Swelling among women who need education about leg lymphedema (SWELL): A descriptive study of lymphedema in women undergoing surgery for endometrial cancer
Identifieur interne : 002472 ( Main/Exploration ); précédent : 002471; suivant : 002473Swelling among women who need education about leg lymphedema (SWELL): A descriptive study of lymphedema in women undergoing surgery for endometrial cancer
Auteurs : Ritu Salani [États-Unis] ; Megan M. Preston [États-Unis] ; Erinn M. Hade [États-Unis] ; Jessica Johns [États-Unis] ; Jeffrey M. Fowler [États-Unis] ; Electra P. Paskett [États-Unis] ; Mira L. Katz [États-Unis]Source :
- International journal of gynecological cancer : official journal of the International Gynecological Cancer Society [ 1048-891X ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Complications postopératoires (épidémiologie), Douleur (), Douleur (épidémiologie), Femelle, Humains, Jambe, Lymphoedème (), Lymphoedème (épidémiologie), Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de l'endomètre (), Tumeurs de l'endomètre (épidémiologie), Éducation du patient comme sujet, Études transversales, Évaluation des besoins.
- MESH :
- épidémiologie : Complications postopératoires, Douleur, Lymphoedème, Tumeurs de l'endomètre.
- Adulte, Adulte d'âge moyen, Douleur, Femelle, Humains, Jambe, Lymphoedème, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de l'endomètre, Éducation du patient comme sujet, Études transversales, Évaluation des besoins.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Endometrial Neoplasms (complications), Endometrial Neoplasms (epidemiology), Endometrial Neoplasms (surgery), Female, Humans, Leg, Lymphedema (complications), Lymphedema (epidemiology), Middle Aged, Needs Assessment, Pain (complications), Pain (epidemiology), Patient Education as Topic, Postoperative Complications (epidemiology).
- MESH :
- complications : Endometrial Neoplasms, Lymphedema, Pain.
- epidemiology : Endometrial Neoplasms, Lymphedema, Pain, Postoperative Complications.
- surgery : Endometrial Neoplasms.
- Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Humans, Leg, Middle Aged, Needs Assessment, Patient Education as Topic.
Abstract
In addition to hysterectomy and bilateral salpingo-oophorectomy, comprehensive surgical staging for endometrial cancer includes pelvic and para-aortic lymphadenectomy. Clarifying and addressing the morbidity from these surgical procedures is imperative. The goal of this study was to assess the prevalence of lower extremity swelling following surgery for endometrial cancer.
We performed a descriptive, cross-sectional survey study of women who underwent surgery for endometrial cancer at our institution from 2006–2008. Survey information included symptoms, management, and education regarding lymphedema. Demographic information such as race and education was collected in addition to clinical data such as body mass index (BMI) and age.
Of the 482 patients identified, 440 were determined eligible and 305 (69.3%) responded to the survey with information on lower limb swelling (LLS). Of the 108 (35%) responders who reported swelling, only 68 (22%) participants reported a diagnosis of lower limb lymphedema (LLL). The most commonly experienced symptoms among those who reported LLS were tightness, pain/tenderness and heaviness. Among those with a diagnosis of LLL, a majority (60%) stated it affected their daily activities and noted exacerbating factors such as prolonged standing, heat, and walking. The most common therapies utilized to reduce symptoms included leg elevation (96%), compression stockings (65%), diuretics (46%), massage therapy (35%), and bandaging (25%). There was no association between LLS or LLL diagnosis and BMI, age, race, tobacco use. Only 8% of responders reported receiving preoperative education regarding risks for LLS and a desire for more comprehensive education was frequently noted.
The patient-reported incidence of LLS occurred in approximately 35% of survey participants who underwent surgery for endometrial cancer. However, only 22% reported a diagnosis of LLL. Efforts to obtain the true incidence of LLL and to develop effective educational materials and programs to improve the management of lymphedema are warranted.
Url:
DOI: 10.1097/IGC.0000000000000226
PubMed: 25078342
PubMed Central: 4174725
Affiliations:
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Le document en format XML
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Preston</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The Ohio State University Wexner Medical Center, Columbus, Ohio</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The Ohio State University Wexner Medical Center, Columbus</wicri:cityArea></affiliation></author><author><name sortKey="Hade, Erinn M" sort="Hade, Erinn M" uniqKey="Hade E" first="Erinn M." last="Hade">Erinn M. Hade</name><affiliation wicri:level="2"><nlm:aff id="A2">Center for Biostatistics, The Ohio State University, Columbus, Ohio</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Center for Biostatistics, The Ohio State University, Columbus</wicri:cityArea></affiliation></author><author><name sortKey="Johns, Jessica" sort="Johns, Jessica" uniqKey="Johns J" first="Jessica" last="Johns">Jessica Johns</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The Ohio State University Wexner Medical Center, Columbus, Ohio</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The Ohio State University Wexner Medical Center, Columbus</wicri:cityArea></affiliation></author><author><name sortKey="Fowler, Jeffrey M" sort="Fowler, Jeffrey M" uniqKey="Fowler J" first="Jeffrey M." last="Fowler">Jeffrey M. Fowler</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The Ohio State University Wexner Medical Center, Columbus, Ohio</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The Ohio State University Wexner Medical Center, Columbus</wicri:cityArea></affiliation></author><author><name sortKey="Paskett, Electra P" sort="Paskett, Electra P" uniqKey="Paskett E" first="Electra P." last="Paskett">Electra P. Paskett</name><affiliation wicri:level="2"><nlm:aff id="A3">Division of Cancer Prevention and Control, College of Medicine, College of Public Health, Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Division of Cancer Prevention and Control, College of Medicine, College of Public Health, Comprehensive Cancer Center, The Ohio State University, Columbus</wicri:cityArea></affiliation></author><author><name sortKey="Katz, Mira L" sort="Katz, Mira L" uniqKey="Katz M" first="Mira L." last="Katz">Mira L. Katz</name><affiliation wicri:level="2"><nlm:aff id="A3">Division of Cancer Prevention and Control, College of Medicine, College of Public Health, Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Division of Cancer Prevention and Control, College of Medicine, College of Public Health, Comprehensive Cancer Center, The Ohio State University, Columbus</wicri:cityArea></affiliation></author></analytic><series><title level="j">International journal of gynecological cancer : official journal of the International Gynecological Cancer Society</title><idno type="ISSN">1048-891X</idno><idno type="eISSN">1525-1438</idno><imprint><date when="2014">2014</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>Cross-Sectional Studies</term><term>Endometrial Neoplasms (complications)</term><term>Endometrial Neoplasms (epidemiology)</term><term>Endometrial Neoplasms (surgery)</term><term>Female</term><term>Humans</term><term>Leg</term><term>Lymphedema (complications)</term><term>Lymphedema (epidemiology)</term><term>Middle Aged</term><term>Needs Assessment</term><term>Pain (complications)</term><term>Pain (epidemiology)</term><term>Patient Education as Topic</term><term>Postoperative Complications (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Complications postopératoires (épidémiologie)</term><term>Douleur ()</term><term>Douleur (épidémiologie)</term><term>Femelle</term><term>Humains</term><term>Jambe</term><term>Lymphoedème ()</term><term>Lymphoedème (épidémiologie)</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs de l'endomètre ()</term><term>Tumeurs de l'endomètre (épidémiologie)</term><term>Éducation du patient comme sujet</term><term>Études transversales</term><term>Évaluation des besoins</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Endometrial Neoplasms</term><term>Lymphedema</term><term>Pain</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Endometrial Neoplasms</term><term>Lymphedema</term><term>Pain</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Endometrial Neoplasms</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Complications postopératoires</term><term>Douleur</term><term>Lymphoedème</term><term>Tumeurs de l'endomètre</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Leg</term><term>Middle Aged</term><term>Needs Assessment</term><term>Patient Education as Topic</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Douleur</term><term>Femelle</term><term>Humains</term><term>Jambe</term><term>Lymphoedème</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs de l'endomètre</term><term>Éducation du patient comme sujet</term><term>Études transversales</term><term>Évaluation des besoins</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title><p id="P1">In addition to hysterectomy and bilateral salpingo-oophorectomy, comprehensive surgical staging for endometrial cancer includes pelvic and para-aortic lymphadenectomy. Clarifying and addressing the morbidity from these surgical procedures is imperative. The goal of this study was to assess the prevalence of lower extremity swelling following surgery for endometrial cancer.</p></sec><sec id="S2"><title>Methods/materials</title><p id="P2">We performed a descriptive, cross-sectional survey study of women who underwent surgery for endometrial cancer at our institution from 2006–2008. Survey information included symptoms, management, and education regarding lymphedema. Demographic information such as race and education was collected in addition to clinical data such as body mass index (BMI) and age.</p></sec><sec id="S3"><title>Results</title><p id="P3">Of the 482 patients identified, 440 were determined eligible and 305 (69.3%) responded to the survey with information on lower limb swelling (LLS). Of the 108 (35%) responders who reported swelling, only 68 (22%) participants reported a diagnosis of lower limb lymphedema (LLL). The most commonly experienced symptoms among those who reported LLS were tightness, pain/tenderness and heaviness. Among those with a diagnosis of LLL, a majority (60%) stated it affected their daily activities and noted exacerbating factors such as prolonged standing, heat, and walking. The most common therapies utilized to reduce symptoms included leg elevation (96%), compression stockings (65%), diuretics (46%), massage therapy (35%), and bandaging (25%). There was no association between LLS or LLL diagnosis and BMI, age, race, tobacco use. Only 8% of responders reported receiving preoperative education regarding risks for LLS and a desire for more comprehensive education was frequently noted.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">The patient-reported incidence of LLS occurred in approximately 35% of survey participants who underwent surgery for endometrial cancer. However, only 22% reported a diagnosis of LLL. Efforts to obtain the true incidence of LLL and to develop effective educational materials and programs to improve the management of lymphedema are warranted.</p></sec></div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Ohio</li></region></list><tree><country name="États-Unis"><region name="Ohio"><name sortKey="Salani, Ritu" sort="Salani, Ritu" uniqKey="Salani R" first="Ritu" last="Salani">Ritu Salani</name></region><name sortKey="Fowler, Jeffrey M" sort="Fowler, Jeffrey M" uniqKey="Fowler J" first="Jeffrey M." last="Fowler">Jeffrey M. Fowler</name><name sortKey="Hade, Erinn M" sort="Hade, Erinn M" uniqKey="Hade E" first="Erinn M." last="Hade">Erinn M. Hade</name><name sortKey="Johns, Jessica" sort="Johns, Jessica" uniqKey="Johns J" first="Jessica" last="Johns">Jessica Johns</name><name sortKey="Katz, Mira L" sort="Katz, Mira L" uniqKey="Katz M" first="Mira L." last="Katz">Mira L. Katz</name><name sortKey="Paskett, Electra P" sort="Paskett, Electra P" uniqKey="Paskett E" first="Electra P." last="Paskett">Electra P. Paskett</name><name sortKey="Preston, Megan M" sort="Preston, Megan M" uniqKey="Preston M" first="Megan M." last="Preston">Megan M. Preston</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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