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Association between Lymphedema Self-Care Adherence and Lymphedema Outcomes among Women with Breast Cancer-Related Lymphedema

Identifieur interne : 002112 ( Main/Exploration ); précédent : 002111; suivant : 002113

Association between Lymphedema Self-Care Adherence and Lymphedema Outcomes among Women with Breast Cancer-Related Lymphedema

Auteurs : Justin C. Brown [États-Unis] ; Anagha Kumar [États-Unis] ; Andrea L. Cheville [États-Unis] ; Julia C. Tchou [États-Unis] ; Andrea B. Troxel [États-Unis] ; Susan R. Harris [Canada] ; Kathryn H. Schmitz [États-Unis]

Source :

RBID : PMC:4344918

Descripteurs français

English descriptors

Abstract

Objective

To determine if adherence to self-care modalities for breast cancer-related lymphedema (BCRL) predicts BCRL outcomes among 128 breast cancer (BrCa) survivors who participated in the 12-month physical activity and lymphedema (PAL) trial.

Design

This was a prospective cohort study. Adherence to 10 BCRL self-care modalities, as recommended in the clinical practice guidelines for the management of BCRL was assessed by questionnaire at baseline. BCRL outcomes assessed at baseline and 12-months included volumetry, circumferences, bioimpedence spectroscopy, the Norman lymphedema survey, and clinician-defined lymphedema exacerbations requiring treatment. Generalized linear models were used to estimate the relationship between adherence to BCRL self-care modalities and the likelihood of experiencing a BCRL outcome.

Results

Adherence to BCRL self-care activities did not predict experiencing any BCRL outcomes at 12-months. Levels of adherence to BCRL self-care modalities did not predict a ≥5% decrease in interlimb volume (Ptrend=0.79), ≥5% decrease in the sum of interlimb arm circumferences (Ptrend=0.47), ≥10% decrease in bioimpedence spectroscopy (Ptrend=0.83), ≥1 decrease in self-reported lymphedema symptoms (Ptrend=0.91), or clinician-defined lymphedema exacerbation requiring treatment (Ptrend=0.84).

Conclusions

Our findings suggest levels of BCRL self-care adherence do not predict BCRL outcomes among BrCa survivors with stable lymphedema who were followed for 12-months.


Url:
DOI: 10.1097/PHM.0000000000000178
PubMed: 25171662
PubMed Central: 4344918


Affiliations:


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<term>Female</term>
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<term>Résultat thérapeutique</term>
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<term>Lymphedema</term>
<term>Postoperative Complications</term>
</keywords>
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<term>Complications postopératoires</term>
<term>Lymphoedème</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Breast Neoplasms</term>
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<term>Lymphoedème</term>
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<term>Female</term>
<term>Humans</term>
<term>Linear Models</term>
<term>Middle Aged</term>
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<term>Haltérophilie</term>
<term>Humains</term>
<term>Modèles linéaires</term>
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<sec id="S1">
<title>Objective</title>
<p id="P1">To determine if adherence to self-care modalities for breast cancer-related lymphedema (BCRL) predicts BCRL outcomes among 128 breast cancer (BrCa) survivors who participated in the 12-month physical activity and lymphedema (PAL) trial.</p>
</sec>
<sec id="S2">
<title>Design</title>
<p id="P2">This was a prospective cohort study. Adherence to 10 BCRL self-care modalities, as recommended in the clinical practice guidelines for the management of BCRL was assessed by questionnaire at baseline. BCRL outcomes assessed at baseline and 12-months included volumetry, circumferences, bioimpedence spectroscopy, the Norman lymphedema survey, and clinician-defined lymphedema exacerbations requiring treatment. Generalized linear models were used to estimate the relationship between adherence to BCRL self-care modalities and the likelihood of experiencing a BCRL outcome.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Adherence to BCRL self-care activities did not predict experiencing any BCRL outcomes at 12-months. Levels of adherence to BCRL self-care modalities did not predict a ≥5% decrease in interlimb volume (
<italic>P</italic>
<sub>trend</sub>
=0.79), ≥5% decrease in the sum of interlimb arm circumferences (
<italic>P</italic>
<sub>trend</sub>
=0.47), ≥10% decrease in bioimpedence spectroscopy (
<italic>P</italic>
<sub>trend</sub>
=0.83), ≥1 decrease in self-reported lymphedema symptoms (
<italic>P</italic>
<sub>trend</sub>
=0.91), or clinician-defined lymphedema exacerbation requiring treatment (
<italic>P</italic>
<sub>trend</sub>
=0.84).</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Our findings suggest levels of BCRL self-care adherence do not predict BCRL outcomes among BrCa survivors with stable lymphedema who were followed for 12-months.</p>
</sec>
</div>
</front>
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