of any origin in the metropolitan area of Hamburg (90.8% female, mean age 57, SD 14.5 years). On average, 55% of the quality indicators were met, and 64.8% of the patients were satisfied with lymphoedema care. There was a significant correlation between QI and satisfaction.
Conclusions The quality indicators and the QI are feasible and valid for the evaluation of quality of care. They can support optimizing lymphoedema care.