Showing papers by "Karin Johansson published in 2010"
TL;DR: Small LRV at time of diagnosis appears to be more important for minimizing the progression of LRV than time ofdiagnosis after operation, and that edema volume can be kept at a low level for at least 10 years.
Abstract: Introduction. Arm lymphoedema is a frequent complication after breast cancer treatment. Early diagnosis and treatment is considered important for successful management of breast cancer related arm lymphoedema (BCRL). The purpose was to identify BCRL incidence, time of onset, progression/regression and associated factors 10 years after breast cancer diagnosis. Material and methods. Two hundred and ninety two patients treated with axillary node dissection and radiotherapy were included in this retrospective study. A total of 111 diagnosed with BCRL (incidence 38.7%). Of these women 98 were followed for up to 10 years after BCRL diagnosis. Forty consecutive patients registered with no BCRL were included in the control group. BCRL was defi ned as an increase in arm volume difference � 5% and an increased thickness of subcutis. Follow-up was performed twice a year, including assessment of lymphoedema relative volume (LRV) by water displacement method and compression treatment. Additional intensive treatment was given if LRV increased by more than 5% since the previous visit or exceeded 20% in total. Results. Mean LRV was 8.1� 3.6% at diagnosis and 9.0� 6.7% at last follow-up measurement (mean 48.9� 39.2 months) with no signifi cant difference. There was no difference in progression of LRV between groups with early versus late diagnosis (within or after 12 months postoperatively), small (5–� 10%) versus large (� 10%) LRV at time of diagnosis, or regular (at least twice a year) versus non-regular treatment. More BCRL patients with large LRV at diagnosis (15.8%), exceeded LRV � 20% during follow-up time, than patients with small LRV at diagnosis (10.1%). Conclusion. BCRL can be identifi ed at an early stage both in regard to time of diagnosis after operation and to edema volume, and that edema volume can be kept at a low level for at least 10 years. Small LRV at time of diagnosis appears to be more important for minimizing the progression of LRV than time of diagnosis after operation.
92 citations
Journal Article•
TL;DR: The SLQOLI is adapted and valid, with moderate reliability, and it can be used in clinic to describe life quality for patients with lymphedema, where 67% of the patients experienced an effect on life quality within the physical dimension and 54-58% within the emotional, social, and practical dimensions.
Abstract: The Lymphedema Quality of Life Inventory (LQOLI) is an instrument developed for patients with different types of lymphedema. It contains physical, emotional, social, and practical dimensions and consists of 58 items, each with three sub items concerning life quality, daily life changes, and difficulties of changing and two items concerning life quality in general and in relation to lymphedema. The purpose of this study was to adapt the Australian LQOLI to Swedish conditions and to test it for clarity, face validity, content validity, construct validity, and reliability. Content and face validity was completed by experts (n=11) and patients with different types of lymphedema (n=16). For construct validation the SF-36 (n=63) was used. Test-retest reliability was evaluated with lymphedema patients (n=58) answering the questionnaire twice, within median 3 weeks. Three items were added in the Swedish version of LQOLI (SLQOLI). The kappa coefficients in test-retest for all items and sub items varied (range = 0.25-0.83). Construct validity showed moderate correlation with SF-36. The SLQOLI is adapted and valid, with moderate reliability, and it can be used in clinic to describe life quality for patients with lymphedema. In this study, 67% of the patients experienced an effect on life quality within the physical dimension and 54-58% within the emotional, social, and practical dimensions.
22 citations
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01 Jan 2010
TL;DR: The Choir in Focus Network as discussed by the authors was created by Dr. Ursula Geisler and Dr. Karin Johansson to bring together researchers from different traditions and disciplines as a creative meeting point.
Abstract: Choir singing, choral practice and singing in general are explored as research objects in a variety of disciplines. Together, they describe a complex and multifaceted field of interesting cultural-historical, pedagogical, sociological, and psychological and music related topics. The disciplines that work with choir related research differ in theoretical and methodological traditions and vary with regard to definitions of the term choir and what should constitute choir research. Although there are vast possibilities for cooperative and cross-disciplinary projects in this area, such studies seem to be lacking. In order to highlight choir, choir singing and choral work as fruitful research topics the network Choir in Focus was initiated by Dr. Ursula Geisler and Dr. Karin Johansson in 2009 at Korcentrum Syd in the south of Sweden (The Southern Choral Centre, www.korcentrumsyd.se). An international network would bring together researchers from different traditions and disciplines as a creative meeting point. The network would also provide a platform for discussing theoretical and methodological issues under the umbrella of common research interests related to choir. This publication is one of the results from the network’s first meeting in November 2009, which drew together 15 participants from universities and music academies in Sweden, Denmark, Norway, Germany, France and the UK. The contributions illustrate how choir singing and choral life may be approached from differing disciplinary origins that vary from historical studies to studies of contemporary performance practice. (Less)
1 citations