Knowledge and views of lymphoedema health professionals on lymphoedema risk reduction recommendations

BACKGROUND: Upper limb lymphoedema is a common complication after breast cancer treatment, and lymphoedema risk reduction recommendations (LRRR) are integral to survivorship care. However, little is known about lymphoedema health professionals' (LHPs) knowledge and practices regarding these recommendations. AIM: To examine LHPs' knowledge, views and practices on LRRR for breast cancer survivors. METHODS: A quantitative survey using a bespoke questionnaire was distributed via professional networks and social media. It assessed demographics, knowledge of 26 LRRR, attitudes and perceived barriers. Data were analysed using descriptive statistics, factor analysis, and thematic analysis of free-text responses. RESULTS: Among 136 UK-based respondents (mainly nurses and physiotherapists), 86% rated LRRR as very important and 88% rated their knowledge highly. Yet only 30% advised all three evidence-based recommendations (weight management, exercise, cellulitis risk reduction). Outdated advice and barriers, such as time constraints and lack of multidisciplinary support, were common. CONCLUSION: Education and standardisation are urgently needed to ensure accurate, evidence-based LRRR delivery.