Effectiveness of Decongestive Lymphatic Therapy in Patients with Lymphedema Resulting from Breast Cancer Treatment Regardless of Previous Lymphedema Treatment.
Identifieur interne : 000611 ( Main/Exploration ); précédent : 000610; suivant : 000612Effectiveness of Decongestive Lymphatic Therapy in Patients with Lymphedema Resulting from Breast Cancer Treatment Regardless of Previous Lymphedema Treatment.
Auteurs : Mehtap Bozkurt [États-Unis] ; Lynn J. Palmer [États-Unis] ; Ying Guo [États-Unis]Source :
- The breast journal [ 1524-4741 ] ; 2017.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- pathology : Arm.
- surgery : Breast Neoplasms.
- therapy : Breast Cancer Lymphedema.
- Compression Bandages, Exercise, Female, Humans, Middle Aged, Retrospective Studies, Treatment Outcome, Upper Extremity.
Abstract
Decongestive lymphatic therapy (DLT) has gained wide acceptance as an effective treatment for patients with lymphedema resulting from breast cancer treatment. It is unclear whether DLT is effective for patients with lymphedema who have received lymphedema treatment previously. Our purpose was to compare the effectiveness of DLT in patients who had received lymphedema treatment previously with those who had never received treatment. We retrospectively reviewed the medical records of 98 patients who received outpatient lymphedema therapy for upper extremity lymphedema following surgery. Seventy-two eligible patients with a breast cancer diagnosis and complete medical records were divided into two groups: group 1; previously treated (PT) patients (n = 38, 53%) had previously received lymphedema treatment, while group 2 (no PT, n = 34, 47%) had never received lymphedema treatment. The primary outcome was the percent change in volume in the lymphedematous arm, measured by perometer, after DLT treatment. The two groups did not differ significantly in age, comorbidities, body mass index, and median time from surgery to current treatment, surgical procedure, previous radiation treatment, or history of cellulitis/lymphangitis. DLT significantly reduced arm volume in both groups (group 1, p < 0.001; group 2, p = 0.003). The mean percent volume reduction did not differ significantly between the groups (p = 0.619). This study is the first to show that, DLT reduce limb volume significantly with post-mastectomy lymphedema, regardless of previous lymphedema therapy.
DOI: 10.1111/tbj.12710
PubMed: 27928868
Affiliations:
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Palmer</name><affiliation wicri:level="2"><nlm:affiliation>Corrona Research Foundation, Albany, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Corrona Research Foundation, Albany</wicri:cityArea></affiliation></author><author><name sortKey="Guo, Ying" sort="Guo, Ying" uniqKey="Guo Y" first="Ying" last="Guo">Ying Guo</name><affiliation wicri:level="2"><nlm:affiliation>Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, Houston</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:27928868</idno><idno type="pmid">27928868</idno><idno type="doi">10.1111/tbj.12710</idno><idno type="wicri:Area/PubMed/Corpus">000479</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000479</idno><idno type="wicri:Area/PubMed/Curation">000479</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000479</idno><idno type="wicri:Area/PubMed/Checkpoint">000479</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000479</idno><idno type="wicri:Area/Ncbi/Merge">008A85</idno><idno type="wicri:Area/Ncbi/Curation">008A85</idno><idno type="wicri:Area/Ncbi/Checkpoint">008A85</idno><idno type="wicri:Area/Main/Merge">000612</idno><idno type="wicri:Area/Main/Curation">000611</idno><idno type="wicri:Area/Main/Exploration">000611</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Effectiveness of Decongestive Lymphatic Therapy in Patients with Lymphedema Resulting from Breast Cancer Treatment Regardless of Previous Lymphedema Treatment.</title><author><name sortKey="Bozkurt, Mehtap" sort="Bozkurt, Mehtap" uniqKey="Bozkurt M" first="Mehtap" last="Bozkurt">Mehtap Bozkurt</name><affiliation wicri:level="2"><nlm:affiliation>Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Palmer, Lynn J" sort="Palmer, Lynn J" uniqKey="Palmer L" first="Lynn J" last="Palmer">Lynn J. Palmer</name><affiliation wicri:level="2"><nlm:affiliation>Corrona Research Foundation, Albany, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Corrona Research Foundation, Albany</wicri:cityArea></affiliation></author><author><name sortKey="Guo, Ying" sort="Guo, Ying" uniqKey="Guo Y" first="Ying" last="Guo">Ying Guo</name><affiliation wicri:level="2"><nlm:affiliation>Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, Houston</wicri:cityArea></affiliation></author></analytic><series><title level="j">The breast journal</title><idno type="eISSN">1524-4741</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arm (pathology)</term><term>Breast Cancer Lymphedema (therapy)</term><term>Breast Neoplasms (surgery)</term><term>Compression Bandages</term><term>Exercise</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Treatment Outcome</term><term>Upper Extremity</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Bandages de compression</term><term>Bras (anatomopathologie)</term><term>Exercice physique</term><term>Femelle</term><term>Humains</term><term>Lymphoedème après cancer du sein ()</term><term>Membre supérieur</term><term>Résultat thérapeutique</term><term>Tumeurs du sein ()</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Bras</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Arm</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Breast Cancer Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Compression Bandages</term><term>Exercise</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Treatment Outcome</term><term>Upper Extremity</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Bandages de compression</term><term>Exercice physique</term><term>Femelle</term><term>Humains</term><term>Lymphoedème après cancer du sein</term><term>Membre supérieur</term><term>Résultat thérapeutique</term><term>Tumeurs du sein</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Decongestive lymphatic therapy (DLT) has gained wide acceptance as an effective treatment for patients with lymphedema resulting from breast cancer treatment. It is unclear whether DLT is effective for patients with lymphedema who have received lymphedema treatment previously. Our purpose was to compare the effectiveness of DLT in patients who had received lymphedema treatment previously with those who had never received treatment. We retrospectively reviewed the medical records of 98 patients who received outpatient lymphedema therapy for upper extremity lymphedema following surgery. Seventy-two eligible patients with a breast cancer diagnosis and complete medical records were divided into two groups: group 1; previously treated (PT) patients (n = 38, 53%) had previously received lymphedema treatment, while group 2 (no PT, n = 34, 47%) had never received lymphedema treatment. The primary outcome was the percent change in volume in the lymphedematous arm, measured by perometer, after DLT treatment. The two groups did not differ significantly in age, comorbidities, body mass index, and median time from surgery to current treatment, surgical procedure, previous radiation treatment, or history of cellulitis/lymphangitis. DLT significantly reduced arm volume in both groups (group 1, p < 0.001; group 2, p = 0.003). The mean percent volume reduction did not differ significantly between the groups (p = 0.619). This study is the first to show that, DLT reduce limb volume significantly with post-mastectomy lymphedema, regardless of previous lymphedema therapy.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Texas</li><li>État de New York</li></region></list><tree><country name="États-Unis"><region name="Texas"><name sortKey="Bozkurt, Mehtap" sort="Bozkurt, Mehtap" uniqKey="Bozkurt M" first="Mehtap" last="Bozkurt">Mehtap Bozkurt</name></region><name sortKey="Guo, Ying" sort="Guo, Ying" uniqKey="Guo Y" first="Ying" last="Guo">Ying Guo</name><name sortKey="Palmer, Lynn J" sort="Palmer, Lynn J" uniqKey="Palmer L" first="Lynn J" last="Palmer">Lynn J. Palmer</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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