{"id":"https://openalex.org/W7225118372","doi":"https://doi.org/10.26890/xnuf8077","title":"Impact of Lymphedema Treatment Act Implementation on Lymphedema Therapists\u2019 Compression Garment Practices","display_name":"Impact of Lymphedema Treatment Act Implementation on Lymphedema Therapists\u2019 Compression Garment Practices","publication_year":2026,"publication_date":"2026-11-02","ids":{"openalex":"https://openalex.org/W7225118372","doi":"https://doi.org/10.26890/xnuf8077"},"language":"en","primary_location":{"id":"doi:10.26890/xnuf8077","doi":"https://doi.org/10.26890/xnuf8077","is_oa":false,"landing_page_url":"https://doi.org/10.26890/xnuf8077","pdf_url":null,"source":{"id":"https://openalex.org/S5407048681","display_name":"Oncology Rehabilitation in Practice","issn_l":"3065-7288","issn":["3065-7288"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Oncology Rehabilitation in Practice","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5116610381","display_name":"Sarah Stolker","orcid":"https://orcid.org/0009-0003-2502-229X","observed_orcids":["https://orcid.org/0009-0003-2502-229X"]},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sarah Stolker","raw_affiliation_strings":["Washington University in St. Louis"],"raw_orcid":"https://orcid.org/0009-0003-2502-229X","affiliations":[{"raw_affiliation_string":"Washington University in St. Louis","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027303809","display_name":"Karla T. Washington","orcid":"https://orcid.org/0000-0002-1100-9524","observed_orcids":["https://orcid.org/0000-0002-1100-9524"]},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Karla Washington","raw_affiliation_strings":["Washington University in St. Louis"],"raw_orcid":"https://orcid.org/0000-0002-1100-9524","affiliations":[{"raw_affiliation_string":"Washington University in St. Louis","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160347063","display_name":"Kimberly Karr","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kimberly Karr","raw_affiliation_strings":["Washington University in St. Louis"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Washington University in St. Louis","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160345906","display_name":"Andrew Amari","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Andrew Amari","raw_affiliation_strings":["Washington University in St. Louis"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Washington University in St. Louis","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5019581404","display_name":"Kyle Pitzer","orcid":"https://orcid.org/0000-0002-1624-1138","observed_orcids":["https://orcid.org/0000-0002-1624-1138"]},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kyle Pitzer","raw_affiliation_strings":["Washington University in St. Louis"],"raw_orcid":"https://orcid.org/0000-0002-1624-1138","affiliations":[{"raw_affiliation_string":"Washington University in St. Louis","institution_ids":["https://openalex.org/I204465549"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I204465549"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.8304447,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"3","issue":"3","first_page":"7","last_page":"24"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11469","display_name":"Lymphatic System and Diseases","score":0.8687000274658203,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11469","display_name":"Lymphatic System and Diseases","score":0.8687000274658203,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13986","display_name":"Medical Practices and Rehabilitation","score":0.04309999942779541,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.011699999682605267,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/lymphedema","display_name":"lymphedema","score":0.8870000243186951},{"id":"https://openalex.org/keywords/compression-garments","display_name":"compression garments","score":0.9660000205039978},{"id":"https://openalex.org/keywords/medicare-coverage","display_name":"Medicare coverage","score":0.6259999871253967},{"id":"https://openalex.org/keywords/clinical-workflow","display_name":"clinical workflow","score":0.7229999899864197},{"id":"https://openalex.org/keywords/therapist-workload","display_name":"therapist workload","score":0.574999988079071},{"id":"https://openalex.org/keywords/occupational-stress","display_name":"occupational stress","score":0.5720000267028809},{"id":"https://openalex.org/keywords/limb-volume-measurement","display_name":"limb volume measurement","score":0.5619999766349792},{"id":"https://openalex.org/keywords/occupational-therapy","display_name":"occupational therapy","score":0.48500001430511475},{"id":"https://openalex.org/keywords/physical-therapy","display_name":"physiotherapy","score":0.972000002861023}],"concepts":[{"id":"https://openalex.org/C2781392513","wikidata":"https://www.wikidata.org/wiki/Q916398","display_name":"Lymphedema","level":4,"score":0.9377999901771545},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8119000196456909},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.4936999976634979},{"id":"https://openalex.org/C2779703844","wikidata":"https://www.wikidata.org/wiki/Q760125","display_name":"Reimbursement","level":3,"score":0.4481000006198883},{"id":"https://openalex.org/C2777351106","wikidata":"https://www.wikidata.org/wiki/Q49371","display_name":"Legislation","level":2,"score":0.4065000116825104},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.3953999876976013},{"id":"https://openalex.org/C2778139618","wikidata":"https://www.wikidata.org/wiki/Q13440398","display_name":"Workforce","level":2,"score":0.3939000070095062},{"id":"https://openalex.org/C2993750592","wikidata":"https://www.wikidata.org/wiki/Q5157053","display_name":"Compression therapy","level":2,"score":0.3889000117778778},{"id":"https://openalex.org/C2778476105","wikidata":"https://www.wikidata.org/wiki/Q628539","display_name":"Workload","level":2,"score":0.3781999945640564},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.33660000562667847},{"id":"https://openalex.org/C2780530410","wikidata":"https://www.wikidata.org/wiki/Q18349222","display_name":"Credentialing","level":2,"score":0.31279999017715454},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.2994999885559082},{"id":"https://openalex.org/C530175646","wikidata":"https://www.wikidata.org/wiki/Q11460","display_name":"Clothing","level":2,"score":0.2989000082015991},{"id":"https://openalex.org/C184356942","wikidata":"https://www.wikidata.org/wiki/Q830382","display_name":"Best practice","level":2,"score":0.29440000653266907},{"id":"https://openalex.org/C2779513377","wikidata":"https://www.wikidata.org/wiki/Q964984","display_name":"Current Procedural Terminology","level":2,"score":0.28220000863075256},{"id":"https://openalex.org/C2778890739","wikidata":"https://www.wikidata.org/wiki/Q745049","display_name":"Compression stockings","level":3,"score":0.26600000262260437},{"id":"https://openalex.org/C65414064","wikidata":"https://www.wikidata.org/wiki/Q484105","display_name":"Autonomy","level":2,"score":0.2632000148296356},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.258899986743927},{"id":"https://openalex.org/C199521495","wikidata":"https://www.wikidata.org/wiki/Q181487","display_name":"Audit","level":2,"score":0.2587999999523163},{"id":"https://openalex.org/C2779396721","wikidata":"https://www.wikidata.org/wiki/Q1184466","display_name":"Workers' compensation","level":3,"score":0.2502000033855438}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.26890/xnuf8077","doi":"https://doi.org/10.26890/xnuf8077","is_oa":false,"landing_page_url":"https://doi.org/10.26890/xnuf8077","pdf_url":null,"source":{"id":"https://openalex.org/S5407048681","display_name":"Oncology Rehabilitation in Practice","issn_l":"3065-7288","issn":["3065-7288"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Oncology Rehabilitation in Practice","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9537000060081482},{"display_name":"Decent work and economic growth","id":"https://metadata.un.org/sdg/8","score":0.48510000109672546}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7223702462","https://openalex.org/W4366457336","https://openalex.org/W7154960887","https://openalex.org/W4405476401","https://openalex.org/W4406905294","https://openalex.org/W2290225843","https://openalex.org/W2327902802","https://openalex.org/W2007987082","https://openalex.org/W4409332679","https://openalex.org/W4214889971"],"abstract_inverted_index":{"Purpose:":[0],"Lymphedema":[1,19],"management":[2],"requires":[3],"routine":[4],"use":[5],"of":[6,75,82,131,178],"compression":[7,56,126,171],"garments":[8,158],"to":[9,37,154,160,198,207,215],"stabilize":[10],"limb":[11],"volume":[12],"and":[13,48,62,68,104,124,146,156,211],"diminish":[14],"infection":[15],"risk.":[16],"The":[17,88],"2024":[18],"Treatment":[20],"Act":[21],"(LTA)":[22],"established":[23],"Medicare":[24],"coverage":[25],"for":[26,40,142],"these":[27,187],"essential":[28],"medical":[29],"supplies.":[30],"However,":[31],"this":[32,143],"legislation":[33],"introduced":[34],"structural":[35],"challenges":[36],"clinical":[38,86],"workflows":[39,173],"lymphedema":[41,77,112,217],"therapists,":[42],"who":[43],"traditionally":[44],"perform":[45],"measuring,":[46],"ordering,":[47],"fitting.":[49],"This":[50,165],"study":[51,166,191],"evaluated":[52,79],"contemporary":[53],"practices":[54],"in":[55,115,170],"garment":[57,172,203],"fitting,":[58],"procurement,":[59],"compensation":[60],"patterns,":[61],"policy-driven":[63],"impacts":[64],"on":[65,85,94],"therapist":[66,209],"workload":[67],"stress.":[69,107],"Methods:":[70],"A":[71],"cross-sectional":[72],"exploratory":[73],"survey":[74,89],"US":[76],"therapists":[78,113],"the":[80,83,110,116,175],"impact":[81],"LTA":[84,100,179],"workflows.":[87],"assessed":[90],"weekly":[91],"time":[92],"spent":[93],"garment-related":[95],"tasks,":[96],"workflow":[97],"changes":[98,169,188],"since":[99],"implementation,":[101,180],"employer":[102],"compensation,":[103],"perceived":[105],"professional":[106],"Results:":[108],"Of":[109],"441":[111],"included":[114],"final":[117],"analytic":[118],"sample,":[119],"81.6%":[120],"reported":[121,135],"actively":[122,133],"measuring":[123,134],"ordering":[125],"garments,":[127],"yet":[128],"only":[129],"37.9%":[130],"those":[132],"being":[136],"fully":[137],"compensated":[138],"by":[139,182],"their":[140],"employers":[141],"time.":[144,185],"Physical":[145],"occupational":[147],"therapy":[148],"professionals":[149],"were":[150],"significantly":[151],"more":[152],"likely":[153],"measure":[155],"order":[157],"compared":[159],"other":[161],"disciplines":[162],"(p":[163],"Conclusions:":[164],"highlights":[167],"self-reported":[168],"during":[174],"first":[176],"year":[177],"characterized":[181],"substantial":[183],"uncompensated":[184],"While":[186],"warrant":[189],"further":[190],"regarding":[192],"long-term":[193],"workforce":[194],"impacts,":[195],"immediate":[196],"advocacy":[197],"unbundle":[199],"fitting":[200],"services":[201],"from":[202],"reimbursement":[204],"is":[205],"recommended":[206],"reduce":[208],"burden":[210],"safeguard":[212],"patient":[213],"access":[214],"necessary":[216],"garments.":[218]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-11-03T00:00:00"}