Prescription and Adherence to Lymphedema Self-Care Modalities among Women with Breast Cancer-Related Lymphedema
Identifieur interne : 003275 ( Main/Exploration ); précédent : 003274; suivant : 003276Prescription and Adherence to Lymphedema Self-Care Modalities among Women with Breast Cancer-Related Lymphedema
Auteurs : Justin C. Brown [États-Unis] ; Andrea L. Cheville [États-Unis] ; Julia C. Tchou [États-Unis] ; Susan R. Harris [Canada] ; Kathryn H. Schmitz [États-Unis]Source :
- Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer [ 0941-4355 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Autosoins (), Autosoins (normes), Enquêtes et questionnaires, Femelle, Haltérophilie, Humains, Hygiène de la peau (), Hygiène de la peau (normes), Lymphoedème (), Lymphoedème (étiologie), Modèles logistiques, Observance thérapeutique, Sujet âgé, Traitement par les exercices physiques (), Traitement par les exercices physiques (normes), Tumeurs du sein (), Études longitudinales.
- MESH :
- normes : Autosoins, Hygiène de la peau, Traitement par les exercices physiques.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Autosoins, Enquêtes et questionnaires, Femelle, Haltérophilie, Humains, Hygiène de la peau, Lymphoedème, Modèles logistiques, Observance thérapeutique, Sujet âgé, Traitement par les exercices physiques, Tumeurs du sein, Études longitudinales.
English descriptors
- KwdEn :
- Adult, Aged, Breast Neoplasms (complications), Breast Neoplasms (therapy), Exercise Therapy (methods), Exercise Therapy (standards), Female, Humans, Logistic Models, Longitudinal Studies, Lymphedema (etiology), Lymphedema (therapy), Middle Aged, Patient Compliance, Self Care (methods), Self Care (standards), Skin Care (methods), Skin Care (standards), Surveys and Questionnaires, Weight Lifting.
- MESH :
- complications : Breast Neoplasms.
- etiology : Lymphedema.
- methods : Exercise Therapy, Self Care, Skin Care.
- standards : Exercise Therapy, Self Care, Skin Care.
- therapy : Breast Neoplasms, Lymphedema.
- Adult, Aged, Female, Humans, Logistic Models, Longitudinal Studies, Middle Aged, Patient Compliance, Surveys and Questionnaires, Weight Lifting.
Abstract
To profile the prescription for and adherence to breast cancer related lymphedema (BCRL) self-care modalities among breast cancer (BrCa) survivors with BCRL in a 12-month randomized weightlifting trial.
We developed a questionnaire that assessed prescription for and adherence to 10 BCRL self-care modalities that included physical therapy exercise, pneumatic compression pump, medication, lymphedema bandaging, arm elevation, self-administered lymphatic drainage, therapist-administered lymphatic drainage, compression garments, skin care, and taping. We measured prescription for and adherence to BCRL self-care modalities at baseline, 3-, 6-, and 12-months. Longitudinal logistic regression was used to estimate the odds ratio (OR) and 95% confidence interval (95% CI) associated with prescription for and adherence to BCRL modalities over time.
This study included 141 BrCa survivors with BCRL. Women were prescribed an average of 3.6±2.1 BCRL self-care modalities during the study. The prescription of therapistadministered lymphatic drainage (OR=0.92, 95% CI: 0.88–0.96), pneumatic compression pump use (OR=0.94, 95% CI: 0.89–0.98), and bandaging (OR=0.96, 95% CI: 0.93–0.99) decreased over 12-months of follow-up. No other prescribed BCRL self-care modalities changed during the study. Over 12-months, the average adherence to all BCRL self-care modalities varied with 13%, 24%, 32%, and 31% of women reporting <25%, 25–49%, 50–74%, and ≥75% adherence, respectively. Over 12-months, there was a noticeable change from high to low adherence in self-administered lymphatic drainage, such that there was a 15% increased likelihood of adherence <25% compared to ≥75% (OR=1.15 (95% CI: 1.05–1.26); p=0.002). The adherence patterns of all other modalities did not change over follow-up.
Our findings suggest the prescription of BCRL self-care modalities is variable. The average adherence to BCRL self-care was non-optimal. Future research is necessary to prepare BrCa survivors with the knowledge, skills, abilities, and resources necessary to care for this lifelong condition.
Url:
DOI: 10.1007/s00520-013-1962-9
PubMed: 24013569
PubMed Central: 4122426
Affiliations:
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Brown</name><affiliation wicri:level="2"><nlm:aff id="A1">University of Pennsylvania, Philadelphia, Pennsylvania</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>University of Pennsylvania, Philadelphia</wicri:cityArea></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="A2">Mayo Clinic, Rochester, Minnesota</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Minnesota</region></placeName><wicri:cityArea>Mayo Clinic, Rochester</wicri:cityArea></affiliation></author><author><name sortKey="Tchou, Julia C" sort="Tchou, Julia C" uniqKey="Tchou J" first="Julia C." last="Tchou">Julia C. Tchou</name><affiliation wicri:level="2"><nlm:aff id="A1">University of Pennsylvania, Philadelphia, Pennsylvania</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Harris, Susan R" sort="Harris, Susan R" uniqKey="Harris S" first="Susan R." last="Harris">Susan R. Harris</name><affiliation wicri:level="1"><nlm:aff id="A3">University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>University of British Columbia, Vancouver, British Columbia</wicri:regionArea><wicri:noRegion>British Columbia</wicri:noRegion></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 wicri:level="2"><nlm:aff id="A1">University of Pennsylvania, Philadelphia, Pennsylvania</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation></author></analytic><series><title level="j">Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</title><idno type="ISSN">0941-4355</idno><idno type="eISSN">1433-7339</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Breast Neoplasms (complications)</term><term>Breast Neoplasms (therapy)</term><term>Exercise Therapy (methods)</term><term>Exercise Therapy (standards)</term><term>Female</term><term>Humans</term><term>Logistic Models</term><term>Longitudinal Studies</term><term>Lymphedema (etiology)</term><term>Lymphedema (therapy)</term><term>Middle Aged</term><term>Patient Compliance</term><term>Self Care (methods)</term><term>Self Care (standards)</term><term>Skin Care (methods)</term><term>Skin Care (standards)</term><term>Surveys and Questionnaires</term><term>Weight Lifting</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Autosoins ()</term><term>Autosoins (normes)</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Haltérophilie</term><term>Humains</term><term>Hygiène de la peau ()</term><term>Hygiène de la peau (normes)</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Modèles logistiques</term><term>Observance thérapeutique</term><term>Sujet âgé</term><term>Traitement par les exercices physiques ()</term><term>Traitement par les exercices physiques (normes)</term><term>Tumeurs du sein ()</term><term>Études longitudinales</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Exercise Therapy</term><term>Self Care</term><term>Skin Care</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Autosoins</term><term>Hygiène de la peau</term><term>Traitement par les exercices physiques</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Exercise Therapy</term><term>Self Care</term><term>Skin Care</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Breast 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>Female</term><term>Humans</term><term>Logistic Models</term><term>Longitudinal Studies</term><term>Middle Aged</term><term>Patient Compliance</term><term>Surveys and Questionnaires</term><term>Weight Lifting</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Autosoins</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Haltérophilie</term><term>Humains</term><term>Hygiène de la peau</term><term>Lymphoedème</term><term>Modèles logistiques</term><term>Observance thérapeutique</term><term>Sujet âgé</term><term>Traitement par les exercices physiques</term><term>Tumeurs du sein</term><term>Études longitudinales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title><p id="P1">To profile the prescription for and adherence to breast cancer related lymphedema (BCRL) self-care modalities among breast cancer (BrCa) survivors with BCRL in a 12-month randomized weightlifting trial.</p></sec><sec id="S2"><title>Methods</title><p id="P2">We developed a questionnaire that assessed prescription for and adherence to 10 BCRL self-care modalities that included physical therapy exercise, pneumatic compression pump, medication, lymphedema bandaging, arm elevation, self-administered lymphatic drainage, therapist-administered lymphatic drainage, compression garments, skin care, and taping. We measured prescription for and adherence to BCRL self-care modalities at baseline, 3-, 6-, and 12-months. Longitudinal logistic regression was used to estimate the odds ratio (OR) and 95% confidence interval (95% CI) associated with prescription for and adherence to BCRL modalities over time.</p></sec><sec id="S3"><title>Results</title><p id="P3">This study included 141 BrCa survivors with BCRL. Women were prescribed an average of 3.6±2.1 BCRL self-care modalities during the study. The prescription of therapistadministered lymphatic drainage (OR=0.92, 95% CI: 0.88–0.96), pneumatic compression pump use (OR=0.94, 95% CI: 0.89–0.98), and bandaging (OR=0.96, 95% CI: 0.93–0.99) decreased over 12-months of follow-up. No other prescribed BCRL self-care modalities changed during the study. Over 12-months, the average adherence to all BCRL self-care modalities varied with 13%, 24%, 32%, and 31% of women reporting <25%, 25–49%, 50–74%, and ≥75% adherence, respectively. Over 12-months, there was a noticeable change from high to low adherence in self-administered lymphatic drainage, such that there was a 15% increased likelihood of adherence <25% compared to ≥75% (OR=1.15 (95% CI: 1.05–1.26); p=0.002). The adherence patterns of all other modalities did not change over follow-up.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Our findings suggest the prescription of BCRL self-care modalities is variable. The average adherence to BCRL self-care was non-optimal. Future research is necessary to prepare BrCa survivors with the knowledge, skills, abilities, and resources necessary to care for this lifelong condition.</p></sec></div></front></TEI><affiliations><list><country><li>Canada</li><li>États-Unis</li></country><region><li>Minnesota</li><li>Pennsylvanie</li></region></list><tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Brown, Justin C" sort="Brown, Justin C" uniqKey="Brown J" first="Justin C." last="Brown">Justin C. Brown</name></region><name sortKey="Cheville, Andrea L" sort="Cheville, Andrea L" uniqKey="Cheville A" first="Andrea L." last="Cheville">Andrea L. Cheville</name><name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H." last="Schmitz">Kathryn H. Schmitz</name><name sortKey="Tchou, Julia C" sort="Tchou, Julia C" uniqKey="Tchou J" first="Julia C." last="Tchou">Julia C. Tchou</name></country><country name="Canada"><noRegion><name sortKey="Harris, Susan R" sort="Harris, Susan R" uniqKey="Harris S" first="Susan R." last="Harris">Susan R. Harris</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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