Precautions for breast cancer-related lymphoedema: risk from air travel, ipsilateral arm blood pressure measurements, skin puncture, extreme temperatures, and cellulitis.
Identifieur interne : 000C64 ( Main/Exploration ); précédent : 000C63; suivant : 000C65Precautions for breast cancer-related lymphoedema: risk from air travel, ipsilateral arm blood pressure measurements, skin puncture, extreme temperatures, and cellulitis.
Auteurs : Maria S. Asdourian [États-Unis] ; Melissa N. Skolny [États-Unis] ; Cheryl Brunelle [États-Unis] ; Cara E. Seward [États-Unis] ; Laura Salama [États-Unis] ; Alphonse G. Taghian [États-Unis]Source :
- The Lancet. Oncology [ 1474-5488 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
- parasitologie : Cellulite sous-cutanée.
- traumatismes : Peau.
- étiologie : Lymphoedème après cancer du sein.
- Drainage, Facteurs de risque, Femelle, Humains, Lymphoedème après cancer du sein, Ponctions, Pression sanguine, Survivants, Température, Tumeurs du sein, Voyage aérien.
English descriptors
- KwdEn :
- MESH :
- complications : Breast Neoplasms.
- etiology : Breast Cancer Lymphedema.
- injuries : Skin.
- parasitology : Cellulitis.
- prevention & control : Breast Cancer Lymphedema.
- therapy : Breast Neoplasms.
- Air Travel, Blood Pressure, Drainage, Female, Humans, Punctures, Risk Factors, Survivors, Temperature.
Abstract
Precautionary recommendations conveyed to survivors of cancer by health-care practitioners to reduce the risk of breast cancer-related lymphoedema are indispensable aspects of clinical care, yet remain unsubstantiated by high-level scientific evidence. By reviewing the literature, we identified 31 original research articles that examined whether lifestyle-associated risk factors (air travel, ipsilateral arm blood pressure measurements, skin puncture, extreme temperatures, and skin infections-eg, cellulitis) increase the risk of breast cancer-related lymphoedema. Among the few studies that lend support to precautionary guidelines, most provide low-level (levels 3-5) or inconclusive evidence of an association between lymphoedema and these risk factors, and only four level 2 studies show a significant association. Skin infections and previous infection or inflammation on the ipsilateral arm were among the most clearly defined and well established risk factors for lymphoedema. The paucity of high-level evidence and the conflicting nature of the existing literature make it difficult to establish definitive predictive factors for breast cancer-related lymphoedema, which could be a considerable source of patient distress and anxiety. Along with further research into these risk factors, continued discussion regarding modification of the guidelines and adoption of a risk-adjusted approach is needed.
DOI: 10.1016/S1470-2045(16)30204-2
PubMed: 27599144
Affiliations:
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By reviewing the literature, we identified 31 original research articles that examined whether lifestyle-associated risk factors (air travel, ipsilateral arm blood pressure measurements, skin puncture, extreme temperatures, and skin infections-eg, cellulitis) increase the risk of breast cancer-related lymphoedema. Among the few studies that lend support to precautionary guidelines, most provide low-level (levels 3-5) or inconclusive evidence of an association between lymphoedema and these risk factors, and only four level 2 studies show a significant association. Skin infections and previous infection or inflammation on the ipsilateral arm were among the most clearly defined and well established risk factors for lymphoedema. The paucity of high-level evidence and the conflicting nature of the existing literature make it difficult to establish definitive predictive factors for breast cancer-related lymphoedema, which could be a considerable source of patient distress and anxiety. Along with further research into these risk factors, continued discussion regarding modification of the guidelines and adoption of a risk-adjusted approach is needed.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Massachusetts</li></region></list><tree><country name="États-Unis"><region name="Massachusetts"><name sortKey="Asdourian, Maria S" sort="Asdourian, Maria S" uniqKey="Asdourian M" first="Maria S" last="Asdourian">Maria S. Asdourian</name></region><name sortKey="Brunelle, Cheryl" sort="Brunelle, Cheryl" uniqKey="Brunelle C" first="Cheryl" last="Brunelle">Cheryl Brunelle</name><name sortKey="Salama, Laura" sort="Salama, Laura" uniqKey="Salama L" first="Laura" last="Salama">Laura Salama</name><name sortKey="Seward, Cara E" sort="Seward, Cara E" uniqKey="Seward C" first="Cara E" last="Seward">Cara E. Seward</name><name sortKey="Skolny, Melissa N" sort="Skolny, Melissa N" uniqKey="Skolny M" first="Melissa N" last="Skolny">Melissa N. Skolny</name><name sortKey="Taghian, Alphonse G" sort="Taghian, Alphonse G" uniqKey="Taghian A" first="Alphonse G" last="Taghian">Alphonse G. Taghian</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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