Lifestyle Risk Factors Associated with Arm Swelling among Women with Breast Cancer
Identifieur interne : 004190 ( Main/Exploration ); précédent : 004189; suivant : 004191Lifestyle Risk Factors Associated with Arm Swelling among Women with Breast Cancer
Auteurs : Shayna L. Showalter [États-Unis] ; Justin C. Brown [États-Unis] ; Andrea L. Cheville [États-Unis] ; Carla S. Fisher [États-Unis] ; Dahlia Sataloff [États-Unis] ; Kathryn H. Schmitz [États-Unis]Source :
- Annals of surgical oncology [ 1068-9265 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Bras (), Carcinome intracanalaire non infiltrant (), Carcinome intracanalaire non infiltrant (anatomopathologie), Complications postopératoires, Facteurs de risque, Femelle, Humains, Lymphoedème (), Lymphoedème (étiologie), Mode de vie, Pronostic, Stade de la tumeur, Sujet âgé, Sujet âgé de 80 ans ou plus, Survivants, Taux de survie, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Études de suivi, Études prospectives.
- MESH :
- anatomopathologie : Carcinome intracanalaire non infiltrant, Tumeurs du sein.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Bras, Carcinome intracanalaire non infiltrant, Complications postopératoires, Facteurs de risque, Femelle, Humains, Lymphoedème, Mode de vie, Pronostic, Stade de la tumeur, Sujet âgé, Sujet âgé de 80 ans ou plus, Survivants, Taux de survie, Tumeurs du sein, Études de suivi, Études prospectives.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Arm (surgery), Breast Neoplasms (complications), Breast Neoplasms (pathology), Breast Neoplasms (surgery), Carcinoma, Intraductal, Noninfiltrating (complications), Carcinoma, Intraductal, Noninfiltrating (pathology), Carcinoma, Intraductal, Noninfiltrating (surgery), Female, Follow-Up Studies, Humans, Life Style, Lymphedema (etiology), Lymphedema (surgery), Middle Aged, Neoplasm Staging, Postoperative Complications, Prognosis, Prospective Studies, Risk Factors, Survival Rate, Survivors.
- MESH :
- complications : Breast Neoplasms, Carcinoma, Intraductal, Noninfiltrating.
- etiology : Lymphedema.
- pathology : Breast Neoplasms, Carcinoma, Intraductal, Noninfiltrating.
- surgery : Arm, Breast Neoplasms, Carcinoma, Intraductal, Noninfiltrating, Lymphedema.
- Adult, Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Life Style, Middle Aged, Neoplasm Staging, Postoperative Complications, Prognosis, Prospective Studies, Risk Factors, Survival Rate, Survivors.
Abstract
Breast cancer-related lymphedema (BCRL) is a feared complication for breast cancer patients who have undergone axillary surgery. Although clinical risk factors for BCRL are defined; data are sparse regarding common exposures that might induce incident arm swelling. The goal of this study was to quantify the association between common exposures thought to be potential risk factors, and the occurrence of incident arm swelling, among breast cancer survivors with or at-risk for BCRL.
This is a prospective sub-analysis of the PAL trial, a randomized controlled trial of 295 breast cancer survivors. Participants reported their exposure to 30 different potential risk-factors at three month intervals for one year. Incident arm swelling was defined as a ≥5% increase in inter-limb water volume difference between two consecutive time points.
Twenty-seven participants (9%) experienced incident arm swelling and 268 patients (91%) did not. Sauna use was the only exposure that was significantly predictive of incident arm swelling (p=0.05). Non-White and non-Black participants had a significantly increased risk for experiencing incident arm swelling (p=0.005) for both comparisons.
In our patient cohort, many common exposures that have been reported to be risk factors did not prove to have a significant predictive relationship for incident arm swelling. This study supports the recommendation that breast cancer patients who have had axillary surgery should avoid sauna use. The results do not confirm the need for other restrictions that may interfere with the quality of life in women with breast cancer.
Url:
DOI: 10.1245/s10434-012-2631-9
PubMed: 23054109
PubMed Central: 4122425
Affiliations:
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Le document en format XML
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Showalter</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Surgery, University of Pennsylvania, Philadelphia, PA 19104</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Surgery, University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Brown, Justin C" sort="Brown, Justin C" uniqKey="Brown J" first="Justin C." last="Brown">Justin C. Brown</name><affiliation wicri:level="2"><nlm:aff id="A2">Center for Clinical Epidemiology and Biostatistics University of Pennsylvania, Philadelphia, PA 19104</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Center for Clinical Epidemiology and Biostatistics 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="A3">Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN 55905</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Minnesota</region></placeName><wicri:cityArea>Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester</wicri:cityArea></affiliation></author><author><name sortKey="Fisher, Carla S" sort="Fisher, Carla S" uniqKey="Fisher C" first="Carla S." last="Fisher">Carla S. Fisher</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Surgery, University of Pennsylvania, Philadelphia, PA 19104</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Surgery, University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Sataloff, Dahlia" sort="Sataloff, Dahlia" uniqKey="Sataloff D" first="Dahlia" last="Sataloff">Dahlia Sataloff</name><affiliation wicri:level="2"><nlm:aff id="A4">Department of Surgery, Pennsylvania Hospital, Philadelphia, PA 19107</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Surgery, Pennsylvania Hospital, Philadelphia</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 wicri:level="2"><nlm:aff id="A2">Center for Clinical Epidemiology and Biostatistics University of Pennsylvania, Philadelphia, PA 19104</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Center for Clinical Epidemiology and Biostatistics University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation></author></analytic><series><title level="j">Annals of surgical oncology</title><idno type="ISSN">1068-9265</idno><idno type="eISSN">1534-4681</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Arm (surgery)</term><term>Breast Neoplasms (complications)</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (surgery)</term><term>Carcinoma, Intraductal, Noninfiltrating (complications)</term><term>Carcinoma, Intraductal, Noninfiltrating (pathology)</term><term>Carcinoma, Intraductal, Noninfiltrating (surgery)</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Life Style</term><term>Lymphedema (etiology)</term><term>Lymphedema (surgery)</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Postoperative Complications</term><term>Prognosis</term><term>Prospective Studies</term><term>Risk Factors</term><term>Survival Rate</term><term>Survivors</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bras ()</term><term>Carcinome intracanalaire non infiltrant ()</term><term>Carcinome intracanalaire non infiltrant (anatomopathologie)</term><term>Complications postopératoires</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Mode de vie</term><term>Pronostic</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Survivants</term><term>Taux de survie</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Études de suivi</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Carcinome intracanalaire non infiltrant</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term><term>Carcinoma, Intraductal, Noninfiltrating</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term><term>Carcinoma, Intraductal, Noninfiltrating</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Arm</term><term>Breast Neoplasms</term><term>Carcinoma, Intraductal, Noninfiltrating</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>Aged, 80 and over</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Life Style</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Postoperative Complications</term><term>Prognosis</term><term>Prospective Studies</term><term>Risk Factors</term><term>Survival Rate</term><term>Survivors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bras</term><term>Carcinome intracanalaire non infiltrant</term><term>Complications postopératoires</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Mode de vie</term><term>Pronostic</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Survivants</term><term>Taux de survie</term><term>Tumeurs du sein</term><term>Études de suivi</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">Breast cancer-related lymphedema (BCRL) is a feared complication for breast cancer patients who have undergone axillary surgery. Although clinical risk factors for BCRL are defined; data are sparse regarding common exposures that might induce incident arm swelling. The goal of this study was to quantify the association between common exposures thought to be potential risk factors, and the occurrence of incident arm swelling, among breast cancer survivors with or at-risk for BCRL.</p></sec><sec id="S2"><title>Methods</title><p id="P2">This is a prospective sub-analysis of the PAL trial, a randomized controlled trial of 295 breast cancer survivors. Participants reported their exposure to 30 different potential risk-factors at three month intervals for one year. Incident arm swelling was defined as a ≥5% increase in inter-limb water volume difference between two consecutive time points.</p></sec><sec id="S3"><title>Results</title><p id="P3">Twenty-seven participants (9%) experienced incident arm swelling and 268 patients (91%) did not. Sauna use was the only exposure that was significantly predictive of incident arm swelling (p=0.05). Non-White and non-Black participants had a significantly increased risk for experiencing incident arm swelling (p=0.005) for both comparisons.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">In our patient cohort, many common exposures that have been reported to be risk factors did not prove to have a significant predictive relationship for incident arm swelling. This study supports the recommendation that breast cancer patients who have had axillary surgery should avoid sauna use. The results do not confirm the need for other restrictions that may interfere with the quality of life in women with breast cancer.</p></sec></div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Minnesota</li><li>Pennsylvanie</li></region></list><tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Showalter, Shayna L" sort="Showalter, Shayna L" uniqKey="Showalter S" first="Shayna L." last="Showalter">Shayna L. Showalter</name></region><name sortKey="Brown, Justin C" sort="Brown, Justin C" uniqKey="Brown J" first="Justin C." last="Brown">Justin C. Brown</name><name sortKey="Cheville, Andrea L" sort="Cheville, Andrea L" uniqKey="Cheville A" first="Andrea L." last="Cheville">Andrea L. Cheville</name><name sortKey="Fisher, Carla S" sort="Fisher, Carla S" uniqKey="Fisher C" first="Carla S." last="Fisher">Carla S. Fisher</name><name sortKey="Sataloff, Dahlia" sort="Sataloff, Dahlia" uniqKey="Sataloff D" first="Dahlia" last="Sataloff">Dahlia Sataloff</name><name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H." last="Schmitz">Kathryn H. Schmitz</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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