Risk factors for arm lymphedema following breast cancer diagnosis in Black women and White women.
Identifieur interne : 006050 ( Main/Exploration ); précédent : 006049; suivant : 006051Risk factors for arm lymphedema following breast cancer diagnosis in Black women and White women.
Auteurs : Kathleen A. Meeske [États-Unis] ; Jane Sullivan-Halley ; Ashley W. Smith ; Anne Mctiernan ; Kathy B. Baumgartner ; Linda C. Harlan ; Leslie BernsteinSource :
- Breast cancer research and treatment [ 1573-7217 ] ; 2009.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Afro-Américains (), Antinéoplasiques (usage thérapeutique), Association thérapeutique, Bras, Comorbidité, Contraceptifs oraux (effets indésirables), Facteurs de l'âge, Facteurs de risque, Femelle, Humains, Hypertension artérielle (épidémiologie), Infection (épidémiologie), Lymphadénectomie (effets indésirables), Lymphoedème (ethnologie), Lymphoedème (épidémiologie), Lymphoedème (étiologie), Obésité (épidémiologie), Population d'origine européenne (), Radiothérapie (effets indésirables), Tumeurs du sein (), Tumeurs du sein (épidémiologie), Études de cohortes, Études de suivi.
- MESH :
- effets indésirables : Contraceptifs oraux, Lymphadénectomie, Radiothérapie.
- ethnologie : Lymphoedème.
- usage thérapeutique : Antinéoplasiques.
- épidémiologie : Hypertension artérielle, Infection, Lymphoedème, Obésité, Tumeurs du sein.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Afro-Américains, Association thérapeutique, Bras, Comorbidité, Facteurs de l'âge, Facteurs de risque, Femelle, Humains, Population d'origine européenne, Tumeurs du sein, Études de cohortes, Études de suivi.
English descriptors
- KwdEn :
- Adult, African Americans (statistics & numerical data), Age Factors, Antineoplastic Agents (therapeutic use), Arm, Breast Neoplasms (complications), Breast Neoplasms (epidemiology), Breast Neoplasms (therapy), Cohort Studies, Combined Modality Therapy, Comorbidity, Contraceptives, Oral (adverse effects), European Continental Ancestry Group (statistics & numerical data), Female, Follow-Up Studies, Humans, Hypertension (epidemiology), Infection (epidemiology), Lymph Node Excision (adverse effects), Lymphedema (epidemiology), Lymphedema (ethnology), Lymphedema (etiology), Middle Aged, Obesity (epidemiology), Radiotherapy (adverse effects), Risk Factors.
- MESH :
- chemical , adverse effects : Contraceptives, Oral.
- chemical , therapeutic use : Antineoplastic Agents.
- adverse effects : Lymph Node Excision, Radiotherapy.
- complications : Breast Neoplasms.
- epidemiology : Breast Neoplasms, Hypertension, Infection, Lymphedema, Obesity.
- ethnology : Lymphedema.
- etiology : Lymphedema.
- statistics & numerical data : African Americans, European Continental Ancestry Group.
- therapy : Breast Neoplasms.
- Adult, Age Factors, Arm, Cohort Studies, Combined Modality Therapy, Comorbidity, Female, Follow-Up Studies, Humans, Middle Aged, Risk Factors.
Abstract
Purpose Lymphedema of the arm is a potential complication of breast cancer therapy. This study examines pre-disposing factors that may operate in conjunction with treatment-related factors in the development of arm lymphedema in a large cohort of White and Black breast cancer survivors. Methods 494 women (271 White and 223 Black) with in situ to Stage III-A primary breast cancer completed a baseline interview within 18 months of diagnosis. Information on lymphedema was collected during a follow-up interview, conducted on average 50 months after diagnosis. Self-reported data were used to classify women with or without lymphedema. Multivariable logistic regression models were developed to identify risk factors for arm lymphedema. Results Arm lymphedema was associated with younger age at diagnosis (odds ratio, OR per year of age = 0.96; 95% confidence interval, CI = 0.93-0.99), positive history of hypertension (OR = 2.31; 95% CI = 1.38-3.88), obesity (OR for body mass index, BMI> or =30 = 2.48; 95% CI = 1.05-5.84) and having had surgery where 10 or more lymph nodes were excised (OR = 2.16; 95% CI = 1.12-4.17). While Black women had higher prevalence of arm lymphedema than White women (28% vs. 21%), race was not associated with lymphedema risk in models adjusted for multiple factors (adjusted OR = 1.01; 95% CI = 0.63-1.63). Conclusion Risk of arm lymphedema did not differ significantly for Black and White women. Risk factors identified in this study offer opportunities for interventions (weight loss, control of blood pressure, use of sentinel node biopsy where possible) for reducing incidence of lymphedema or controlling the symptoms associated with this condition.
DOI: 10.1007/s10549-008-9940-5
PubMed: 18297429
Affiliations:
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Meeske</name><affiliation wicri:level="4"><nlm:affiliation>Department of Preventive Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Preventive Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, CA</wicri:regionArea><placeName><region type="state">Californie</region><settlement type="city">Los Angeles</settlement></placeName><orgName type="university">Université de Californie du Sud</orgName></affiliation></author><author><name sortKey="Sullivan Halley, Jane" sort="Sullivan Halley, Jane" uniqKey="Sullivan Halley J" first="Jane" last="Sullivan-Halley">Jane Sullivan-Halley</name></author><author><name sortKey="Smith, Ashley W" sort="Smith, Ashley W" uniqKey="Smith A" first="Ashley W" last="Smith">Ashley W. Smith</name></author><author><name sortKey="Mctiernan, Anne" sort="Mctiernan, Anne" uniqKey="Mctiernan A" first="Anne" last="Mctiernan">Anne Mctiernan</name></author><author><name sortKey="Baumgartner, Kathy B" sort="Baumgartner, Kathy B" uniqKey="Baumgartner K" first="Kathy B" last="Baumgartner">Kathy B. Baumgartner</name></author><author><name sortKey="Harlan, Linda C" sort="Harlan, Linda C" uniqKey="Harlan L" first="Linda C" last="Harlan">Linda C. Harlan</name></author><author><name sortKey="Bernstein, Leslie" sort="Bernstein, Leslie" uniqKey="Bernstein L" first="Leslie" last="Bernstein">Leslie Bernstein</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2009">2009</date><idno type="RBID">pubmed:18297429</idno><idno type="pmid">18297429</idno><idno type="doi">10.1007/s10549-008-9940-5</idno><idno type="wicri:Area/PubMed/Corpus">003370</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003370</idno><idno type="wicri:Area/PubMed/Curation">003370</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003370</idno><idno type="wicri:Area/PubMed/Checkpoint">003370</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">003370</idno><idno type="wicri:Area/Ncbi/Merge">002B83</idno><idno type="wicri:Area/Ncbi/Curation">002B83</idno><idno type="wicri:Area/Ncbi/Checkpoint">002B83</idno><idno type="wicri:Area/Main/Merge">006122</idno><idno type="wicri:Area/Main/Curation">006050</idno><idno type="wicri:Area/Main/Exploration">006050</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Risk factors for arm lymphedema following breast cancer diagnosis in Black women and White women.</title><author><name sortKey="Meeske, Kathleen A" sort="Meeske, Kathleen A" uniqKey="Meeske K" first="Kathleen A" last="Meeske">Kathleen A. Meeske</name><affiliation wicri:level="4"><nlm:affiliation>Department of Preventive Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Preventive Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, CA</wicri:regionArea><placeName><region type="state">Californie</region><settlement type="city">Los Angeles</settlement></placeName><orgName type="university">Université de Californie du Sud</orgName></affiliation></author><author><name sortKey="Sullivan Halley, Jane" sort="Sullivan Halley, Jane" uniqKey="Sullivan Halley J" first="Jane" last="Sullivan-Halley">Jane Sullivan-Halley</name></author><author><name sortKey="Smith, Ashley W" sort="Smith, Ashley W" uniqKey="Smith A" first="Ashley W" last="Smith">Ashley W. Smith</name></author><author><name sortKey="Mctiernan, Anne" sort="Mctiernan, Anne" uniqKey="Mctiernan A" first="Anne" last="Mctiernan">Anne Mctiernan</name></author><author><name sortKey="Baumgartner, Kathy B" sort="Baumgartner, Kathy B" uniqKey="Baumgartner K" first="Kathy B" last="Baumgartner">Kathy B. Baumgartner</name></author><author><name sortKey="Harlan, Linda C" sort="Harlan, Linda C" uniqKey="Harlan L" first="Linda C" last="Harlan">Linda C. Harlan</name></author><author><name sortKey="Bernstein, Leslie" sort="Bernstein, Leslie" uniqKey="Bernstein L" first="Leslie" last="Bernstein">Leslie Bernstein</name></author></analytic><series><title level="j">Breast cancer research and treatment</title><idno type="eISSN">1573-7217</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>African Americans (statistics & numerical data)</term><term>Age Factors</term><term>Antineoplastic Agents (therapeutic use)</term><term>Arm</term><term>Breast Neoplasms (complications)</term><term>Breast Neoplasms (epidemiology)</term><term>Breast Neoplasms (therapy)</term><term>Cohort Studies</term><term>Combined Modality Therapy</term><term>Comorbidity</term><term>Contraceptives, Oral (adverse effects)</term><term>European Continental Ancestry Group (statistics & numerical data)</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Hypertension (epidemiology)</term><term>Infection (epidemiology)</term><term>Lymph Node Excision (adverse effects)</term><term>Lymphedema (epidemiology)</term><term>Lymphedema (ethnology)</term><term>Lymphedema (etiology)</term><term>Middle Aged</term><term>Obesity (epidemiology)</term><term>Radiotherapy (adverse effects)</term><term>Risk Factors</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Afro-Américains ()</term><term>Antinéoplasiques (usage thérapeutique)</term><term>Association thérapeutique</term><term>Bras</term><term>Comorbidité</term><term>Contraceptifs oraux (effets indésirables)</term><term>Facteurs de l'âge</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Hypertension artérielle (épidémiologie)</term><term>Infection (épidémiologie)</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème (ethnologie)</term><term>Lymphoedème (épidémiologie)</term><term>Lymphoedème (étiologie)</term><term>Obésité (épidémiologie)</term><term>Population d'origine européenne ()</term><term>Radiothérapie (effets indésirables)</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (épidémiologie)</term><term>Études de cohortes</term><term>Études de suivi</term></keywords><keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Contraceptives, Oral</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antineoplastic Agents</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term><term>Radiotherapy</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Contraceptifs oraux</term><term>Lymphadénectomie</term><term>Radiothérapie</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Breast Neoplasms</term><term>Hypertension</term><term>Infection</term><term>Lymphedema</term><term>Obesity</term></keywords><keywords scheme="MESH" qualifier="ethnologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="ethnology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>African Americans</term><term>European Continental Ancestry Group</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antinéoplasiques</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Hypertension artérielle</term><term>Infection</term><term>Lymphoedème</term><term>Obésité</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Age Factors</term><term>Arm</term><term>Cohort Studies</term><term>Combined Modality Therapy</term><term>Comorbidity</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Middle Aged</term><term>Risk Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Afro-Américains</term><term>Association thérapeutique</term><term>Bras</term><term>Comorbidité</term><term>Facteurs de l'âge</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Population d'origine européenne</term><term>Tumeurs du sein</term><term>Études de cohortes</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Purpose Lymphedema of the arm is a potential complication of breast cancer therapy. This study examines pre-disposing factors that may operate in conjunction with treatment-related factors in the development of arm lymphedema in a large cohort of White and Black breast cancer survivors. Methods 494 women (271 White and 223 Black) with in situ to Stage III-A primary breast cancer completed a baseline interview within 18 months of diagnosis. Information on lymphedema was collected during a follow-up interview, conducted on average 50 months after diagnosis. Self-reported data were used to classify women with or without lymphedema. Multivariable logistic regression models were developed to identify risk factors for arm lymphedema. Results Arm lymphedema was associated with younger age at diagnosis (odds ratio, OR per year of age = 0.96; 95% confidence interval, CI = 0.93-0.99), positive history of hypertension (OR = 2.31; 95% CI = 1.38-3.88), obesity (OR for body mass index, BMI> or =30 = 2.48; 95% CI = 1.05-5.84) and having had surgery where 10 or more lymph nodes were excised (OR = 2.16; 95% CI = 1.12-4.17). While Black women had higher prevalence of arm lymphedema than White women (28% vs. 21%), race was not associated with lymphedema risk in models adjusted for multiple factors (adjusted OR = 1.01; 95% CI = 0.63-1.63). Conclusion Risk of arm lymphedema did not differ significantly for Black and White women. Risk factors identified in this study offer opportunities for interventions (weight loss, control of blood pressure, use of sentinel node biopsy where possible) for reducing incidence of lymphedema or controlling the symptoms associated with this condition.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li></region><settlement><li>Los Angeles</li></settlement><orgName><li>Université de Californie du Sud</li></orgName></list><tree><noCountry><name sortKey="Baumgartner, Kathy B" sort="Baumgartner, Kathy B" uniqKey="Baumgartner K" first="Kathy B" last="Baumgartner">Kathy B. Baumgartner</name><name sortKey="Bernstein, Leslie" sort="Bernstein, Leslie" uniqKey="Bernstein L" first="Leslie" last="Bernstein">Leslie Bernstein</name><name sortKey="Harlan, Linda C" sort="Harlan, Linda C" uniqKey="Harlan L" first="Linda C" last="Harlan">Linda C. Harlan</name><name sortKey="Mctiernan, Anne" sort="Mctiernan, Anne" uniqKey="Mctiernan A" first="Anne" last="Mctiernan">Anne Mctiernan</name><name sortKey="Smith, Ashley W" sort="Smith, Ashley W" uniqKey="Smith A" first="Ashley W" last="Smith">Ashley W. Smith</name><name sortKey="Sullivan Halley, Jane" sort="Sullivan Halley, Jane" uniqKey="Sullivan Halley J" first="Jane" last="Sullivan-Halley">Jane Sullivan-Halley</name></noCountry><country name="États-Unis"><region name="Californie"><name sortKey="Meeske, Kathleen A" sort="Meeske, Kathleen A" uniqKey="Meeske K" first="Kathleen A" last="Meeske">Kathleen A. Meeske</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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