It was just mind blowing to be honest: a qualitative phenomenological study exploring cancer survivor’s experiences of indocyanine green lymphography used to inform lymphedema therapy management
Purpose A diagnosis of secondary lymphedema following cancer treatment can necessitate lifelong therapy. Indocyanine green (ICG) lymphography is a technique for visualising lymphatics to enable individualised lymphedema diagnosis, staging and therapy prescription. The participant experience of under...
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| Veröffentlicht in: | Supportive care in cancer 2021-11, Vol.29 (11), p.6389-6397 |
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| creator | Pigott, Amanda Doig, Emmah McCann, Andrew Trevethan, Megan |
| description | Purpose
A diagnosis of secondary lymphedema following cancer treatment can necessitate lifelong therapy. Indocyanine green (ICG) lymphography is a technique for visualising lymphatics to enable individualised lymphedema diagnosis, staging and therapy prescription. The participant experience of undergoing the procedure and the impact of imaging findings on lymphedema management is unknown. This study aimed to explore participant’s experiences of ICG lymphography to inform cancer-related lymphedema therapy.
Methods
A qualitative phenomenological study was conducted using semi-structured interviews with 17 adult participants who had undergone ICG lymphography for stage 0 to 2 upper or lower limb secondary cancer-related lymphedema (International Society of Lymphology, Lymphology 53(1):3–10,
2020
).
Results
Seventeen participants were included in the study ranging in age from 36 to 78 years (M = 53.8 years), the majority had a primary diagnosis of breast cancer (N = 7) or melanoma (N = 7). Three overarching themes emerged. Firstly, describing the
experience of the ICG lymphography procedure
. Secondly, the
new knowledge explained symptoms and tailored treatment.
Participants reflected on how seeing their lymphatic system helped in understanding about their lymphedema symptoms and guided changes towards more individualised lymphedema management. The final theme described the
internal impact of self-knowledge,
which included impacts of the new information on empowerment and motivation to self-manage participant’s condition as well as their feelings.
Conclusions
ICG lymphography had beneficial impacts on participant’s understanding of their lymphedema symptoms and often led to changes in management, positive outcomes in response to management changes and peace of mind about management plans, leading to feeling more empowered to self-manage their condition. |
| doi_str_mv | 10.1007/s00520-021-06229-2 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2516844455</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A676809454</galeid><sourcerecordid>A676809454</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-e63114e0339f5490b98357a2163fde6c7563e9f1b724e2e6f3bcd2a6bf770c423</originalsourceid><addsrcrecordid>eNp9kstu1TAQhiMEoofCC7BAltiwSfHdCbuq4lKpEhtYR44zyfFRYqd2ctrseA3ehyfhSXBIoQIhZFmWPN-Mf8_8Wfac4DOCsXodMRYU55iSHEtKy5w-yHaEM5YrxsqH2Q6XnOScCXGSPYnxgDFRStDH2QljRSFKyXbZt8sJ3eiIDnOc0GBdg-re31jXocmjGtDeO4jTG6TR9ax7O-nJHgGNe3B-SLv3nTW6R3GamwXB7dj7sCYb7QwEFOdwtEcfvn_5GtcoBAspEJFvUXrLm0U76wB1AcChfhnGve-CHvcLmiM0qwbrWh-GLQYNDBpNe0jIggbtdAdJxfQ0e9TqPsKzu_M0-_zu7aeLD_nVx_eXF-dXueGcTjlIRggHnJrTCl7iuiyYUJoSydoGpFFCMihbUivKgYJsWW0aqmXdKoUNp-w0e7XVHYO_nlNfqsFGA32vHfg5VlQQWXDOhUjoy7_Qg5-DS-oSpWQaCivoPdXpHqr1q1PQZi1anUslizRAwRN19g8qrdQOa9KAWpvu_0igW4IJPsYAbTUGO-iwVARXq3WqzTpVsk710zrVquXFneK5HqD5nfLLKwlgGxDHdcYQ7r_0n7I_ABKV00Y</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2576435382</pqid></control><display><type>article</type><title>It was just mind blowing to be honest: a qualitative phenomenological study exploring cancer survivor’s experiences of indocyanine green lymphography used to inform lymphedema therapy management</title><source>Springer Nature - Complete Springer Journals</source><creator>Pigott, Amanda ; Doig, Emmah ; McCann, Andrew ; Trevethan, Megan</creator><creatorcontrib>Pigott, Amanda ; Doig, Emmah ; McCann, Andrew ; Trevethan, Megan</creatorcontrib><description>Purpose
A diagnosis of secondary lymphedema following cancer treatment can necessitate lifelong therapy. Indocyanine green (ICG) lymphography is a technique for visualising lymphatics to enable individualised lymphedema diagnosis, staging and therapy prescription. The participant experience of undergoing the procedure and the impact of imaging findings on lymphedema management is unknown. This study aimed to explore participant’s experiences of ICG lymphography to inform cancer-related lymphedema therapy.
Methods
A qualitative phenomenological study was conducted using semi-structured interviews with 17 adult participants who had undergone ICG lymphography for stage 0 to 2 upper or lower limb secondary cancer-related lymphedema (International Society of Lymphology, Lymphology 53(1):3–10,
2020
).
Results
Seventeen participants were included in the study ranging in age from 36 to 78 years (M = 53.8 years), the majority had a primary diagnosis of breast cancer (N = 7) or melanoma (N = 7). Three overarching themes emerged. Firstly, describing the
experience of the ICG lymphography procedure
. Secondly, the
new knowledge explained symptoms and tailored treatment.
Participants reflected on how seeing their lymphatic system helped in understanding about their lymphedema symptoms and guided changes towards more individualised lymphedema management. The final theme described the
internal impact of self-knowledge,
which included impacts of the new information on empowerment and motivation to self-manage participant’s condition as well as their feelings.
Conclusions
ICG lymphography had beneficial impacts on participant’s understanding of their lymphedema symptoms and often led to changes in management, positive outcomes in response to management changes and peace of mind about management plans, leading to feeling more empowered to self-manage their condition.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-021-06229-2</identifier><identifier>PMID: 33885963</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Breast cancer ; Cancer ; Care and treatment ; Diagnosis, Radioscopic ; Health psychology ; Lymphedema ; Medical diagnosis ; Medical imaging ; Medicine ; Medicine & Public Health ; Nursing ; Nursing Research ; Oncology ; Oncology, Experimental ; Original Article ; Pain Medicine ; Patient satisfaction ; Qualitative research ; Rehabilitation Medicine</subject><ispartof>Supportive care in cancer, 2021-11, Vol.29 (11), p.6389-6397</ispartof><rights>Crown 2021</rights><rights>COPYRIGHT 2021 Springer</rights><rights>Crown 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-e63114e0339f5490b98357a2163fde6c7563e9f1b724e2e6f3bcd2a6bf770c423</citedby><cites>FETCH-LOGICAL-c442t-e63114e0339f5490b98357a2163fde6c7563e9f1b724e2e6f3bcd2a6bf770c423</cites><orcidid>0000-0002-7020-053X ; 0000-0002-7293-2275 ; 0000-0002-6254-0788</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00520-021-06229-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00520-021-06229-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33885963$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pigott, Amanda</creatorcontrib><creatorcontrib>Doig, Emmah</creatorcontrib><creatorcontrib>McCann, Andrew</creatorcontrib><creatorcontrib>Trevethan, Megan</creatorcontrib><title>It was just mind blowing to be honest: a qualitative phenomenological study exploring cancer survivor’s experiences of indocyanine green lymphography used to inform lymphedema therapy management</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose
A diagnosis of secondary lymphedema following cancer treatment can necessitate lifelong therapy. Indocyanine green (ICG) lymphography is a technique for visualising lymphatics to enable individualised lymphedema diagnosis, staging and therapy prescription. The participant experience of undergoing the procedure and the impact of imaging findings on lymphedema management is unknown. This study aimed to explore participant’s experiences of ICG lymphography to inform cancer-related lymphedema therapy.
Methods
A qualitative phenomenological study was conducted using semi-structured interviews with 17 adult participants who had undergone ICG lymphography for stage 0 to 2 upper or lower limb secondary cancer-related lymphedema (International Society of Lymphology, Lymphology 53(1):3–10,
2020
).
Results
Seventeen participants were included in the study ranging in age from 36 to 78 years (M = 53.8 years), the majority had a primary diagnosis of breast cancer (N = 7) or melanoma (N = 7). Three overarching themes emerged. Firstly, describing the
experience of the ICG lymphography procedure
. Secondly, the
new knowledge explained symptoms and tailored treatment.
Participants reflected on how seeing their lymphatic system helped in understanding about their lymphedema symptoms and guided changes towards more individualised lymphedema management. The final theme described the
internal impact of self-knowledge,
which included impacts of the new information on empowerment and motivation to self-manage participant’s condition as well as their feelings.
Conclusions
ICG lymphography had beneficial impacts on participant’s understanding of their lymphedema symptoms and often led to changes in management, positive outcomes in response to management changes and peace of mind about management plans, leading to feeling more empowered to self-manage their condition.</description><subject>Breast cancer</subject><subject>Cancer</subject><subject>Care and treatment</subject><subject>Diagnosis, Radioscopic</subject><subject>Health psychology</subject><subject>Lymphedema</subject><subject>Medical diagnosis</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Oncology, Experimental</subject><subject>Original Article</subject><subject>Pain Medicine</subject><subject>Patient satisfaction</subject><subject>Qualitative research</subject><subject>Rehabilitation Medicine</subject><issn>0941-4355</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kstu1TAQhiMEoofCC7BAltiwSfHdCbuq4lKpEhtYR44zyfFRYqd2ctrseA3ehyfhSXBIoQIhZFmWPN-Mf8_8Wfac4DOCsXodMRYU55iSHEtKy5w-yHaEM5YrxsqH2Q6XnOScCXGSPYnxgDFRStDH2QljRSFKyXbZt8sJ3eiIDnOc0GBdg-re31jXocmjGtDeO4jTG6TR9ax7O-nJHgGNe3B-SLv3nTW6R3GamwXB7dj7sCYb7QwEFOdwtEcfvn_5GtcoBAspEJFvUXrLm0U76wB1AcChfhnGve-CHvcLmiM0qwbrWh-GLQYNDBpNe0jIggbtdAdJxfQ0e9TqPsKzu_M0-_zu7aeLD_nVx_eXF-dXueGcTjlIRggHnJrTCl7iuiyYUJoSydoGpFFCMihbUivKgYJsWW0aqmXdKoUNp-w0e7XVHYO_nlNfqsFGA32vHfg5VlQQWXDOhUjoy7_Qg5-DS-oSpWQaCivoPdXpHqr1q1PQZi1anUslizRAwRN19g8qrdQOa9KAWpvu_0igW4IJPsYAbTUGO-iwVARXq3WqzTpVsk710zrVquXFneK5HqD5nfLLKwlgGxDHdcYQ7r_0n7I_ABKV00Y</recordid><startdate>20211101</startdate><enddate>20211101</enddate><creator>Pigott, Amanda</creator><creator>Doig, Emmah</creator><creator>McCann, Andrew</creator><creator>Trevethan, Megan</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7020-053X</orcidid><orcidid>https://orcid.org/0000-0002-7293-2275</orcidid><orcidid>https://orcid.org/0000-0002-6254-0788</orcidid></search><sort><creationdate>20211101</creationdate><title>It was just mind blowing to be honest: a qualitative phenomenological study exploring cancer survivor’s experiences of indocyanine green lymphography used to inform lymphedema therapy management</title><author>Pigott, Amanda ; Doig, Emmah ; McCann, Andrew ; Trevethan, Megan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-e63114e0339f5490b98357a2163fde6c7563e9f1b724e2e6f3bcd2a6bf770c423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Breast cancer</topic><topic>Cancer</topic><topic>Care and treatment</topic><topic>Diagnosis, Radioscopic</topic><topic>Health psychology</topic><topic>Lymphedema</topic><topic>Medical diagnosis</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nursing</topic><topic>Nursing Research</topic><topic>Oncology</topic><topic>Oncology, Experimental</topic><topic>Original Article</topic><topic>Pain Medicine</topic><topic>Patient satisfaction</topic><topic>Qualitative research</topic><topic>Rehabilitation Medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pigott, Amanda</creatorcontrib><creatorcontrib>Doig, Emmah</creatorcontrib><creatorcontrib>McCann, Andrew</creatorcontrib><creatorcontrib>Trevethan, Megan</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pigott, Amanda</au><au>Doig, Emmah</au><au>McCann, Andrew</au><au>Trevethan, Megan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>It was just mind blowing to be honest: a qualitative phenomenological study exploring cancer survivor’s experiences of indocyanine green lymphography used to inform lymphedema therapy management</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2021-11-01</date><risdate>2021</risdate><volume>29</volume><issue>11</issue><spage>6389</spage><epage>6397</epage><pages>6389-6397</pages><issn>0941-4355</issn><eissn>1433-7339</eissn><abstract>Purpose
A diagnosis of secondary lymphedema following cancer treatment can necessitate lifelong therapy. Indocyanine green (ICG) lymphography is a technique for visualising lymphatics to enable individualised lymphedema diagnosis, staging and therapy prescription. The participant experience of undergoing the procedure and the impact of imaging findings on lymphedema management is unknown. This study aimed to explore participant’s experiences of ICG lymphography to inform cancer-related lymphedema therapy.
Methods
A qualitative phenomenological study was conducted using semi-structured interviews with 17 adult participants who had undergone ICG lymphography for stage 0 to 2 upper or lower limb secondary cancer-related lymphedema (International Society of Lymphology, Lymphology 53(1):3–10,
2020
).
Results
Seventeen participants were included in the study ranging in age from 36 to 78 years (M = 53.8 years), the majority had a primary diagnosis of breast cancer (N = 7) or melanoma (N = 7). Three overarching themes emerged. Firstly, describing the
experience of the ICG lymphography procedure
. Secondly, the
new knowledge explained symptoms and tailored treatment.
Participants reflected on how seeing their lymphatic system helped in understanding about their lymphedema symptoms and guided changes towards more individualised lymphedema management. The final theme described the
internal impact of self-knowledge,
which included impacts of the new information on empowerment and motivation to self-manage participant’s condition as well as their feelings.
Conclusions
ICG lymphography had beneficial impacts on participant’s understanding of their lymphedema symptoms and often led to changes in management, positive outcomes in response to management changes and peace of mind about management plans, leading to feeling more empowered to self-manage their condition.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33885963</pmid><doi>10.1007/s00520-021-06229-2</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-7020-053X</orcidid><orcidid>https://orcid.org/0000-0002-7293-2275</orcidid><orcidid>https://orcid.org/0000-0002-6254-0788</orcidid></addata></record> |
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| ispartof | Supportive care in cancer, 2021-11, Vol.29 (11), p.6389-6397 |
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| language | eng |
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| source | Springer Nature - Complete Springer Journals |
| subjects | Breast cancer Cancer Care and treatment Diagnosis, Radioscopic Health psychology Lymphedema Medical diagnosis Medical imaging Medicine Medicine & Public Health Nursing Nursing Research Oncology Oncology, Experimental Original Article Pain Medicine Patient satisfaction Qualitative research Rehabilitation Medicine |
| title | It was just mind blowing to be honest: a qualitative phenomenological study exploring cancer survivor’s experiences of indocyanine green lymphography used to inform lymphedema therapy management |
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