LymphedemaV1, Main, Exploration, bibRecord, 003F69

Quality of life among breast cancer patients with lymphedema: a systematic review of patient-reported outcome instruments and outcomes

Identifieur interne : 003F69 ( Main/Exploration ); précédent : 003F68; suivant : 003F70

Quality of life among breast cancer patients with lymphedema: a systematic review of patient-reported outcome instruments and outcomes

Auteurs : Andrea L. Pusic ; Yeliz Cemal ; Claudia Albornoz ; Anne Klassen ; Stefan Cano ; Isabel Sulimanoff ; Marisol Hernandez ; Marga Massey ; Peter Cordeiro ; Monica Morrow ; Babak Mehrara

Source :

Journal of cancer survivorship : research and practice [ 1932-2259 ] ; 2012.

RBID : PMC:3683656

Descripteurs français

KwdFr :
- Autorapport, Femelle, Humains, Lymphoedème (), Lymphoedème (psychologie), Lymphoedème (étiologie), Mastectomie (effets indésirables), Qualité de vie, Survivants (psychologie), Tumeurs du sein (), Tumeurs du sein (psychologie), État de santé, Évaluation de résultat (soins).
MESH :
- effets indésirables : Mastectomie.
- psychologie : Lymphoedème, Survivants, Tumeurs du sein.
- étiologie : Lymphoedème.
- Autorapport, Femelle, Humains, Lymphoedème, Qualité de vie, Tumeurs du sein, État de santé, Évaluation de résultat (soins).

English descriptors

KwdEn :
- Breast Neoplasms (complications), Breast Neoplasms (psychology), Breast Neoplasms (surgery), Female, Health Status, Humans, Lymphedema (etiology), Lymphedema (prevention & control), Lymphedema (psychology), Mastectomy (adverse effects), Outcome Assessment (Health Care), Quality of Life, Self Report, Survivors (psychology).
MESH :
- adverse effects : Mastectomy.
- complications : Breast Neoplasms.
- etiology : Lymphedema.
- prevention & control : Lymphedema.
- psychology : Breast Neoplasms, Lymphedema, Survivors.
- surgery : Breast Neoplasms.
- Female, Health Status, Humans, Outcome Assessment (Health Care), Quality of Life, Self Report.

Abstract

Purpose

Lymphedema following breast cancer surgery remains a common and feared treatment complication. Accurate information on health-related quality of life (HRQOL) outcomes among patients with lymphedema is critically needed to inform shared medical decision making and evidence-based practice in oncologic breast surgery. Our systematic review aimed to (1) identify studies describing HRQOL outcomes in breast cancer-related lymphedema (BCRL) patients, (2) assess the quality of these studies, and (3) assess the quality and appropriateness of the patient-reported outcome (PRO) instruments used.

Methods

Using the PRISMA statement, we performed a systematic review including studies describing HRQOL outcomes among BCRL patients. Studies were classified by levels of evidence and fulfillment of the Efficace criteria. PRO instruments were assessed using the COSMIN criteria.

Results

Thirty-nine studies met inclusion criteria, including 8 level I and 14 level II studies. Sixteen of 39 studies were compliant with the Efficace criteria. Seventeen HRQOL instruments were used, two specific to lymphedema patients. Exercise and complex decongestive therapy treatment interventions were associated with improved HRQOL.

Conclusions

High-quality data on HRQOL outcomes is required to inform surgical decisions for breast cancer management and survivors. Of the lymphedema-specific PRO instruments, the Upper Limb Lymphedema 27 (ULL-27) was found to have strong psychometric properties. Future studies should strive to use high-quality condition-specific PRO instruments, follow existing guidelines for HRQOL measurement and to consider economic burdens of BCRL.

Implications for Cancer Survivors

As lymphedema may develop many years after breast cancer surgery, the ULL-27 may offer greater content validity for use in survivorship research.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3683656

DOI: 10.1007/s11764-012-0247-5
PubMed: 23212603
PubMed Central: 3683656

Affiliations:

Le document en format XML

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<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Health Status</term>
<term>Humans</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (prevention & control)</term>
<term>Lymphedema (psychology)</term>
<term>Mastectomy (adverse effects)</term>
<term>Outcome Assessment (Health Care)</term>
<term>Quality of Life</term>
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<term>Survivors (psychology)</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (psychologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Mastectomie (effets indésirables)</term>
<term>Qualité de vie</term>
<term>Survivants (psychologie)</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (psychologie)</term>
<term>État de santé</term>
<term>Évaluation de résultat (soins)</term>
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<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term>
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<term>Survivants</term>
<term>Tumeurs du sein</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Breast Neoplasms</term>
<term>Lymphedema</term>
<term>Survivors</term>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title>
<p id="P1">Lymphedema following breast cancer surgery remains a common and feared treatment complication. Accurate information on health-related quality of life (HRQOL) outcomes among patients with lymphedema is critically needed to inform shared medical decision making and evidence-based practice in oncologic breast surgery. Our systematic review aimed to (1) identify studies describing HRQOL outcomes in breast cancer-related lymphedema (BCRL) patients, (2) assess the quality of these studies, and (3) assess the quality and appropriateness of the patient-reported outcome (PRO) instruments used.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">Using the PRISMA statement, we performed a systematic review including studies describing HRQOL outcomes among BCRL patients. Studies were classified by levels of evidence and fulfillment of the Efficace criteria. PRO instruments were assessed using the COSMIN criteria.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Thirty-nine studies met inclusion criteria, including 8 level I and 14 level II studies. Sixteen of 39 studies were compliant with the Efficace criteria. Seventeen HRQOL instruments were used, two specific to lymphedema patients. Exercise and complex decongestive therapy treatment interventions were associated with improved HRQOL.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">High-quality data on HRQOL outcomes is required to inform surgical decisions for breast cancer management and survivors. Of the lymphedema-specific PRO instruments, the Upper Limb Lymphedema 27 (ULL-27) was found to have strong psychometric properties. Future studies should strive to use high-quality condition-specific PRO instruments, follow existing guidelines for HRQOL measurement and to consider economic burdens of BCRL.</p>
</sec>
<sec id="S5"><title>Implications for Cancer Survivors</title>
<p id="P5">As lymphedema may develop many years after breast cancer surgery, the ULL-27 may offer greater content validity for use in survivorship research.</p>
</sec>
</div>
</front>
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<affiliations><list></list>
<tree><noCountry><name sortKey="Albornoz, Claudia" sort="Albornoz, Claudia" uniqKey="Albornoz C" first="Claudia" last="Albornoz">Claudia Albornoz</name>
<name sortKey="Cano, Stefan" sort="Cano, Stefan" uniqKey="Cano S" first="Stefan" last="Cano">Stefan Cano</name>
<name sortKey="Cemal, Yeliz" sort="Cemal, Yeliz" uniqKey="Cemal Y" first="Yeliz" last="Cemal">Yeliz Cemal</name>
<name sortKey="Cordeiro, Peter" sort="Cordeiro, Peter" uniqKey="Cordeiro P" first="Peter" last="Cordeiro">Peter Cordeiro</name>
<name sortKey="Hernandez, Marisol" sort="Hernandez, Marisol" uniqKey="Hernandez M" first="Marisol" last="Hernandez">Marisol Hernandez</name>
<name sortKey="Klassen, Anne" sort="Klassen, Anne" uniqKey="Klassen A" first="Anne" last="Klassen">Anne Klassen</name>
<name sortKey="Massey, Marga" sort="Massey, Marga" uniqKey="Massey M" first="Marga" last="Massey">Marga Massey</name>
<name sortKey="Mehrara, Babak" sort="Mehrara, Babak" uniqKey="Mehrara B" first="Babak" last="Mehrara">Babak Mehrara</name>
<name sortKey="Morrow, Monica" sort="Morrow, Monica" uniqKey="Morrow M" first="Monica" last="Morrow">Monica Morrow</name>
<name sortKey="Pusic, Andrea L" sort="Pusic, Andrea L" uniqKey="Pusic A" first="Andrea L." last="Pusic">Andrea L. Pusic</name>
<name sortKey="Sulimanoff, Isabel" sort="Sulimanoff, Isabel" uniqKey="Sulimanoff I" first="Isabel" last="Sulimanoff">Isabel Sulimanoff</name>
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Serveur d'exploration sur le lymphœdème

Quality of life among breast cancer patients with lymphedema: a systematic review of patient-reported outcome instruments and outcomes

Quality of life among breast cancer patients with lymphedema: a systematic review of patient-reported outcome instruments and outcomes

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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