Lymphatico-venous anastomosis as treatment for breast cancer-related lymphedema: a prospective study on quality of life
Identifieur interne : 000421 ( Main/Exploration ); précédent : 000420; suivant : 000422Lymphatico-venous anastomosis as treatment for breast cancer-related lymphedema: a prospective study on quality of life
Auteurs : Anouk J. M. Cornelissen [Pays-Bas] ; Melissa Kool [Pays-Bas] ; Tiara R. Lopez Penha [Pays-Bas] ; Xavier H. A. Keuter [Pays-Bas] ; Andrzej A. Piatkowski [Pays-Bas] ; E. Heuts [Pays-Bas] ; René R. W. J. Van Der Hulst [Pays-Bas] ; Shan Shan Qiu [Pays-Bas]Source :
- Breast Cancer Research and Treatment [ 0167-6806 ] ; 2017.
Abstract
Lymphedema is a chronic and disabling sequel of breast cancer treatment that can be treated by lymphatico-venous anastomosis (LVA). Artificial connections between the venous and lymphatic system are performed supermicrosurgically. This prospective study analyses the effect of LVA on quality of life.
A prospective study was performed between November 2015 and July 2016 on consecutive patients in the Maastricht University Medical Centre. Quality of life was considered as the primary outcome, and the Lymphedema International Classification of Functioning (Lymph-ICF) questionnaire was used. Discontinuation of compressive stockings and arm volume, using the Upper Extremity Lymphedema index (UEL-index), were the secondary outcomes.
Twenty women with early-stage breast cancer-related lymphedema (BCRL) were included. The mean age was 55.9 ± 4 years and the median BMI was 25.1 [21–30] kg/m2. The mean follow-up was 7.8 ± 1.5 months. Statistically significant improvement in quality of life was achieved in the total score and for all the quality of life domains after one year of follow-up (
LVA for early-stage BCRL resulted in a significant improvement in quality of life and a high rate in stocking discontinuation.
Url:
DOI: 10.1007/s10549-017-4180-1
PubMed: 28265793
PubMed Central: 5410204
Affiliations:
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M." last="Cornelissen">Anouk J. M. Cornelissen</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.412966.e</institution-id><institution>Department of Plastic and Reconstructive Surgery,</institution><institution>Maastricht University Medical Center,</institution></institution-wrap>P. Debyelaan 25, 6229 HX Maastricht, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>P. Debyelaan 25, 6229 HX Maastricht</wicri:regionArea><wicri:noRegion>6229 HX Maastricht</wicri:noRegion></affiliation></author><author><name sortKey="Kool, Melissa" sort="Kool, Melissa" uniqKey="Kool M" first="Melissa" last="Kool">Melissa Kool</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.412966.e</institution-id><institution>Department of Surgery,</institution><institution>Maastricht University Medical Center,</institution></institution-wrap>P. Debyelaan 25, 6229 HX Maastricht, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>P. Debyelaan 25, 6229 HX Maastricht</wicri:regionArea><wicri:noRegion>6229 HX Maastricht</wicri:noRegion></affiliation></author><author><name sortKey="Lopez Penha, Tiara R" sort="Lopez Penha, Tiara R" uniqKey="Lopez Penha T" first="Tiara R." last="Lopez Penha">Tiara R. Lopez Penha</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.412966.e</institution-id><institution>Department of Plastic and Reconstructive Surgery,</institution><institution>Maastricht University Medical Center,</institution></institution-wrap>P. Debyelaan 25, 6229 HX Maastricht, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>P. Debyelaan 25, 6229 HX Maastricht</wicri:regionArea><wicri:noRegion>6229 HX Maastricht</wicri:noRegion></affiliation></author><author><name sortKey="Keuter, Xavier H A" sort="Keuter, Xavier H A" uniqKey="Keuter X" first="Xavier H. A." last="Keuter">Xavier H. A. Keuter</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.412966.e</institution-id><institution>Department of Plastic and Reconstructive Surgery,</institution><institution>Maastricht University Medical Center,</institution></institution-wrap>P. Debyelaan 25, 6229 HX Maastricht, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>P. Debyelaan 25, 6229 HX Maastricht</wicri:regionArea><wicri:noRegion>6229 HX Maastricht</wicri:noRegion></affiliation></author><author><name sortKey="Piatkowski, Andrzej A" sort="Piatkowski, Andrzej A" uniqKey="Piatkowski A" first="Andrzej A." last="Piatkowski">Andrzej A. Piatkowski</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.412966.e</institution-id><institution>Department of Plastic and Reconstructive Surgery,</institution><institution>Maastricht University Medical Center,</institution></institution-wrap>P. Debyelaan 25, 6229 HX Maastricht, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>P. Debyelaan 25, 6229 HX Maastricht</wicri:regionArea><wicri:noRegion>6229 HX Maastricht</wicri:noRegion></affiliation></author><author><name sortKey="Heuts, E" sort="Heuts, E" uniqKey="Heuts E" first="E." last="Heuts">E. Heuts</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.412966.e</institution-id><institution>Department of Surgery,</institution><institution>Maastricht University Medical Center,</institution></institution-wrap>P. Debyelaan 25, 6229 HX Maastricht, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>P. Debyelaan 25, 6229 HX Maastricht</wicri:regionArea><wicri:noRegion>6229 HX Maastricht</wicri:noRegion></affiliation></author><author><name sortKey="Van Der Hulst, Rene R W J" sort="Van Der Hulst, Rene R W J" uniqKey="Van Der Hulst R" first="René R. W. J." last="Van Der Hulst">René R. W. J. Van Der Hulst</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.412966.e</institution-id><institution>Department of Plastic and Reconstructive Surgery,</institution><institution>Maastricht University Medical Center,</institution></institution-wrap>P. Debyelaan 25, 6229 HX Maastricht, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>P. Debyelaan 25, 6229 HX Maastricht</wicri:regionArea><wicri:noRegion>6229 HX Maastricht</wicri:noRegion></affiliation></author><author><name sortKey="Qiu, Shan Shan" sort="Qiu, Shan Shan" uniqKey="Qiu S" first="Shan Shan" last="Qiu">Shan Shan Qiu</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.412966.e</institution-id><institution>Department of Plastic and Reconstructive Surgery,</institution><institution>Maastricht University Medical Center,</institution></institution-wrap>P. Debyelaan 25, 6229 HX Maastricht, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>P. Debyelaan 25, 6229 HX Maastricht</wicri:regionArea><wicri:noRegion>6229 HX Maastricht</wicri:noRegion></affiliation></author></analytic><series><title level="j">Breast Cancer Research and Treatment</title><idno type="ISSN">0167-6806</idno><idno type="eISSN">1573-7217</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>Lymphedema is a chronic and disabling sequel of breast cancer treatment that can be treated by lymphatico-venous anastomosis (LVA). Artificial connections between the venous and lymphatic system are performed supermicrosurgically. This prospective study analyses the effect of LVA on quality of life.</p></sec><sec><title>Methods</title><p>A prospective study was performed between November 2015 and July 2016 on consecutive patients in the Maastricht University Medical Centre. Quality of life was considered as the primary outcome, and the Lymphedema International Classification of Functioning (Lymph-ICF) questionnaire was used. Discontinuation of compressive stockings and arm volume, using the Upper Extremity Lymphedema index (UEL-index), were the secondary outcomes.</p></sec><sec><title>Results</title><p>Twenty women with early-stage breast cancer-related lymphedema (BCRL) were included. The mean age was 55.9 ± 4 years and the median BMI was 25.1 [21–30] kg/m<sup>2</sup>. The mean follow-up was 7.8 ± 1.5 months. Statistically significant improvement in quality of life was achieved in the total score and for all the quality of life domains after one year of follow-up (<italic>p</italic> < 0.05). The discontinuation rate in compressive stockings use was 85%. The difference in mean relative volume did not show a statistically significant decrease.</p></sec><sec><title>Conclusions</title><p>LVA for early-stage BCRL resulted in a significant improvement in quality of life and a high rate in stocking discontinuation.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Di Sipio, T" uniqKey="Di Sipio T">T Di Sipio</name></author><author><name sortKey="Rye, S" uniqKey="Rye S">S Rye</name></author><author><name sortKey="Newman, B" uniqKey="Newman B">B Newman</name></author><author><name sortKey="Hayes, S" uniqKey="Hayes S">S Hayes</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wilke, Lg" uniqKey="Wilke L">LG Wilke</name></author><author><name sortKey="Mccall, Lm" uniqKey="Mccall L">LM McCall</name></author><author><name sortKey="Posther, Ke" uniqKey="Posther K">KE Posther</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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Demirtas</name></author><author><name sortKey="Ozturk, N" uniqKey="Ozturk N">N Ozturk</name></author><author><name sortKey="Yapici, O" uniqKey="Yapici O">O Yapici</name></author><author><name sortKey="Topalan, M" uniqKey="Topalan M">M Topalan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Huang, Gk" uniqKey="Huang G">GK Huang</name></author><author><name sortKey="Hu, Rq" uniqKey="Hu R">RQ Hu</name></author><author><name sortKey="Liu, Zz" uniqKey="Liu Z">ZZ Liu</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Pays-Bas</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Cornelissen, Anouk J M" sort="Cornelissen, Anouk J M" uniqKey="Cornelissen A" first="Anouk J. M." last="Cornelissen">Anouk J. M. Cornelissen</name></noRegion><name sortKey="Heuts, E" sort="Heuts, E" uniqKey="Heuts E" first="E." last="Heuts">E. Heuts</name><name sortKey="Keuter, Xavier H A" sort="Keuter, Xavier H A" uniqKey="Keuter X" first="Xavier H. A." last="Keuter">Xavier H. A. Keuter</name><name sortKey="Kool, Melissa" sort="Kool, Melissa" uniqKey="Kool M" first="Melissa" last="Kool">Melissa Kool</name><name sortKey="Lopez Penha, Tiara R" sort="Lopez Penha, Tiara R" uniqKey="Lopez Penha T" first="Tiara R." last="Lopez Penha">Tiara R. Lopez Penha</name><name sortKey="Piatkowski, Andrzej A" sort="Piatkowski, Andrzej A" uniqKey="Piatkowski A" first="Andrzej A." last="Piatkowski">Andrzej A. Piatkowski</name><name sortKey="Qiu, Shan Shan" sort="Qiu, Shan Shan" uniqKey="Qiu S" first="Shan Shan" last="Qiu">Shan Shan Qiu</name><name sortKey="Van Der Hulst, Rene R W J" sort="Van Der Hulst, Rene R W J" uniqKey="Van Der Hulst R" first="René R. W. J." last="Van Der Hulst">René R. W. 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