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Breast cancer treatment, BMI, post-op swelling/lymphoedema

Identifieur interne : 006B98 ( Main/Exploration ); précédent : 006B97; suivant : 006B99

Breast cancer treatment, BMI, post-op swelling/lymphoedema

Auteurs : Wannapa Kay Mahamaneerat ; Chi-Ren Shyu ; Bob R. Stewart ; Jane M. Armer

Source :

RBID : PMC:2908324

Abstract

Background

Diagnosis of post-breast cancer lymphoedema is difficult because of inconsistent measurement approaches, measurement reliability and validity, and lymphoedema definition and criterion.

Aims

To examine lymphoedema occurrence using a body mass index (BMI)-adjusted limb volume change (LVC) as a potentially sensitive alternative criterion for assessment and diagnosis of lymphoedema. Secondary aims were to examine the risk of lymphoedema occurrence in relation to post-operative swelling and limb dominance and the cancer-affected side.

Methods

The volume calculated from circumferences of 193 breast cancer survivors was used to analyse lymphoedema assessment. A change ≥5% in affected-arm volume over percent change in BMI in comparison to pre-operative baseline was considered indicative of lymphoedema.

Results

For all participants, 63% met the 5% BMI-adjusted LVC criterion. Dominant limb and cancer-affected side were significantly related to lymphoedema occurrence only in those whose BMI ≥30 (p=0.02), while post-operative swelling significantly increased the lymphoedema risk irrespective of BMI (p=0.01).

Conclusions

The proposed 5% BMI-adjusted LVC criterion provides a more sensitive estimation of post-breast cancer lymphoedema occurrence.


Url:
PubMed: 20657749
PubMed Central: 2908324


Affiliations:


Links toward previous steps (curation, corpus...)


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<title>Background</title>
<p id="P1">Diagnosis of post-breast cancer lymphoedema is difficult because of inconsistent measurement approaches, measurement reliability and validity, and lymphoedema definition and criterion.</p>
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<sec id="S2">
<title>Aims</title>
<p id="P2">To examine lymphoedema occurrence using a body mass index (BMI)-adjusted limb volume change (LVC) as a potentially sensitive alternative criterion for assessment and diagnosis of lymphoedema. Secondary aims were to examine the risk of lymphoedema occurrence in relation to post-operative swelling and limb dominance and the cancer-affected side.</p>
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<title>Methods</title>
<p id="P3">The volume calculated from circumferences of 193 breast cancer survivors was used to analyse lymphoedema assessment. A change ≥5% in affected-arm volume over percent change in BMI in comparison to pre-operative baseline was considered indicative of lymphoedema.</p>
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<title>Results</title>
<p id="P4">For all participants, 63% met the 5% BMI-adjusted LVC criterion. Dominant limb and cancer-affected side were significantly related to lymphoedema occurrence only in those whose BMI ≥30 (
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