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Effect of complete decongestive therapy and home program on health- related quality of life in post mastectomy lymphedema patients

Identifieur interne : 001151 ( Main/Exploration ); précédent : 001150; suivant : 001152

Effect of complete decongestive therapy and home program on health- related quality of life in post mastectomy lymphedema patients

Auteurs : Ganeswara Rao Melam [Arabie saoudite] ; Syamala Buragadda [Arabie saoudite] ; Adel A. Alhusaini [Arabie saoudite] ; Nisha Arora [Inde]

Source :

RBID : PMC:4855407

Descripteurs français

English descriptors

Abstract

Background

Secondary lymphedema is common in women treated for breast cancer. It may be a result of surgery or radiotherapy. Edema commonly affects the arm, leading to discomfort, reduced arm movements, pain and diminished quality of life. Therefore, the relationship between post mastectomy lymphedema and quality of life has evolved as an important criteria in treatment of breast cancer survivors.

Methods

Sixty breast cancer survivors who developed post mastectomy lymphedema were recruited. Patients were divided into 2 groups (n = 30) according to the treatment they received; Conventional therapy (CT) and Complete Decongestive Therapy (CDT) groups. Measurements were taken at baseline, 4 and 6 weeks. Health related Quality of Life was evaluated with the EORTC QLQ C30 and EORTC QLQ-BR23 questionnaires. Pain was measured using the Visual Analogue Scale. Descriptive statistics were used to analyze participant demographics and repeated measures of ANOVA was used for within and between group comparisons.

Results

Both groups showed improved quality of life and diminished pain after 6 weeks of treatment. However, greater improvement was observed in CDT group compared to the CT group.

Conclusion

In this study, remedial exercises and home program in addition to manual lymphatic drainage and compression bandaging resulted in improved quality of life. Early identification of lymphedema and incorporation of remedial exercises and a home program improve the quality of life for breast cancer survivors.

Trial registration

Trial registry ID: ISRCTN13242080, Date of registration: 7 April 2016


Url:
DOI: 10.1186/s12905-016-0303-9
PubMed: 27145867
PubMed Central: 4855407


Affiliations:


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


Le document en format XML

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<term>Drainage (methods)</term>
<term>Drainage (standards)</term>
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<term>Humans</term>
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<term>Douleur (étiologie)</term>
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<term>Drainage (normes)</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Gestion de la douleur ()</term>
<term>Gestion de la douleur (normes)</term>
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<term>Lymphoedème après cancer du sein ()</term>
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<title>Background</title>
<p>Secondary lymphedema is common in women treated for breast cancer. It may be a result of surgery or radiotherapy. Edema commonly affects the arm, leading to discomfort, reduced arm movements, pain and diminished quality of life. Therefore, the relationship between post mastectomy lymphedema and quality of life has evolved as an important criteria in treatment of breast cancer survivors.</p>
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<title>Methods</title>
<p>Sixty breast cancer survivors who developed post mastectomy lymphedema were recruited. Patients were divided into 2 groups (
<italic>n</italic>
 = 30) according to the treatment they received; Conventional therapy (CT) and Complete Decongestive Therapy (CDT) groups. Measurements were taken at baseline, 4 and 6 weeks. Health related Quality of Life was evaluated with the EORTC QLQ C30 and EORTC QLQ-BR23 questionnaires. Pain was measured using the Visual Analogue Scale. Descriptive statistics were used to analyze participant demographics and repeated measures of ANOVA was used for within and between group comparisons.</p>
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<title>Results</title>
<p>Both groups showed improved quality of life and diminished pain after 6 weeks of treatment. However, greater improvement was observed in CDT group compared to the CT group.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>In this study, remedial exercises and home program in addition to manual lymphatic drainage and compression bandaging resulted in improved quality of life. Early identification of lymphedema and incorporation of remedial exercises and a home program improve the quality of life for breast cancer survivors.</p>
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<p>Trial registry ID:
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, Date of registration: 7 April 2016</p>
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<name sortKey="Martin, Ml" uniqKey="Martin M">ML Martin</name>
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<author>
<name sortKey="Hernandez, Ma" uniqKey="Hernandez M">MA Hernandez</name>
</author>
<author>
<name sortKey="Avendano, C" uniqKey="Avendano C">C Avendano</name>
</author>
<author>
<name sortKey="Rodriguez Fand Martinez, H" uniqKey="Rodriguez Fand Martinez H">H Rodríguez Fand Martinez</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<affiliations>
<list>
<country>
<li>Arabie saoudite</li>
<li>Inde</li>
</country>
</list>
<tree>
<country name="Arabie saoudite">
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<name sortKey="Melam, Ganeswara Rao" sort="Melam, Ganeswara Rao" uniqKey="Melam G" first="Ganeswara Rao" last="Melam">Ganeswara Rao Melam</name>
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<name sortKey="Alhusaini, Adel A" sort="Alhusaini, Adel A" uniqKey="Alhusaini A" first="Adel A." last="Alhusaini">Adel A. Alhusaini</name>
<name sortKey="Buragadda, Syamala" sort="Buragadda, Syamala" uniqKey="Buragadda S" first="Syamala" last="Buragadda">Syamala Buragadda</name>
</country>
<country name="Inde">
<noRegion>
<name sortKey="Arora, Nisha" sort="Arora, Nisha" uniqKey="Arora N" first="Nisha" last="Arora">Nisha Arora</name>
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</record>

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