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Research ArticleOpen Access

Lymphatic Clinical Severity Score (LCSS): Proposal of a New Clinical Method for the Appraisal of the Peripheral Lymphatic Diseases

Volume 8 - Issue 4

Sandro Michelini1, Marco Cardone1, Alessandro Fiorentino1, Alessandro Failla1, Giovanni Moneta1, Serena Michelini2 and Guido Valle*3

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    • 1Hospital San Giovanni Battista-ACISMOM, Rome, Italy
    • 2Specialty School in “Medicina Fisica e Riabilitativa” Hospital Sant’Andrea, University of Rome “La Sapienza”, Italy
    • 3Nuclear Medicine Unit, IRCCS “Casa Sollievo della Sofferenza”, San Giovanni Rotondo, Italy

    *Corresponding author: Guido Valle MD, Hospital San Giovanni Battista-ACISMOM, Rome, Italy

Received: August 20 2018;   Published: August 30, 2018

DOI: 10.26717/BJSTR.2018.08.001670

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Abstract

An accurate clinical appraisal of lymphoedema patients is often a challenge because the lymphoedema disability scales commonly used in rehabilitation are not completely suitable to a proper classification of such subjects. Therefore, the choice of how charging the single lymphomatous patient to health public and private insurance systems worldwide is difficult. In order to address this issue, the authors defined and propose an evaluation system, called Lymphatic Clinical Severity Score (LCSS) that, analogously to the Venous Clinical Severity Score used in the assessment of venous chronic diseases, is aimed to assign the patient to a determinate clinical level. The LCSS score therefore results a useful parameter in evaluating whether to take in charge a patient is appropriate and how to do it. The LCSS has been successfully tested on 185 subjects with primary and secondary lymphoedema. The LCSS score determination can be repeated at the end of treatments and can be recalculated in the follow-up allowing a numerical temporal evaluation of the sickness.

Keywords: Lymphoedema; Clinical Assessment; Lymphatic Clinical Severity Score

Abstract | Introduction | Materials and Methods | Results | Discussion and Conclusion | Aknowledgement | References |