Comparison of multi-frequency bioimpedance with perometry for the early detection and intervention of lymphoedema after axillary node clearance for breast cancer.
Identifieur interne : 001F82 ( Main/Exploration ); précédent : 001F81; suivant : 001F83Comparison of multi-frequency bioimpedance with perometry for the early detection and intervention of lymphoedema after axillary node clearance for breast cancer.
Auteurs : Nigel J. Bundred [Royaume-Uni] ; Charlotte Stockton ; Vaughan Keeley ; Katie Riches ; Linda Ashcroft ; Abigail Evans ; Anthony Skene ; Arnie Purushotham ; Maria Bramley ; Tracey HodgkissSource :
- Breast cancer research and treatment [ 1573-7217 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Détection précoce de cancer, Femelle, Humains, Lymphadénectomie, Lymphoedème (), Lymphoedème (anatomopathologie), Noeuds lymphatiques (anatomopathologie), Pronostic, Période postopératoire, Qualité de vie, Spectroscopie diélectrique, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Études prospectives, Évolution de la maladie.
- MESH :
- anatomopathologie : Lymphoedème, Noeuds lymphatiques, Tumeurs du sein.
- Adulte, Adulte d'âge moyen, Détection précoce de cancer, Femelle, Humains, Lymphadénectomie, Lymphoedème, Pronostic, Période postopératoire, Qualité de vie, Spectroscopie diélectrique, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein, Études prospectives, Évolution de la maladie.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Breast Neoplasms (complications), Breast Neoplasms (pathology), Breast Neoplasms (surgery), Dielectric Spectroscopy, Disease Progression, Early Detection of Cancer, Female, Humans, Lymph Node Excision, Lymph Nodes (pathology), Lymphedema (complications), Lymphedema (pathology), Lymphedema (surgery), Middle Aged, Postoperative Period, Prognosis, Prospective Studies, Quality of Life.
- MESH :
- complications : Breast Neoplasms, Lymphedema.
- pathology : Breast Neoplasms, Lymph Nodes, Lymphedema.
- surgery : Breast Neoplasms, Lymphedema.
- Adult, Aged, Aged, 80 and over, Dielectric Spectroscopy, Disease Progression, Early Detection of Cancer, Female, Humans, Lymph Node Excision, Middle Aged, Postoperative Period, Prognosis, Prospective Studies, Quality of Life.
Abstract
The importance of early detection of lymphoedema by arm volume measurements before surgery and repeated measurements after surgery in women undergoing axillary node clearance (ANC) in order to enable early intervention is recognised. A prospective multi-centre study was performed which studied the difference between multi-frequency bioimpedance electrical analysis (BIS) and perometer arm measurement in predicting the development of lymphoedema. Women undergoing ANC underwent pre-operative and regular post-operative measurements of arm volume by both methods. The primary endpoint is the incidence of lymphoedema (≥10 % arm volume increase compared to contralateral arm by perometer) at 2 and 5 years after ANC. The threshold for intervention in lymphoedema was also assessed. Out of 964 patients recruited, 612 had minimum 6 months follow-up data. Using 1-month post-operative measurements as baseline, perometer detected 31 patients with lymphoedema by 6 months (BIS detected 53). By 6 months, 89 % of those with no lymphoedema reported at least one symptom. There was moderate correlation between perometer and BIS at 3 months (r = 0.40) and 6 months (r = 0.60), with a sensitivity of 73 % and specificity of 84 %. Univariate and multivariate analyses revealed a threshold for early intervention of ≥5 to <10 % (p = 0.03). Threshold for early intervention to prevent progression to lymphoedema is ≥5 to <10 % but symptoms alone do not predict lymphoedema. The modest correlation between methods at 6 months indicates arm volume measurements remain gold standard, although longer term follow-up is required.
DOI: 10.1007/s10549-015-3357-8
PubMed: 25850535
Affiliations:
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Bundred</name><affiliation wicri:level="1"><nlm:affiliation>University Hospital of South Manchester, 2nd Floor Education and Research Centre, Southmoor Road, Wythenshawe, Manchester, M23 9LT, UK, nigel.bundred@manchester.ac.uk.</nlm:affiliation><country wicri:rule="url">Royaume-Uni</country><wicri:regionArea>University Hospital of South Manchester, 2nd Floor Education and Research Centre, Southmoor Road, Wythenshawe, Manchester, M23 9LT, UK</wicri:regionArea><wicri:noRegion>UK</wicri:noRegion></affiliation></author><author><name sortKey="Stockton, Charlotte" sort="Stockton, Charlotte" uniqKey="Stockton C" first="Charlotte" last="Stockton">Charlotte Stockton</name></author><author><name sortKey="Keeley, Vaughan" sort="Keeley, Vaughan" uniqKey="Keeley V" first="Vaughan" last="Keeley">Vaughan Keeley</name></author><author><name sortKey="Riches, Katie" sort="Riches, Katie" uniqKey="Riches K" first="Katie" last="Riches">Katie Riches</name></author><author><name sortKey="Ashcroft, Linda" sort="Ashcroft, Linda" uniqKey="Ashcroft L" first="Linda" last="Ashcroft">Linda Ashcroft</name></author><author><name sortKey="Evans, Abigail" sort="Evans, Abigail" uniqKey="Evans A" first="Abigail" last="Evans">Abigail Evans</name></author><author><name sortKey="Skene, Anthony" sort="Skene, Anthony" uniqKey="Skene A" first="Anthony" last="Skene">Anthony Skene</name></author><author><name sortKey="Purushotham, Arnie" sort="Purushotham, Arnie" uniqKey="Purushotham A" first="Arnie" last="Purushotham">Arnie Purushotham</name></author><author><name sortKey="Bramley, Maria" sort="Bramley, Maria" uniqKey="Bramley M" first="Maria" last="Bramley">Maria Bramley</name></author><author><name sortKey="Hodgkiss, Tracey" sort="Hodgkiss, Tracey" uniqKey="Hodgkiss T" first="Tracey" last="Hodgkiss">Tracey Hodgkiss</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25850535</idno><idno type="pmid">25850535</idno><idno type="doi">10.1007/s10549-015-3357-8</idno><idno type="wicri:Area/PubMed/Corpus">000F45</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000F45</idno><idno type="wicri:Area/PubMed/Curation">000F45</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000F45</idno><idno type="wicri:Area/PubMed/Checkpoint">000F45</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000F45</idno><idno type="wicri:Area/Ncbi/Merge">007227</idno><idno type="wicri:Area/Ncbi/Curation">007227</idno><idno type="wicri:Area/Ncbi/Checkpoint">007227</idno><idno type="wicri:Area/Main/Merge">001F85</idno><idno type="wicri:Area/Main/Curation">001F82</idno><idno type="wicri:Area/Main/Exploration">001F82</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Comparison of multi-frequency bioimpedance with perometry for the early detection and intervention of lymphoedema after axillary node clearance for breast cancer.</title><author><name sortKey="Bundred, Nigel J" sort="Bundred, Nigel J" uniqKey="Bundred N" first="Nigel J" last="Bundred">Nigel J. Bundred</name><affiliation wicri:level="1"><nlm:affiliation>University Hospital of South Manchester, 2nd Floor Education and Research Centre, Southmoor Road, Wythenshawe, Manchester, M23 9LT, UK, nigel.bundred@manchester.ac.uk.</nlm:affiliation><country wicri:rule="url">Royaume-Uni</country><wicri:regionArea>University Hospital of South Manchester, 2nd Floor Education and Research Centre, Southmoor Road, Wythenshawe, Manchester, M23 9LT, UK</wicri:regionArea><wicri:noRegion>UK</wicri:noRegion></affiliation></author><author><name sortKey="Stockton, Charlotte" sort="Stockton, Charlotte" uniqKey="Stockton C" first="Charlotte" last="Stockton">Charlotte Stockton</name></author><author><name sortKey="Keeley, Vaughan" sort="Keeley, Vaughan" uniqKey="Keeley V" first="Vaughan" last="Keeley">Vaughan Keeley</name></author><author><name sortKey="Riches, Katie" sort="Riches, Katie" uniqKey="Riches K" first="Katie" last="Riches">Katie Riches</name></author><author><name sortKey="Ashcroft, Linda" 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type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Breast Neoplasms (complications)</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (surgery)</term><term>Dielectric Spectroscopy</term><term>Disease Progression</term><term>Early Detection of Cancer</term><term>Female</term><term>Humans</term><term>Lymph Node Excision</term><term>Lymph Nodes (pathology)</term><term>Lymphedema (complications)</term><term>Lymphedema (pathology)</term><term>Lymphedema (surgery)</term><term>Middle Aged</term><term>Postoperative Period</term><term>Prognosis</term><term>Prospective Studies</term><term>Quality of Life</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Détection précoce de cancer</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Lymphoedème ()</term><term>Lymphoedème (anatomopathologie)</term><term>Noeuds lymphatiques (anatomopathologie)</term><term>Pronostic</term><term>Période postopératoire</term><term>Qualité de vie</term><term>Spectroscopie diélectrique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Études prospectives</term><term>Évolution de la maladie</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Lymphoedème</term><term>Noeuds lymphatiques</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term><term>Lymph Nodes</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Dielectric Spectroscopy</term><term>Disease Progression</term><term>Early Detection of Cancer</term><term>Female</term><term>Humans</term><term>Lymph Node Excision</term><term>Middle Aged</term><term>Postoperative Period</term><term>Prognosis</term><term>Prospective Studies</term><term>Quality of Life</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Détection précoce de cancer</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Lymphoedème</term><term>Pronostic</term><term>Période postopératoire</term><term>Qualité de vie</term><term>Spectroscopie diélectrique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein</term><term>Études prospectives</term><term>Évolution de la maladie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The importance of early detection of lymphoedema by arm volume measurements before surgery and repeated measurements after surgery in women undergoing axillary node clearance (ANC) in order to enable early intervention is recognised. A prospective multi-centre study was performed which studied the difference between multi-frequency bioimpedance electrical analysis (BIS) and perometer arm measurement in predicting the development of lymphoedema. Women undergoing ANC underwent pre-operative and regular post-operative measurements of arm volume by both methods. The primary endpoint is the incidence of lymphoedema (≥10 % arm volume increase compared to contralateral arm by perometer) at 2 and 5 years after ANC. The threshold for intervention in lymphoedema was also assessed. Out of 964 patients recruited, 612 had minimum 6 months follow-up data. Using 1-month post-operative measurements as baseline, perometer detected 31 patients with lymphoedema by 6 months (BIS detected 53). By 6 months, 89 % of those with no lymphoedema reported at least one symptom. There was moderate correlation between perometer and BIS at 3 months (r = 0.40) and 6 months (r = 0.60), with a sensitivity of 73 % and specificity of 84 %. Univariate and multivariate analyses revealed a threshold for early intervention of ≥5 to <10 % (p = 0.03). Threshold for early intervention to prevent progression to lymphoedema is ≥5 to <10 % but symptoms alone do not predict lymphoedema. The modest correlation between methods at 6 months indicates arm volume measurements remain gold standard, although longer term follow-up is required.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><noCountry><name sortKey="Ashcroft, Linda" sort="Ashcroft, Linda" uniqKey="Ashcroft L" first="Linda" last="Ashcroft">Linda Ashcroft</name><name sortKey="Bramley, Maria" sort="Bramley, Maria" uniqKey="Bramley M" first="Maria" last="Bramley">Maria Bramley</name><name sortKey="Evans, Abigail" sort="Evans, Abigail" uniqKey="Evans A" first="Abigail" last="Evans">Abigail Evans</name><name sortKey="Hodgkiss, Tracey" sort="Hodgkiss, Tracey" uniqKey="Hodgkiss T" first="Tracey" last="Hodgkiss">Tracey Hodgkiss</name><name sortKey="Keeley, Vaughan" sort="Keeley, Vaughan" uniqKey="Keeley V" first="Vaughan" last="Keeley">Vaughan Keeley</name><name sortKey="Purushotham, Arnie" sort="Purushotham, Arnie" uniqKey="Purushotham A" first="Arnie" last="Purushotham">Arnie Purushotham</name><name sortKey="Riches, Katie" sort="Riches, Katie" uniqKey="Riches K" first="Katie" last="Riches">Katie Riches</name><name sortKey="Skene, Anthony" sort="Skene, Anthony" uniqKey="Skene A" first="Anthony" last="Skene">Anthony Skene</name><name sortKey="Stockton, Charlotte" sort="Stockton, Charlotte" uniqKey="Stockton C" first="Charlotte" last="Stockton">Charlotte Stockton</name></noCountry><country name="Royaume-Uni"><noRegion><name sortKey="Bundred, Nigel J" sort="Bundred, Nigel J" uniqKey="Bundred N" first="Nigel J" last="Bundred">Nigel J. Bundred</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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