Agreement between telerehabilitation involving caregivers and face-to-face clinical assessment of lymphedema in breast cancer survivors.
Identifieur interne : 002D76 ( Main/Exploration ); précédent : 002D75; suivant : 002D77Agreement between telerehabilitation involving caregivers and face-to-face clinical assessment of lymphedema in breast cancer survivors.
Auteurs : N. Galiano-Castillo [Espagne] ; A. Ariza-García ; I. Cantarero-Villanueva ; C. Fernández-Lao ; C. Sánchez-Salado ; M. Arroyo-MoralesSource :
- Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer [ 1433-7339 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Lymphoedème.
- rééducation et réadaptation : Lymphoedème.
- étiologie : Lymphoedème.
- Adulte, Aidants, Femelle, Humains, Internet, Kinésithérapeutes, Reproductibilité des résultats, Survivants, Tumeurs du sein, Télémédecine, Études croisées, Évaluation de résultat (soins).
English descriptors
- KwdEn :
- Adult, Breast Neoplasms (complications), Caregivers, Cross-Over Studies, Female, Humans, Internet, Lymphedema (diagnosis), Lymphedema (etiology), Lymphedema (rehabilitation), Outcome Assessment (Health Care) (methods), Physical Therapists, Reproducibility of Results, Survivors, Telemedicine (methods).
- MESH :
- complications : Breast Neoplasms.
- diagnosis : Lymphedema.
- etiology : Lymphedema.
- methods : Outcome Assessment (Health Care), Telemedicine.
- rehabilitation : Lymphedema.
- Adult, Caregivers, Cross-Over Studies, Female, Humans, Internet, Physical Therapists, Reproducibility of Results, Survivors.
Abstract
Lymphedema is a lifetime complication of breast cancer survivors that can limit their participation in recreational or strenuous daily activities. Follow-up of lymphedema using an Internet application could help patients to determine the influence on their condition of these activities and adapt them accordingly. We aimed to determine the level of agreement between lymphedema assessment by telerehabilitation and by the traditional face-to-face method. Thirty breast cancer survivors participated in a descriptive study of repeated measures using a crossover design. Patients attended a session for clinical face-to-face and real-time online telerehabilitation assessments of lymphedema. There was a 120-min interval between these two sessions. The order of sessions was randomly selected for each patient. A caregiver (relative or friend) conducted the telerehabilitation assessment using a system that includes a specific tool based on an arm diagram for measuring the participant's arm circumferences via a telehealth application. All outcome measures showed reliability estimates (α) ≥ 0.90; the lowest reliability was obtained for the total volume on the non-affected side (α = 0.90). The diagnosis of lymphedema by the two methods also showed good inter-rater reliability (Rho = 0.89). These preliminary findings support the use of an Internet-based system to assess lymphedema in breast cancer survivors, offering carers a useful role in helping patients to follow up this lifetime health problem.
DOI: 10.1007/s00520-013-1971-8
PubMed: 24043290
Affiliations:
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Follow-up of lymphedema using an Internet application could help patients to determine the influence on their condition of these activities and adapt them accordingly. We aimed to determine the level of agreement between lymphedema assessment by telerehabilitation and by the traditional face-to-face method. Thirty breast cancer survivors participated in a descriptive study of repeated measures using a crossover design. Patients attended a session for clinical face-to-face and real-time online telerehabilitation assessments of lymphedema. There was a 120-min interval between these two sessions. The order of sessions was randomly selected for each patient. A caregiver (relative or friend) conducted the telerehabilitation assessment using a system that includes a specific tool based on an arm diagram for measuring the participant's arm circumferences via a telehealth application. All outcome measures showed reliability estimates (α) ≥ 0.90; the lowest reliability was obtained for the total volume on the non-affected side (α = 0.90). The diagnosis of lymphedema by the two methods also showed good inter-rater reliability (Rho = 0.89). These preliminary findings support the use of an Internet-based system to assess lymphedema in breast cancer survivors, offering carers a useful role in helping patients to follow up this lifetime health problem.</div></front></TEI><affiliations><list><country><li>Espagne</li></country><region><li>Andalousie</li></region><settlement><li>Grenade (Espagne)</li></settlement><orgName><li>Université de Grenade</li></orgName></list><tree><noCountry><name sortKey="Ariza Garcia, A" sort="Ariza Garcia, A" uniqKey="Ariza Garcia A" first="A" last="Ariza-García">A. Ariza-García</name><name sortKey="Arroyo Morales, M" sort="Arroyo Morales, M" uniqKey="Arroyo Morales M" first="M" last="Arroyo-Morales">M. Arroyo-Morales</name><name sortKey="Cantarero Villanueva, I" sort="Cantarero Villanueva, I" uniqKey="Cantarero Villanueva I" first="I" last="Cantarero-Villanueva">I. Cantarero-Villanueva</name><name sortKey="Fernandez Lao, C" sort="Fernandez Lao, C" uniqKey="Fernandez Lao C" first="C" last="Fernández-Lao">C. Fernández-Lao</name><name sortKey="Sanchez Salado, C" sort="Sanchez Salado, C" uniqKey="Sanchez Salado C" first="C" last="Sánchez-Salado">C. Sánchez-Salado</name></noCountry><country name="Espagne"><region name="Andalousie"><name sortKey="Galiano Castillo, N" sort="Galiano Castillo, N" uniqKey="Galiano Castillo N" first="N" last="Galiano-Castillo">N. Galiano-Castillo</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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