![]() ![]() Lymphedema Pneumatic compression device Quality of life.Ĭopyright © 2013 European Society for Vascular Surgery. While a LCD should never restrict a NCD, the new policy does just that. Results demonstrate that reduction in LV and pain, combined with functional improvement and patient satisfaction can be achieved, providing tangible benefit for lower extremity patients. New Local Coverage Determinations (LCDs) are being put in place for all four Medicare regions that will overwrite the National Coverage Determinations (NCDs) that are currently in place for pneumatic compression devices. 66% were "very satisfied" with the APCD treatment.ĪPCD use is associated with consistent reductions in LV, with favorable patient-reported outcomes. Patient-reported outcomes showed a significant increase in ability to control lymphedema through APCD treatment, with an increase in function and a reduction in the interference of pain. Clinician assessment indicated that the majority of patients experienced improvement in skin fibrosis and function. Greater baseline LV and BMI were strong predictors of LV reduction (p <. Mean LV reduction was 1,150 mL or 8% (p <. Patient-reported outcomes and satisfaction utilizing a pre- and post-treatment survey were also evaluated.ĩ0% of APCD-treated patients experienced a significant reduction in LV with 35% enjoying a reduction >10%. Baseline and post-treatment LVs were calculated and clinical outcomes (skin changes, pain, and function) were assessed. ![]() All rights reserved.Examine the effectiveness of an advanced pneumatic compression device (APCD) in reducing limb volume (LV), and to evaluate clinician and patient-reported outcomes.ĭata were collected prospectively for 196 lower extremity lymphedema patients prescribed an APCD. The NPCD device was more effective than an APCD and resulted in greater adherence to self-care interventions and greater patient satisfaction.īreast cancer-related lymphedema Cancer survivorship Medical device Quality of life.Ĭopyright © 2022 The Authors. The results have shown that the novel NPCD is an effective maintenance treatment for reducing the limb volume in patients with breast cancer-related lymphedema. The patients indicated that use of the NPCD facilitated exercise and was convenient for travel. The goal of this research project is to assess the effectiveness of a non-invasive, patented peristaltic pulse pneumatic compression device (the NormaTec PCD) in a home treatment program to improve the symptoms of DPN (e.g. 001), and greater satisfaction with the device (90% vs 14% P <. 001), significantly greater mean improvements in quality of life scores, greater adherence (95.6% vs 49.8% P <. Compared with the APCD, the NPCD was associated with a greater mean reduction in the limb edema volume (64.6% vs 27.7% P <. ![]() 5 limb volume, improve symptoms, and enhance QOL,24-27 and may. The patients used the randomly assigned initial device for 28 days with a 4-week washout period before a comparable 28-day use of the second device.ĭata from 50 adult women with unilateral breast cancer-related lymphedema were analyzed. pneumatic compression devices (PCDs) as part of a self-care regimen has been shown to reduce. The patients had been randomized to either the NPCD or a commercially available APCD. We evaluated the safety and efficacy of a novel nonpneumatic compression device (NPCD) for treating lymphedema vs an APCD.Ī randomized, crossover head-to-head investigation was performed at five U.S. ![]() However, adherence to self-care has been poor, and APCDs require patients to be immobile during treatment. Advanced pneumatic compression devices (APCDs) have been shown to be an effective intervention for lymphedema when used as part of a self-care maintenance treatment regimen. ![]()
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