LymphedemaV1, Main, Exploration, bibRecord, 000A09

The impact of early detection and intervention of breast cancer‐related lymphedema: a systematic review

Identifieur interne : 000A09 ( Main/Exploration ); précédent : 000A08; suivant : 000A10

The impact of early detection and intervention of breast cancer‐related lymphedema: a systematic review

Auteurs : Chirag Shah ; Douglas W. Arthur ; David Wazer ; Atif Khan ; Sheila Ridner ; Frank Vicini

Source :

Cancer Medicine [ 2045-7634 ] ; 2016.

RBID : PMC:4924374

Descripteurs français

KwdFr :
- Essais contrôlés randomisés comme sujet, Humains, Lymphoedème après cancer du sein (), Lymphoedème après cancer du sein (diagnostic), Lymphoedème après cancer du sein (étiologie), Prise en charge de la maladie, Études prospectives, Études rétrospectives.
MESH :
- diagnostic : Lymphoedème après cancer du sein.
- étiologie : Lymphoedème après cancer du sein.
- Essais contrôlés randomisés comme sujet, Humains, Lymphoedème après cancer du sein, Prise en charge de la maladie, Études prospectives, Études rétrospectives.

English descriptors

KwdEn :
- Breast Cancer Lymphedema (diagnosis), Breast Cancer Lymphedema (etiology), Breast Cancer Lymphedema (prevention & control), Breast Cancer Lymphedema (therapy), Disease Management, Humans, Prospective Studies, Randomized Controlled Trials as Topic, Retrospective Studies.
MESH :
- diagnosis : Breast Cancer Lymphedema.
- etiology : Breast Cancer Lymphedema.
- prevention & control : Breast Cancer Lymphedema.
- therapy : Breast Cancer Lymphedema.
- Disease Management, Humans, Prospective Studies, Randomized Controlled Trials as Topic, Retrospective Studies.

Abstract

Breast cancer‐related lymphedema (BCRL) has become an increasingly important clinical issue as noted by the recent update of the 2015 NCCN breast cancer guidelines which recommends to “educate, monitor, and refer for lymphedema management.” The purpose of this review was to examine the literature regarding early detection and management of BCRL in order to (1) better characterize the benefit of proactive surveillance and intervention, (2) clarify the optimal monitoring techniques, and (3) help better define patient groups most likely to benefit from surveillance programs. A Medline search was conducted for the years 1992–2015 to identify articles addressing early detection and management of BCRL. After an initial search, 127 articles were identified, with 13 of these studies focused on early intervention (three randomized (level of evidence 1), four prospective (level of evidence 2–3), six retrospective trials (level of evidence 4)). Data from two, small (n = 185 cases), randomized trials with limited follow‐up demonstrated a benefit to early intervention (physiotherapy, manual lymphatic drainage) with regard to reducing the rate of chronic BCRL (>50% reduction) with two additional studies underway (n = 1280). These findings were confirmed by larger prospective and retrospective series. Several studies were identified that demonstrate that newer diagnostic modalities (bioimpedance spectroscopy, perometry) have increased sensitivity allowing for the earlier detection of BCRL. Current data support the development of surveillance programs geared toward the early detection and management of BCRL in part due to newer, more sensitive diagnostic modalities.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4924374

DOI: 10.1002/cam4.691
PubMed: 26993371
PubMed Central: 4924374

Affiliations:

Le document en format XML

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<term>Breast Cancer Lymphedema (therapy)</term>
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<term>Lymphoedème après cancer du sein (étiologie)</term>
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<front><div type="abstract" xml:lang="en"><title>Abstract</title>
<p>Breast cancer‐related lymphedema (<styled-content style="fixed-case">BCRL</styled-content>
) has become an increasingly important clinical issue as noted by the recent update of the 2015 <styled-content style="fixed-case">NCCN</styled-content>
 breast cancer guidelines which recommends to “educate, monitor, and refer for lymphedema management.” The purpose of this review was to examine the literature regarding early detection and management of <styled-content style="fixed-case">BCRL</styled-content>
 in order to (1) better characterize the benefit of proactive surveillance and intervention, (2) clarify the optimal monitoring techniques, and (3) help better define patient groups most likely to benefit from surveillance programs. A Medline search was conducted for the years 1992–2015 to identify articles addressing early detection and management of <styled-content style="fixed-case">BCRL</styled-content>
. After an initial search, 127 articles were identified, with 13 of these studies focused on early intervention (three randomized (level of evidence 1), four prospective (level of evidence 2–3), six retrospective trials (level of evidence 4)). Data from two, small (<italic>n</italic>
 = 185 cases), randomized trials with limited follow‐up demonstrated a benefit to early intervention (physiotherapy, manual lymphatic drainage) with regard to reducing the rate of chronic <styled-content style="fixed-case">BCRL</styled-content>
 (>50% reduction) with two additional studies underway (<italic>n</italic>
 = 1280). These findings were confirmed by larger prospective and retrospective series. Several studies were identified that demonstrate that newer diagnostic modalities (bioimpedance spectroscopy, perometry) have increased sensitivity allowing for the earlier detection of <styled-content style="fixed-case">BCRL</styled-content>
. Current data support the development of surveillance programs geared toward the early detection and management of <styled-content style="fixed-case">BCRL</styled-content>
 in part due to newer, more sensitive diagnostic modalities.</p>
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Serveur d'exploration sur le lymphœdème

The impact of early detection and intervention of breast cancer‐related lymphedema: a systematic review

The impact of early detection and intervention of breast cancer‐related lymphedema: a systematic review

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

	Serveur d'exploration sur le lymphœdème
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