The Prevalence of Lymphedema Symptoms among Long-Term Cancer Survivors with or at-risk for Lower Limb Lymphedema
Identifieur interne : 003088 ( Main/Exploration ); précédent : 003087; suivant : 003089The Prevalence of Lymphedema Symptoms among Long-Term Cancer Survivors with or at-risk for Lower Limb Lymphedema
Auteurs : Justin C. Brown ; Christina S. Chu ; Andrea L. Cheville [États-Unis] ; Kathryn H. SchmitzSource :
- American journal of physical medicine & rehabilitation / Association of Academic Physiatrists [ 0894-9115 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Douleur (épidémiologie), Douleur (étiologie), Enquêtes et questionnaires, Enregistrements, Femelle, Humains, Lymphoedème (diagnostic), Lymphoedème (épidémiologie), Membre inférieur, Mobilité réduite, Mâle, Pennsylvanie (épidémiologie), Sujet âgé, Survivants, Tumeurs (), Tumeurs (épidémiologie), Études transversales.
- MESH :
- diagnostic : Lymphoedème.
- épidémiologie : Douleur, Lymphoedème, Pennsylvanie, Tumeurs.
- étiologie : Douleur.
- Adulte d'âge moyen, Enquêtes et questionnaires, Enregistrements, Femelle, Humains, Membre inférieur, Mobilité réduite, Mâle, Sujet âgé, Survivants, Tumeurs, Études transversales.
English descriptors
- KwdEn :
- Aged, Cross-Sectional Studies, Female, Humans, Lower Extremity, Lymphedema (diagnosis), Lymphedema (epidemiology), Male, Middle Aged, Mobility Limitation, Neoplasms (epidemiology), Neoplasms (therapy), Pain (epidemiology), Pain (etiology), Pennsylvania (epidemiology), Registries, Surveys and Questionnaires, Survivors.
- MESH :
- geographic , epidemiology : Pennsylvania.
- diagnosis : Lymphedema.
- epidemiology : Lymphedema, Neoplasms, Pain.
- etiology : Pain.
- therapy : Neoplasms.
- Aged, Cross-Sectional Studies, Female, Humans, Lower Extremity, Male, Middle Aged, Mobility Limitation, Registries, Surveys and Questionnaires, Survivors.
Abstract
To identify commonly reported symptoms in the lower limbs among those with or at-risk for developing lower limb lymphedema (LLL).
We surveyed long-term cancer survivors using the Pennsylvania State cancer registry. We inquired about demographics, cancer treatment history, knowledge about LLL, and symptoms experienced since completing cancer treatment. We invited all participants for an in-person clinical assessment to better identify and characterize the symptoms associated with LLL.
Response rate to our survey was 57.2%. Among the 107 participants who answered our survey, 37 reported ≥1 symptom associated with LLL (34.5%). Many reported a combination of symptoms that included difficulty walking (n=37; 100%), achiness (n=32; 86%), puffiness (n=28; 76%), and pain (n=27; 73%) on one side of the body since cancer treatment. In-person clinical assessment among a sub-sample of 17 participants revealed 10 participants with no evidence of LLL, and five and two participants with grade 1 and 2 LLL, respectively. In-person clinical assessment identified three cases of previously undiagnosed LLL.
One-third of cancer survivors surveyed reported experiencing new symptoms in the lower-limbs since cancer treatment. Cases of symptomatic, undiagnosed LLL may exist in the population.
Url:
DOI: 10.1097/PHM.0b013e31826edd97
PubMed: 23069748
PubMed Central: 4391393
Affiliations:
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Le document en format XML
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Brown</name><affiliation><nlm:aff id="A1">Department of Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania</nlm:aff><wicri:noCountry code="subfield">University of Pennsylvania</wicri:noCountry></affiliation></author><author><name sortKey="Chu, Christina S" sort="Chu, Christina S" uniqKey="Chu C" first="Christina S." last="Chu">Christina S. Chu</name><affiliation><nlm:aff id="A2">Department of Gynecologic Oncology, Perelman School of Medicine, University of Pennsylvania</nlm:aff><wicri:noCountry code="subfield">University of Pennsylvania</wicri:noCountry></affiliation><affiliation><nlm:aff id="A3">Abramson Cancer Center, University of Pennsylvania</nlm:aff><wicri:noCountry code="subfield">University of Pennsylvania</wicri:noCountry></affiliation></author><author><name sortKey="Cheville, Andrea L" sort="Cheville, Andrea L" uniqKey="Cheville A" first="Andrea L." last="Cheville">Andrea L. Cheville</name><affiliation wicri:level="2"><nlm:aff id="A4">Department of Physical Medicine & Rehabilitation, Mayo Clinic, Rochester, Minnesota</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Minnesota</region></placeName><wicri:cityArea>Department of Physical Medicine & Rehabilitation, Mayo Clinic, Rochester</wicri:cityArea></affiliation></author><author><name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H." last="Schmitz">Kathryn H. Schmitz</name><affiliation><nlm:aff id="A1">Department of Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania</nlm:aff><wicri:noCountry code="subfield">University of Pennsylvania</wicri:noCountry></affiliation><affiliation><nlm:aff id="A3">Abramson Cancer Center, University of Pennsylvania</nlm:aff><wicri:noCountry code="subfield">University of Pennsylvania</wicri:noCountry></affiliation></author></analytic><series><title level="j">American journal of physical medicine & rehabilitation / Association of Academic Physiatrists</title><idno type="ISSN">0894-9115</idno><idno type="eISSN">1537-7385</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Lower Extremity</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (epidemiology)</term><term>Male</term><term>Middle Aged</term><term>Mobility Limitation</term><term>Neoplasms (epidemiology)</term><term>Neoplasms (therapy)</term><term>Pain (epidemiology)</term><term>Pain (etiology)</term><term>Pennsylvania (epidemiology)</term><term>Registries</term><term>Surveys and Questionnaires</term><term>Survivors</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Douleur (épidémiologie)</term><term>Douleur (étiologie)</term><term>Enquêtes et questionnaires</term><term>Enregistrements</term><term>Femelle</term><term>Humains</term><term>Lymphoedème (diagnostic)</term><term>Lymphoedème (épidémiologie)</term><term>Membre inférieur</term><term>Mobilité réduite</term><term>Mâle</term><term>Pennsylvanie (épidémiologie)</term><term>Sujet âgé</term><term>Survivants</term><term>Tumeurs ()</term><term>Tumeurs (épidémiologie)</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Pennsylvania</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Lymphedema</term><term>Neoplasms</term><term>Pain</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Pain</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Neoplasms</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Douleur</term><term>Lymphoedème</term><term>Pennsylvanie</term><term>Tumeurs</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Douleur</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Lower Extremity</term><term>Male</term><term>Middle Aged</term><term>Mobility Limitation</term><term>Registries</term><term>Surveys and Questionnaires</term><term>Survivors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Enquêtes et questionnaires</term><term>Enregistrements</term><term>Femelle</term><term>Humains</term><term>Membre inférieur</term><term>Mobilité réduite</term><term>Mâle</term><term>Sujet âgé</term><term>Survivants</term><term>Tumeurs</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title><p id="P1">To identify commonly reported symptoms in the lower limbs among those with or at-risk for developing lower limb lymphedema (LLL).</p></sec><sec id="S2"><title>Design</title><p id="P2">We surveyed long-term cancer survivors using the Pennsylvania State cancer registry. We inquired about demographics, cancer treatment history, knowledge about LLL, and symptoms experienced since completing cancer treatment. We invited all participants for an in-person clinical assessment to better identify and characterize the symptoms associated with LLL.</p></sec><sec id="S3"><title>Results</title><p id="P3">Response rate to our survey was 57.2%. Among the 107 participants who answered our survey, 37 reported ≥1 symptom associated with LLL (34.5%). Many reported a combination of symptoms that included difficulty walking (n=37; 100%), achiness (n=32; 86%), puffiness (n=28; 76%), and pain (n=27; 73%) on one side of the body since cancer treatment. In-person clinical assessment among a sub-sample of 17 participants revealed 10 participants with no evidence of LLL, and five and two participants with grade 1 and 2 LLL, respectively. In-person clinical assessment identified three cases of previously undiagnosed LLL.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">One-third of cancer survivors surveyed reported experiencing new symptoms in the lower-limbs since cancer treatment. Cases of symptomatic, undiagnosed LLL may exist in the population.</p></sec></div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Minnesota</li></region></list><tree><noCountry><name sortKey="Brown, Justin C" sort="Brown, Justin C" uniqKey="Brown J" first="Justin C." last="Brown">Justin C. Brown</name><name sortKey="Chu, Christina S" sort="Chu, Christina S" uniqKey="Chu C" first="Christina S." last="Chu">Christina S. Chu</name><name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H." last="Schmitz">Kathryn H. Schmitz</name></noCountry><country name="États-Unis"><region name="Minnesota"><name sortKey="Cheville, Andrea L" sort="Cheville, Andrea L" uniqKey="Cheville A" first="Andrea L." last="Cheville">Andrea L. Cheville</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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