LymphedemaV1, Main, Exploration, bibRecord, 003519

L-Dex Ratio in Detecting Breast Cancer-Related Lymphedema: Reliability, Sensitivity, and Specificity

Identifieur interne : 003519 ( Main/Exploration ); précédent : 003518; suivant : 003520

L-Dex Ratio in Detecting Breast Cancer-Related Lymphedema: Reliability, Sensitivity, and Specificity

Auteurs : Mei R. Fu [États-Unis] ; Charles M. Cleland [États-Unis] ; Amber A. Guth [États-Unis] ; Maia Kayal [États-Unis] ; Judith Haber [États-Unis] ; Francis Cartwright [États-Unis] ; Robin Kleinman [États-Unis] ; Yang Kang [États-Unis] ; Joan Scagliola [États-Unis] ; Deborah Axelrod [États-Unis]

Source :

Lymphology [ 0024-7766 ] ; 2013.

RBID : PMC:4040962

Descripteurs français

KwdFr :
- Adulte d'âge moyen, Bras (anatomopathologie), Entretiens comme sujet, Femelle, Humains, Impédance électrique, Indice de masse corporelle, Lymphoedème (diagnostic), Lymphoedème (étiologie), Reproductibilité des résultats, Sensibilité et spécificité, Tumeurs du sein (), Études croisées.
MESH :
- anatomopathologie : Bras.
- diagnostic : Lymphoedème.
- étiologie : Lymphoedème.
- Adulte d'âge moyen, Entretiens comme sujet, Femelle, Humains, Impédance électrique, Indice de masse corporelle, Reproductibilité des résultats, Sensibilité et spécificité, Tumeurs du sein, Études croisées.

English descriptors

KwdEn :
- Arm (pathology), Body Mass Index, Breast Neoplasms (therapy), Cross-Over Studies, Electric Impedance, Female, Humans, Interviews as Topic, Lymphedema (diagnosis), Lymphedema (etiology), Middle Aged, Reproducibility of Results, Sensitivity and Specificity.
MESH :
- diagnosis : Lymphedema.
- etiology : Lymphedema.
- pathology : Arm.
- therapy : Breast Neoplasms.
- Body Mass Index, Cross-Over Studies, Electric Impedance, Female, Humans, Interviews as Topic, Middle Aged, Reproducibility of Results, Sensitivity and Specificity.

Abstract

Advances in bioelectrical impedance analysis (BIA) permit the assessment of lymphedema by directly measuring lymph fluid changes. The purpose of the study was to examine the reliability, sensitivity, and specificity of cross-sectional assessment of BIA in detecting lymphedema in a large metropolitan clinical setting. BIA was used to measure lymph fluid changes. Limb volume by sequential circumferential tape measurement was used to validate the presence of lymphedema. Data were collected from 250 women, including healthy female adults, breast cancer survivors with lymphedema, and those at risk for lymphedema. Reliability, sensitivity, specificity and area under the ROC curve were estimated. BIA ratio, as indicated by L-Dex ratio, was highly reliable among healthy women (ICC=0.99; 95% CI = 0.99 - 0.99), survivors at-risk for lymphedema (ICC=0.99; 95% CI = 0.99 - 0.99), and all women (ICC=0.85; 95% CI = 0.81 – 0.87); reliability was acceptable for survivors with lymphedema (ICC=0.69; 95% CI = 0.54 to 0.80). The L-Dex ratio with a cutoff point of >+7.1 discriminated between at-risk breast cancer survivors and those with lymphedema with 80% sensitivity and 90% specificity (AUC=0.86). BIA ratio was significantly correlated with limb volume by sequential circumferential tape measurement. Cross-sectional assessment of BIA may have a role in clinical practice by adding confidence in detecting lymphedema. It is important to note that using a cutoff of L-Dex ratio >+7.1 still misses 20% of true lymphedema cases, it is important for clinicians to integrate other assessment methods (such as self-report, clinical observation, or perometry) to ensure the accurate detection of lymphedema.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4040962

PubMed: 24354107
PubMed Central: 4040962

Affiliations:

Le document en format XML

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<term>Electric Impedance</term>
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<term>Impédance électrique</term>
<term>Indice de masse corporelle</term>
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<front><div type="abstract" xml:lang="en"><p id="P1">Advances in bioelectrical impedance analysis (BIA) permit the assessment of lymphedema by directly measuring lymph fluid changes. The purpose of the study was to examine the reliability, sensitivity, and specificity of cross-sectional assessment of BIA in detecting lymphedema in a large metropolitan clinical setting. BIA was used to measure lymph fluid changes. Limb volume by sequential circumferential tape measurement was used to validate the presence of lymphedema. Data were collected from 250 women, including healthy female adults, breast cancer survivors with lymphedema, and those at risk for lymphedema. Reliability, sensitivity, specificity and area under the ROC curve were estimated. BIA ratio, as indicated by L-Dex ratio, was highly reliable among healthy women (ICC=0.99; 95% CI = 0.99 - 0.99), survivors at-risk for lymphedema (ICC=0.99; 95% CI = 0.99 - 0.99), and all women (ICC=0.85; 95% CI = 0.81 – 0.87); reliability was acceptable for survivors with lymphedema (ICC=0.69; 95% CI = 0.54 to 0.80). The L-Dex ratio with a cutoff point of >+7.1 discriminated between at-risk breast cancer survivors and those with lymphedema with 80% sensitivity and 90% specificity (AUC=0.86). BIA ratio was significantly correlated with limb volume by sequential circumferential tape measurement. Cross-sectional assessment of BIA may have a role in clinical practice by adding confidence in detecting lymphedema. It is important to note that using a cutoff of L-Dex ratio >+7.1 still misses 20% of true lymphedema cases, it is important for clinicians to integrate other assessment methods (such as self-report, clinical observation, or perometry) to ensure the accurate detection of lymphedema.</p>
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<name sortKey="Haber, Judith" sort="Haber, Judith" uniqKey="Haber J" first="Judith" last="Haber">Judith Haber</name>
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<name sortKey="Scagliola, Joan" sort="Scagliola, Joan" uniqKey="Scagliola J" first="Joan" last="Scagliola">Joan Scagliola</name>
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       | NlmPubMed2Wicri -a LymphedemaV1

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Serveur d'exploration sur le lymphœdème

L-Dex Ratio in Detecting Breast Cancer-Related Lymphedema: Reliability, Sensitivity, and Specificity

L-Dex Ratio in Detecting Breast Cancer-Related Lymphedema: Reliability, Sensitivity, and Specificity

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	Serveur d'exploration sur le lymphœdème
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