LymphedemaV1, Main, Exploration, bibRecord, 002888

Lymphedema Outcomes in Patients with Head and Neck Cancer

Identifieur interne : 002888 ( Main/Exploration ); précédent : 002887; suivant : 002889

Lymphedema Outcomes in Patients with Head and Neck Cancer

Auteurs : Brad G. Smith [États-Unis] ; Katherine A. Hutcheson [États-Unis] ; Leila G. Little [États-Unis] ; Roman J. Skoracki [États-Unis] ; David I. Rosenthal [États-Unis] ; Stephen Y. Lai [États-Unis] ; Jan S. Lewin [États-Unis]

Source :

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [ 0194-5998 ] ; 2014.

RBID : PMC:4397961

Descripteurs français

KwdFr :
- Adulte, Adulte d'âge moyen, Femelle, Humains, Indice de gravité médicale, Lymphoedème (), Lymphoedème (étiologie), Mâle, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Texas, Tumeurs de la tête et du cou (), Études rétrospectives.
MESH :
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Indice de gravité médicale, Lymphoedème, Mâle, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Texas, Tumeurs de la tête et du cou, Études rétrospectives.

English descriptors

KwdEn :
- Adult, Aged, Aged, 80 and over, Female, Head and Neck Neoplasms (therapy), Humans, Lymphedema (etiology), Lymphedema (therapy), Male, Middle Aged, Retrospective Studies, Severity of Illness Index, Texas, Treatment Outcome.
MESH :
- geographic : Texas.
- etiology : Lymphedema.
- therapy : Head and Neck Neoplasms, Lymphedema.
- Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Retrospective Studies, Severity of Illness Index, Treatment Outcome.

Abstract

Objective

We sought to describe the presentation of external head and neck lymphedema in patients treated for head and neck cancer and examine their initial response to complete decongestive therapy.

Study Design

Case series with chart review.

Setting

MD Anderson Cancer Center, Houston, TX.

Subjects and Methods

Patients evaluated for head and neck cancer at MD Anderson Cancer Center after treatment 01/2007-01/2013 were retrospectively reviewed. Response to complete decongestive therapy was evaluated per changes in lymphedema severity rating or surface tape measures. Predictors of therapy response were examined using regression models.

Results

1,202 patients were evaluated. Most patients (62%) had soft, reversible pitting edema (MDACC Stage 1b). Treatment response was evaluated in 733 patients after receiving therapy; 439 (60%) improved after complete decongestive therapy. Treatment adherence independently predicted complete decongestive therapy response (p<0.001).

Conclusions

These data support the effectiveness of a head and neck cancer-specific regimen of lymphedema therapy for cancer patients with external head and neck lymphedema. Our findings suggest that head and neck lymphedema is distinct from lymphedema that affects other sites, requiring adaptations in traditional methods of management and measurement.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4397961

DOI: 10.1177/0194599814558402
PubMed: 25389318
PubMed Central: 4397961

Affiliations:

Le document en format XML

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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Head and Neck Neoplasms (therapy)</term>
<term>Humans</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (therapy)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Severity of Illness Index</term>
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<term>Treatment Outcome</term>
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<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Mâle</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Texas</term>
<term>Tumeurs de la tête et du cou ()</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Texas</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Head and Neck Neoplasms</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Severity of Illness Index</term>
<term>Treatment Outcome</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Lymphoedème</term>
<term>Mâle</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title>
<p id="P1">We sought to describe the presentation of external head and neck lymphedema in patients treated for head and neck cancer and examine their initial response to complete decongestive therapy.</p>
</sec>
<sec id="S2"><title>Study Design</title>
<p id="P2">Case series with chart review.</p>
</sec>
<sec id="S3"><title>Setting</title>
<p id="P3">MD Anderson Cancer Center, Houston, TX.</p>
</sec>
<sec id="S4"><title>Subjects and Methods</title>
<p id="P4">Patients evaluated for head and neck cancer at MD Anderson Cancer Center after treatment 01/2007-01/2013 were retrospectively reviewed. Response to complete decongestive therapy was evaluated per changes in lymphedema severity rating or surface tape measures. Predictors of therapy response were examined using regression models.</p>
</sec>
<sec id="S5"><title>Results</title>
<p id="P5">1,202 patients were evaluated. Most patients (62%) had soft, reversible pitting edema (MDACC Stage 1b). Treatment response was evaluated in 733 patients after receiving therapy; 439 (60%) improved after complete decongestive therapy. Treatment adherence independently predicted complete decongestive therapy response (p<0.001).</p>
</sec>
<sec id="S6"><title>Conclusions</title>
<p id="P6">These data support the effectiveness of a head and neck cancer-specific regimen of lymphedema therapy for cancer patients with external head and neck lymphedema. Our findings suggest that head and neck lymphedema is distinct from lymphedema that affects other sites, requiring adaptations in traditional methods of management and measurement.</p>
</sec>
</div>
</front>
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<name sortKey="Hutcheson, Katherine A" sort="Hutcheson, Katherine A" uniqKey="Hutcheson K" first="Katherine A." last="Hutcheson">Katherine A. Hutcheson</name>
<name sortKey="Lai, Stephen Y" sort="Lai, Stephen Y" uniqKey="Lai S" first="Stephen Y." last="Lai">Stephen Y. Lai</name>
<name sortKey="Lewin, Jan S" sort="Lewin, Jan S" uniqKey="Lewin J" first="Jan S." last="Lewin">Jan S. Lewin</name>
<name sortKey="Little, Leila G" sort="Little, Leila G" uniqKey="Little L" first="Leila G." last="Little">Leila G. Little</name>
<name sortKey="Rosenthal, David I" sort="Rosenthal, David I" uniqKey="Rosenthal D" first="David I." last="Rosenthal">David I. Rosenthal</name>
<name sortKey="Skoracki, Roman J" sort="Skoracki, Roman J" uniqKey="Skoracki R" first="Roman J." last="Skoracki">Roman J. Skoracki</name>
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Serveur d'exploration sur le lymphœdème

Lymphedema Outcomes in Patients with Head and Neck Cancer

Lymphedema Outcomes in Patients with Head and Neck Cancer

Source :

Descripteurs français

English descriptors

Abstract

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

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

	Serveur d'exploration sur le lymphœdème
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