Hyperbaric oxygen therapy for late radiation-induced tissue toxicity: prospectively patient-reported outcome measures in breast cancer patients
Identifieur interne : 001001 ( Main/Exploration ); précédent : 001000; suivant : 001002Hyperbaric oxygen therapy for late radiation-induced tissue toxicity: prospectively patient-reported outcome measures in breast cancer patients
Auteurs : David N. Teguh [Pays-Bas] ; René Bol Raap [Pays-Bas] ; Henk Struikmans [Pays-Bas] ; Cees Verhoef [Pays-Bas] ; Linetta B. Koppert [Pays-Bas] ; Arne Koole [Pays-Bas] ; Yadi Huang [Pays-Bas] ; Rob A. Van Hulst [Pays-Bas]Source :
- Radiation Oncology (London, England) [ 1748-717X ] ; 2016.
Abstract
This study examines patient reported outcome measures of women undergoing hyperbaric oxygen treatment (HBOT) after breast-conserving therapy.
Included were 57 women treated with HBOT for late radiation-induced tissue toxicity (LRITT) referred in the period January 2014-December 2015. HBOT consisted of (on average) 47 sessions. In total, 80 min of 100 % O2 was administered under increased pressure of 2.4 ATA. Quality of life was assessed before and after treatment using the European Organization for Research and Treatment of Cancer (EORTC) QLQ-BR23, and a NRS pain score.
Fifty-seven women were available for evaluation before and after treatment. Before HBOT, patients had severe complaints of pain in the arm/shoulder (46 %), swollen arm/hand (14 %), difficulty to raise arm or move it sideways (45 %), pain in the area of the affected breast (67 %), swollen area of the affected breast (45 %), oversensitivity of the affected breast (54 %), and skin problems on/in the area of the affected breast (32 %); post HBOT, severe complaints were still experienced in 17, 7, 22, 15, 13, 15, and 11 % of the women, respectively. Differences were all significant. The NRS pain score improved at least 1 point (range 0–10) in 81 % of the patients (
In these breast cancer patients treated with HBOT for LRITT, the patient-reported outcomes were positive and improvements were observed. HBOT was a well-tolerated treatment for LRITT and its side-effects were both minimal and reversible.
Url:
DOI: 10.1186/s13014-016-0700-0
PubMed: 27682427
PubMed Central: 5041335
Affiliations:
- Pays-Bas
- Hollande-Méridionale, Hollande-Septentrionale
- Amsterdam, Leyde, Rotterdam
- Université d'Amsterdam
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Koppert</name><affiliation wicri:level="3"><nlm:aff id="Aff5">Department of Surgical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgical Oncology, Erasmus MC Cancer Institute, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Koole, Arne" sort="Koole, Arne" uniqKey="Koole A" first="Arne" last="Koole">Arne Koole</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Hyperbaar Geneeskundig Centrum Rijswijk, Treubstraat 5a, 2288 EG Rijswijk, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Hyperbaar Geneeskundig Centrum Rijswijk, Treubstraat 5a, 2288 EG Rijswijk</wicri:regionArea><wicri:noRegion>2288 EG Rijswijk</wicri:noRegion></affiliation></author><author><name sortKey="Huang, Yadi" sort="Huang, Yadi" uniqKey="Huang Y" first="Yadi" last="Huang">Yadi Huang</name><affiliation wicri:level="1"><nlm:aff id="Aff7">University of Leuven, Treubstraat 5a, 2288 EG Rijswijk, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>University of Leuven, Treubstraat 5a, 2288 EG Rijswijk</wicri:regionArea><wicri:noRegion>2288 EG Rijswijk</wicri:noRegion></affiliation></author><author><name sortKey="Van Hulst, Rob A" sort="Van Hulst, Rob A" uniqKey="Van Hulst R" first="Rob A." last="Van Hulst">Rob A. Van Hulst</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Hyperbaar Geneeskundig Centrum Rijswijk, Treubstraat 5a, 2288 EG Rijswijk, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Hyperbaar Geneeskundig Centrum Rijswijk, Treubstraat 5a, 2288 EG Rijswijk</wicri:regionArea><wicri:noRegion>2288 EG Rijswijk</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff6">Department of Anesthesiology/Hyperbaric Medicine, Academic Medical Center, University of Amsterdam, Treubstraat 5a, 2288 EG Rijswijk, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Anesthesiology/Hyperbaric Medicine, Academic Medical Center, University of Amsterdam, Treubstraat 5a, 2288 EG Rijswijk</wicri:regionArea><orgName type="university">Université d'Amsterdam</orgName><placeName><settlement type="city">Amsterdam</settlement><region>Hollande-Septentrionale</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27682427</idno><idno type="pmc">5041335</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5041335</idno><idno type="RBID">PMC:5041335</idno><idno type="doi">10.1186/s13014-016-0700-0</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000E32</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000E32</idno><idno type="wicri:Area/Pmc/Curation">000E31</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000E31</idno><idno type="wicri:Area/Pmc/Checkpoint">000913</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000913</idno><idno type="wicri:Area/Ncbi/Merge">008851</idno><idno type="wicri:Area/Ncbi/Curation">008851</idno><idno type="wicri:Area/Ncbi/Checkpoint">008851</idno><idno type="wicri:Area/Main/Merge">001003</idno><idno type="wicri:Area/Main/Curation">001001</idno><idno type="wicri:Area/Main/Exploration">001001</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Hyperbaric oxygen therapy for late radiation-induced tissue toxicity: prospectively patient-reported outcome measures in breast cancer patients</title><author><name sortKey="Teguh, David N" sort="Teguh, David N" uniqKey="Teguh D" first="David N." last="Teguh">David N. Teguh</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Hyperbaar Geneeskundig Centrum Rijswijk, Treubstraat 5a, 2288 EG Rijswijk, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Hyperbaar Geneeskundig Centrum Rijswijk, Treubstraat 5a, 2288 EG Rijswijk</wicri:regionArea><wicri:noRegion>2288 EG Rijswijk</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff2">Department of Surgery/Hyperbaric Medicine, Academic Medical Center, University of Amsterdam, Treubstraat 5a, 2288 EG Rijswijk, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgery/Hyperbaric Medicine, Academic Medical Center, University of Amsterdam, Treubstraat 5a, 2288 EG Rijswijk</wicri:regionArea><orgName type="university">Université d'Amsterdam</orgName><placeName><settlement type="city">Amsterdam</settlement><region>Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Bol Raap, Rene" sort="Bol Raap, Rene" uniqKey="Bol Raap R" first="René" last="Bol Raap">René Bol Raap</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Hyperbaar Geneeskundig Centrum Rijswijk, Treubstraat 5a, 2288 EG Rijswijk, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Hyperbaar Geneeskundig Centrum Rijswijk, Treubstraat 5a, 2288 EG Rijswijk</wicri:regionArea><wicri:noRegion>2288 EG Rijswijk</wicri:noRegion></affiliation></author><author><name sortKey="Struikmans, Henk" sort="Struikmans, Henk" uniqKey="Struikmans H" first="Henk" last="Struikmans">Henk Struikmans</name><affiliation wicri:level="3"><nlm:aff id="Aff3">Department of Radiation Oncology, Leiden University Medical Centre, Leiden, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Radiation Oncology, Leiden University Medical Centre, Leiden</wicri:regionArea><placeName><settlement type="city">Leyde</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">Radiotherapy Centre West, Medical Centre Haaglanden, The Hague, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Radiotherapy Centre West, Medical Centre Haaglanden, The Hague</wicri:regionArea><wicri:noRegion>The Hague</wicri:noRegion></affiliation></author><author><name sortKey="Verhoef, Cees" sort="Verhoef, Cees" uniqKey="Verhoef C" first="Cees" last="Verhoef">Cees Verhoef</name><affiliation wicri:level="3"><nlm:aff id="Aff5">Department of Surgical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgical Oncology, Erasmus MC Cancer Institute, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Koppert, Linetta B" sort="Koppert, Linetta B" uniqKey="Koppert L" first="Linetta B." last="Koppert">Linetta B. Koppert</name><affiliation wicri:level="3"><nlm:aff id="Aff5">Department of Surgical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgical Oncology, Erasmus MC Cancer Institute, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Koole, Arne" sort="Koole, Arne" uniqKey="Koole A" first="Arne" last="Koole">Arne Koole</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Hyperbaar Geneeskundig Centrum Rijswijk, Treubstraat 5a, 2288 EG Rijswijk, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Hyperbaar Geneeskundig Centrum Rijswijk, Treubstraat 5a, 2288 EG Rijswijk</wicri:regionArea><wicri:noRegion>2288 EG Rijswijk</wicri:noRegion></affiliation></author><author><name sortKey="Huang, Yadi" sort="Huang, Yadi" uniqKey="Huang Y" first="Yadi" last="Huang">Yadi Huang</name><affiliation wicri:level="1"><nlm:aff id="Aff7">University of Leuven, Treubstraat 5a, 2288 EG Rijswijk, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>University of Leuven, Treubstraat 5a, 2288 EG Rijswijk</wicri:regionArea><wicri:noRegion>2288 EG Rijswijk</wicri:noRegion></affiliation></author><author><name sortKey="Van Hulst, Rob A" sort="Van Hulst, Rob A" uniqKey="Van Hulst R" first="Rob A." last="Van Hulst">Rob A. Van Hulst</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Hyperbaar Geneeskundig Centrum Rijswijk, Treubstraat 5a, 2288 EG Rijswijk, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Hyperbaar Geneeskundig Centrum Rijswijk, Treubstraat 5a, 2288 EG Rijswijk</wicri:regionArea><wicri:noRegion>2288 EG Rijswijk</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff6">Department of Anesthesiology/Hyperbaric Medicine, Academic Medical Center, University of Amsterdam, Treubstraat 5a, 2288 EG Rijswijk, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Anesthesiology/Hyperbaric Medicine, Academic Medical Center, University of Amsterdam, Treubstraat 5a, 2288 EG Rijswijk</wicri:regionArea><orgName type="university">Université d'Amsterdam</orgName><placeName><settlement type="city">Amsterdam</settlement><region>Hollande-Septentrionale</region></placeName></affiliation></author></analytic><series><title level="j">Radiation Oncology (London, England)</title><idno type="eISSN">1748-717X</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>This study examines patient reported outcome measures of women undergoing hyperbaric oxygen treatment (HBOT) after breast-conserving therapy.</p></sec><sec><title>Method</title><p>Included were 57 women treated with HBOT for late radiation-induced tissue toxicity (LRITT) referred in the period January 2014-December 2015. HBOT consisted of (on average) 47 sessions. In total, 80 min of 100 % O<sub>2</sub> was administered under increased pressure of 2.4 ATA. Quality of life was assessed before and after treatment using the European Organization for Research and Treatment of Cancer (EORTC) QLQ-BR23, and a NRS pain score.</p></sec><sec><title>Results</title><p>Fifty-seven women were available for evaluation before and after treatment. Before HBOT, patients had severe complaints of pain in the arm/shoulder (46 %), swollen arm/hand (14 %), difficulty to raise arm or move it sideways (45 %), pain in the area of the affected breast (67 %), swollen area of the affected breast (45 %), oversensitivity of the affected breast (54 %), and skin problems on/in the area of the affected breast (32 %); post HBOT, severe complaints were still experienced in 17, 7, 22, 15, 13, 15, and 11 % of the women, respectively. Differences were all significant. The NRS pain score improved at least 1 point (range 0–10) in 81 % of the patients (<italic>p</italic> < 0.05).</p></sec><sec><title>Conclusion</title><p>In these breast cancer patients treated with HBOT for LRITT, the patient-reported outcomes were positive and improvements were observed. HBOT was a well-tolerated treatment for LRITT and its side-effects were both minimal and reversible.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Ferlay, J" uniqKey="Ferlay J">J Ferlay</name></author><author><name sortKey="Soerjomataram, I" uniqKey="Soerjomataram I">I Soerjomataram</name></author><author><name sortKey="Dikshit, R" uniqKey="Dikshit R">R Dikshit</name></author><author><name sortKey="Eser, S" uniqKey="Eser S">S Eser</name></author><author><name sortKey="Mathers, C" uniqKey="Mathers C">C Mathers</name></author><author><name sortKey="Rebelo, M" uniqKey="Rebelo M">M Rebelo</name></author><author><name sortKey="Parkin, Dm" uniqKey="Parkin D">DM Parkin</name></author><author><name sortKey="Forman, D" uniqKey="Forman D">D Forman</name></author><author><name sortKey="Bray, F" uniqKey="Bray F">F Bray</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Teguh, Dn" uniqKey="Teguh D">DN 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uniqKey="Hussey J">JR Hussey</name></author><author><name sortKey="Toklu, As" uniqKey="Toklu A">AS Toklu</name></author><author><name sortKey="Cone, Dl" uniqKey="Cone D">DL Cone</name></author><author><name sortKey="Hinojosa, Jg" uniqKey="Hinojosa J">JG Hinojosa</name></author><author><name sortKey="Desai, Sp" uniqKey="Desai S">SP Desai</name></author><author><name sortKey="Dominguez Parra, L" uniqKey="Dominguez Parra L">L Dominguez Parra</name></author><author><name sortKey="Rodrigues, Sd" uniqKey="Rodrigues S">SD Rodrigues</name></author><author><name sortKey="Long, Rj" uniqKey="Long R">RJ Long</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Glover, M" uniqKey="Glover M">M Glover</name></author><author><name sortKey="Smerdon, Gr" uniqKey="Smerdon G">GR Smerdon</name></author><author><name sortKey="Andreyev, Hj" uniqKey="Andreyev H">HJ Andreyev</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Pays-Bas</li></country><region><li>Hollande-Méridionale</li><li>Hollande-Septentrionale</li></region><settlement><li>Amsterdam</li><li>Leyde</li><li>Rotterdam</li></settlement><orgName><li>Université d'Amsterdam</li></orgName></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Teguh, David N" sort="Teguh, David N" uniqKey="Teguh D" first="David N." last="Teguh">David N. Teguh</name></noRegion><name sortKey="Bol Raap, Rene" sort="Bol Raap, Rene" uniqKey="Bol Raap R" first="René" last="Bol Raap">René Bol Raap</name><name sortKey="Huang, Yadi" sort="Huang, Yadi" uniqKey="Huang Y" first="Yadi" last="Huang">Yadi Huang</name><name sortKey="Koole, Arne" sort="Koole, Arne" uniqKey="Koole A" first="Arne" last="Koole">Arne Koole</name><name sortKey="Koppert, Linetta B" sort="Koppert, Linetta B" uniqKey="Koppert L" first="Linetta B." last="Koppert">Linetta B. Koppert</name><name sortKey="Struikmans, Henk" sort="Struikmans, Henk" uniqKey="Struikmans H" first="Henk" last="Struikmans">Henk Struikmans</name><name sortKey="Struikmans, Henk" sort="Struikmans, Henk" uniqKey="Struikmans H" first="Henk" last="Struikmans">Henk Struikmans</name><name sortKey="Teguh, David N" sort="Teguh, David N" uniqKey="Teguh D" first="David N." last="Teguh">David N. Teguh</name><name sortKey="Van Hulst, Rob A" sort="Van Hulst, Rob A" uniqKey="Van Hulst R" first="Rob A." last="Van Hulst">Rob A. Van Hulst</name><name sortKey="Van Hulst, Rob A" sort="Van Hulst, Rob A" uniqKey="Van Hulst R" first="Rob A." last="Van Hulst">Rob A. Van Hulst</name><name sortKey="Verhoef, Cees" sort="Verhoef, Cees" uniqKey="Verhoef C" first="Cees" last="Verhoef">Cees Verhoef</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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