Surveillance Recommendations in Reducing Risk of and Optimally Managing Breast Cancer-Related Lymphedema
Identifieur interne : 002482 ( Main/Exploration ); précédent : 002481; suivant : 002483Surveillance Recommendations in Reducing Risk of and Optimally Managing Breast Cancer-Related Lymphedema
Auteurs : Pamela L. Ostby ; Jane M. Armer [États-Unis] ; Paul S. Dale ; Margaret J. Van Loo ; Cassie L. Wilbanks ; Bob R. Stewart [États-Unis]Source :
- Journal of Personalized Medicine [ 2075-4426 ] ; 2014.
Abstract
Breast cancer survivors are at increased risk for the development of breast cancer-related lymphedema (BCRL), a chronic, debilitating, and disfiguring condition that is progressive and requires lifelong self-management of symptoms. It has been reported that over 40% of the 2.5 million breast cancer survivors in the United States may meet the criteria for BCRL during their lifetimes. Ongoing surveillance, beginning with pre-operative assessment, has been effective in identifying subclinical lymphedema (LE). A prospective model for surveillance is necessary in order to detect BCRL at an early stage when there is the best chance to reduce risk or slow progression. Physical methods for monitoring and assessment, such as circumferential arm measures, perometry, bioimpedance; exercise programs; prophylactic and early-intervention compression garments; and referral for complete decongestive therapy are all interventions to consider in the development of a BCRL surveillance program. In addition, supportive-educative programs and interactive engagement for symptom self-management should also be implemented. The importance of interdisciplinary collaboration is integral to the success of an effective personalized medicine program in breast cancer-related lymphedema surveillance.
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DOI: 10.3390/jpm4030424
PubMed: 25563360
PubMed Central: 4263967
Affiliations:
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Armer</name><affiliation><nlm:aff id="af1-jpm-04-00424">Sinclair School of Nursing, University of Missouri-Columbia, S235 School of Nursing Building, Columbia, MO 65211, USA; E-Mails:<email>plo7c9@mail.missouri.edu</email> (P.L.O.);<email>stewartb@missouri.edu</email> (B.R.S.)</nlm:aff></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-jpm-04-00424">Lymphedema Research Laboratory, Sinclair School of Nursing, University of Missouri, DC 116.05, Suite 408, Mizzou North Campus, Columbia, MO 65211, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Lymphedema Research Laboratory, Sinclair School of Nursing, University of Missouri, DC 116.05, Suite 408, Mizzou North Campus, Columbia, MO 65211</wicri:regionArea><wicri:noRegion>MO 65211</wicri:noRegion></affiliation></author><author><name sortKey="Dale, Paul S" sort="Dale, Paul S" uniqKey="Dale P" first="Paul S." last="Dale">Paul S. Dale</name><affiliation><nlm:aff id="af3-jpm-04-00424">Ellis Fischel Cancer Center, One Hospital Drive, Columbia, MO 65212, USA; E-Mails:<email>daleps@health.missouri.edu</email> (P.S.D.);<email>vanloomj@health.missouri.edu</email> (M.J.V.L.);<email>wilbanksc@health.missouri.edu</email> (C.L.W.)</nlm:aff></affiliation></author><author><name sortKey="Van Loo, Margaret J" sort="Van Loo, Margaret J" uniqKey="Van Loo M" first="Margaret J." last="Van Loo">Margaret J. Van Loo</name><affiliation><nlm:aff id="af3-jpm-04-00424">Ellis Fischel Cancer Center, One Hospital Drive, Columbia, MO 65212, USA; E-Mails:<email>daleps@health.missouri.edu</email> (P.S.D.);<email>vanloomj@health.missouri.edu</email> (M.J.V.L.);<email>wilbanksc@health.missouri.edu</email> (C.L.W.)</nlm:aff></affiliation></author><author><name sortKey="Wilbanks, Cassie L" sort="Wilbanks, Cassie L" uniqKey="Wilbanks C" first="Cassie L." last="Wilbanks">Cassie L. 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Ostby</name><affiliation><nlm:aff id="af1-jpm-04-00424">Sinclair School of Nursing, University of Missouri-Columbia, S235 School of Nursing Building, Columbia, MO 65211, USA; E-Mails:<email>plo7c9@mail.missouri.edu</email> (P.L.O.);<email>stewartb@missouri.edu</email> (B.R.S.)</nlm:aff></affiliation></author><author><name sortKey="Armer, Jane M" sort="Armer, Jane M" uniqKey="Armer J" first="Jane M." last="Armer">Jane M. Armer</name><affiliation><nlm:aff id="af1-jpm-04-00424">Sinclair School of Nursing, University of Missouri-Columbia, S235 School of Nursing Building, Columbia, MO 65211, USA; E-Mails:<email>plo7c9@mail.missouri.edu</email> (P.L.O.);<email>stewartb@missouri.edu</email> (B.R.S.)</nlm:aff></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-jpm-04-00424">Lymphedema Research Laboratory, Sinclair School of Nursing, University of Missouri, DC 116.05, Suite 408, Mizzou North Campus, Columbia, MO 65211, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Lymphedema Research Laboratory, Sinclair School of Nursing, University of Missouri, DC 116.05, Suite 408, Mizzou North Campus, Columbia, MO 65211</wicri:regionArea><wicri:noRegion>MO 65211</wicri:noRegion></affiliation></author><author><name sortKey="Dale, Paul S" sort="Dale, Paul S" uniqKey="Dale P" first="Paul S." last="Dale">Paul S. Dale</name><affiliation><nlm:aff id="af3-jpm-04-00424">Ellis Fischel Cancer Center, One Hospital Drive, Columbia, MO 65212, USA; E-Mails:<email>daleps@health.missouri.edu</email> (P.S.D.);<email>vanloomj@health.missouri.edu</email> (M.J.V.L.);<email>wilbanksc@health.missouri.edu</email> (C.L.W.)</nlm:aff></affiliation></author><author><name sortKey="Van Loo, Margaret J" sort="Van Loo, Margaret J" uniqKey="Van Loo M" first="Margaret J." last="Van Loo">Margaret J. Van Loo</name><affiliation><nlm:aff id="af3-jpm-04-00424">Ellis Fischel Cancer Center, One Hospital Drive, Columbia, MO 65212, USA; E-Mails:<email>daleps@health.missouri.edu</email> (P.S.D.);<email>vanloomj@health.missouri.edu</email> (M.J.V.L.);<email>wilbanksc@health.missouri.edu</email> (C.L.W.)</nlm:aff></affiliation></author><author><name sortKey="Wilbanks, Cassie L" sort="Wilbanks, Cassie L" uniqKey="Wilbanks C" first="Cassie L." last="Wilbanks">Cassie L. Wilbanks</name><affiliation><nlm:aff id="af3-jpm-04-00424">Ellis Fischel Cancer Center, One Hospital Drive, Columbia, MO 65212, USA; E-Mails:<email>daleps@health.missouri.edu</email> (P.S.D.);<email>vanloomj@health.missouri.edu</email> (M.J.V.L.);<email>wilbanksc@health.missouri.edu</email> (C.L.W.)</nlm:aff></affiliation></author><author><name sortKey="Stewart, Bob R" sort="Stewart, Bob R" uniqKey="Stewart B" first="Bob R." last="Stewart">Bob R. Stewart</name><affiliation><nlm:aff id="af1-jpm-04-00424">Sinclair School of Nursing, University of Missouri-Columbia, S235 School of Nursing Building, Columbia, MO 65211, USA; E-Mails:<email>plo7c9@mail.missouri.edu</email> (P.L.O.);<email>stewartb@missouri.edu</email> (B.R.S.)</nlm:aff></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-jpm-04-00424">Lymphedema Research Laboratory, Sinclair School of Nursing, University of Missouri, DC 116.05, Suite 408, Mizzou North Campus, Columbia, MO 65211, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Lymphedema Research Laboratory, Sinclair School of Nursing, University of Missouri, DC 116.05, Suite 408, Mizzou North Campus, Columbia, MO 65211</wicri:regionArea><wicri:noRegion>MO 65211</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Personalized Medicine</title><idno type="eISSN">2075-4426</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Breast cancer survivors are at increased risk for the development of breast cancer-related lymphedema (BCRL), a chronic, debilitating, and disfiguring condition that is progressive and requires lifelong self-management of symptoms. It has been reported that over 40% of the 2.5 million breast cancer survivors in the United States may meet the criteria for BCRL during their lifetimes. Ongoing surveillance, beginning with pre-operative assessment, has been effective in identifying subclinical lymphedema (LE). A prospective model for surveillance is necessary in order to detect BCRL at an early stage when there is the best chance to reduce risk or slow progression. Physical methods for monitoring and assessment, such as circumferential arm measures, perometry, bioimpedance; exercise programs; prophylactic and early-intervention compression garments; and referral for complete decongestive therapy are all interventions to consider in the development of a BCRL surveillance program. In addition, supportive-educative programs and interactive engagement for symptom self-management should also be implemented. The importance of interdisciplinary collaboration is integral to the success of an effective personalized medicine program in breast cancer-related lymphedema surveillance.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Chang, C J" uniqKey="Chang C">C.J. Chang</name></author><author><name sortKey="Cormier, J N" uniqKey="Cormier J">J.N. Cormier</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lasinski, B" uniqKey="Lasinski B">B. Lasinski</name></author><author><name sortKey="Thrift, K" uniqKey="Thrift K">K. Thrift</name></author><author><name sortKey="Squire, D" uniqKey="Squire D">D. Squire</name></author><author><name sortKey="Austin, M K" uniqKey="Austin M">M.K. Austin</name></author><author><name sortKey="Smith, K M" uniqKey="Smith K">K.M. Smith</name></author><author><name sortKey="Wanchai, A" uniqKey="Wanchai A">A. 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Riches</name></author><author><name sortKey="Hilliam, R" uniqKey="Hilliam R">R. Hilliam</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sherman, K A" uniqKey="Sherman K">K.A. Sherman</name></author><author><name sortKey="Koelmeyer, L" uniqKey="Koelmeyer L">L. Koelmeyer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Birkballe, S" uniqKey="Birkballe S">S. Birkballe</name></author><author><name sortKey="Karlsmark, T" uniqKey="Karlsmark T">T. Karlsmark</name></author><author><name sortKey="Noerregaard, S" uniqKey="Noerregaard S">S. Noerregaard</name></author><author><name sortKey="Gottrup, F" uniqKey="Gottrup F">F. Gottrup</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Reneker, J" uniqKey="Reneker J">J. Reneker</name></author><author><name sortKey="Armer, J M" uniqKey="Armer J">J.M. Armer</name></author><author><name sortKey="Stewart, B R" uniqKey="Stewart B">B.R. Stewart</name></author><author><name sortKey="Shyu, C R" uniqKey="Shyu C">C.-R. Shyu</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><noCountry><name sortKey="Dale, Paul S" sort="Dale, Paul S" uniqKey="Dale P" first="Paul S." last="Dale">Paul S. Dale</name><name sortKey="Ostby, Pamela L" sort="Ostby, Pamela L" uniqKey="Ostby P" first="Pamela L." last="Ostby">Pamela L. Ostby</name><name sortKey="Van Loo, Margaret J" sort="Van Loo, Margaret J" uniqKey="Van Loo M" first="Margaret J." last="Van Loo">Margaret J. Van Loo</name><name sortKey="Wilbanks, Cassie L" sort="Wilbanks, Cassie L" uniqKey="Wilbanks C" first="Cassie L." last="Wilbanks">Cassie L. Wilbanks</name></noCountry><country name="États-Unis"><noRegion><name sortKey="Armer, Jane M" sort="Armer, Jane M" uniqKey="Armer J" first="Jane M." last="Armer">Jane M. 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