Lymphedema After Breast Cancer : Incidence, Risk Factors, and Effect on Upper Body Function
Identifieur interne : 006F91 ( Main/Exploration ); précédent : 006F90; suivant : 006F92Lymphedema After Breast Cancer : Incidence, Risk Factors, and Effect on Upper Body Function
Auteurs : Sandra C. Hayes [Australie] ; Monika Janda ; Bruce Cornish ; Diana Battistutta ; Beth NewmanSource :
- Journal of clinical oncology [ 0732-183X ] ; 2008.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Purpose Secondary lymphedema is associated with adverse physical and psychosocial consequences among women with breast cancer (BC). This article describes the prevalence and incidence of lymphedema between 6 and 18 months after BC treatment; personal, treatment, and behavioral correlates of lymphedema status; and the presence of other upper-body symptoms (UBS) and function (UBF). Patients and Methods A population-based sample of Australian women (n = 287) with recently diagnosed, invasive BC were evaluated on five occasions using bioimpedance spectroscopy. Lymphedema was diagnosed when the ratio of impedance values, comparing treated and untreated sides, was three standard deviations more than normative data. UBF was assessed using the validated Disability of the Arm, Shoulder, and Hand questionnaire. Results From 6 to 18 months after surgery, 33% (n = 62) of the sample were classified as having lymphedema; of these, 40% had long-term lymphedema. Although older age, more extensive surgery or axillary node dissection, and experiencing one or more treatment-related complications) or symptom(s) at baseline were associated with increased odds, lower socioeconomic status, having a partner, greater child care responsibilities, being treated on the dominant side, participation in regular activity, and having good UBF were associated with decreased odds of lymphedema. Not surprisingly, lymphedema leads to reduced UBF; however, BC survivors report high prevalences of other UBS (34% to 62%), irrespective of their lymphedema status. Conclusion Lymphedema is a public health issue deserving greater attention. More systematic surveillance for earlier detection and the potential benefits of physical activity to prevent lymphedema and mitigate symptoms warrant further clinical integration and research.
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Hayes</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Institute of Health and Biomedical Innovation, School of Public Health, Queensland University of Technology</s1><s2>Kelvin Grove, Queensland</s2><s3>AUS</s3></inist:fA14><country>Australie</country><wicri:noRegion>Kelvin Grove, Queensland</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>School of Physical and Chemical Sciences, Queensland University of Technology</s1><s2>Kelvin Grove, Queensland</s2><s3>AUS</s3></inist:fA14><country>Australie</country><wicri:noRegion>Kelvin Grove, Queensland</wicri:noRegion></affiliation></author><author><name sortKey="Janda, Monika" sort="Janda, Monika" uniqKey="Janda M" first="Monika" last="Janda">Monika Janda</name></author><author><name sortKey="Cornish, Bruce" sort="Cornish, Bruce" uniqKey="Cornish B" first="Bruce" last="Cornish">Bruce Cornish</name></author><author><name sortKey="Battistutta, Diana" sort="Battistutta, Diana" uniqKey="Battistutta D" first="Diana" last="Battistutta">Diana Battistutta</name></author><author><name sortKey="Newman, Beth" sort="Newman, Beth" uniqKey="Newman B" first="Beth" last="Newman">Beth Newman</name></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">08-0392628</idno><date when="2008">2008</date><idno type="stanalyst">PASCAL 08-0392628 INIST</idno><idno type="RBID">Pascal:08-0392628</idno><idno type="wicri:Area/PascalFrancis/Corpus">000378</idno><idno type="wicri:Area/PascalFrancis/Curation">000582</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000389</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000389</idno><idno type="wicri:doubleKey">0732-183X:2008:Hayes S:lymphedema:after:breast</idno><idno type="wicri:Area/Main/Merge">007105</idno><idno type="wicri:Area/Main/Curation">006F91</idno><idno type="wicri:Area/Main/Exploration">006F91</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Lymphedema After Breast Cancer : Incidence, Risk Factors, and Effect on Upper Body Function</title><author><name sortKey="Hayes, Sandra C" sort="Hayes, Sandra C" uniqKey="Hayes S" first="Sandra C." last="Hayes">Sandra C. Hayes</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Institute of Health and Biomedical Innovation, School of Public Health, Queensland University of Technology</s1><s2>Kelvin Grove, Queensland</s2><s3>AUS</s3></inist:fA14><country>Australie</country><wicri:noRegion>Kelvin Grove, Queensland</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>School of Physical and Chemical Sciences, Queensland University of Technology</s1><s2>Kelvin Grove, Queensland</s2><s3>AUS</s3></inist:fA14><country>Australie</country><wicri:noRegion>Kelvin Grove, Queensland</wicri:noRegion></affiliation></author><author><name sortKey="Janda, Monika" sort="Janda, Monika" uniqKey="Janda M" first="Monika" last="Janda">Monika Janda</name></author><author><name sortKey="Cornish, Bruce" sort="Cornish, Bruce" uniqKey="Cornish B" first="Bruce" last="Cornish">Bruce Cornish</name></author><author><name sortKey="Battistutta, Diana" sort="Battistutta, Diana" uniqKey="Battistutta D" first="Diana" last="Battistutta">Diana Battistutta</name></author><author><name sortKey="Newman, Beth" sort="Newman, Beth" uniqKey="Newman B" first="Beth" last="Newman">Beth Newman</name></author></analytic><series><title level="j" type="main">Journal of clinical oncology</title><title level="j" type="abbreviated">J. clin. oncol.</title><idno type="ISSN">0732-183X</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of clinical oncology</title><title level="j" type="abbreviated">J. clin. oncol.</title><idno type="ISSN">0732-183X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Breast cancer</term><term>Cancerology</term><term>Epidemiology</term><term>Incidence</term><term>Lymphedema</term><term>Risk factor</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term><term>Incidence</term><term>Epidémiologie</term><term>Cancer du sein</term><term>Facteur risque</term><term>Cancérologie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Purpose Secondary lymphedema is associated with adverse physical and psychosocial consequences among women with breast cancer (BC). This article describes the prevalence and incidence of lymphedema between 6 and 18 months after BC treatment; personal, treatment, and behavioral correlates of lymphedema status; and the presence of other upper-body symptoms (UBS) and function (UBF). Patients and Methods A population-based sample of Australian women (n = 287) with recently diagnosed, invasive BC were evaluated on five occasions using bioimpedance spectroscopy. Lymphedema was diagnosed when the ratio of impedance values, comparing treated and untreated sides, was three standard deviations more than normative data. UBF was assessed using the validated Disability of the Arm, Shoulder, and Hand questionnaire. Results From 6 to 18 months after surgery, 33% (n = 62) of the sample were classified as having lymphedema; of these, 40% had long-term lymphedema. Although older age, more extensive surgery or axillary node dissection, and experiencing one or more treatment-related complications) or symptom(s) at baseline were associated with increased odds, lower socioeconomic status, having a partner, greater child care responsibilities, being treated on the dominant side, participation in regular activity, and having good UBF were associated with decreased odds of lymphedema. Not surprisingly, lymphedema leads to reduced UBF; however, BC survivors report high prevalences of other UBS (34% to 62%), irrespective of their lymphedema status. Conclusion Lymphedema is a public health issue deserving greater attention. More systematic surveillance for earlier detection and the potential benefits of physical activity to prevent lymphedema and mitigate symptoms warrant further clinical integration and research.</div></front></TEI><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Battistutta, Diana" sort="Battistutta, Diana" uniqKey="Battistutta D" first="Diana" last="Battistutta">Diana Battistutta</name><name sortKey="Cornish, Bruce" sort="Cornish, Bruce" uniqKey="Cornish B" first="Bruce" last="Cornish">Bruce Cornish</name><name sortKey="Janda, Monika" sort="Janda, Monika" uniqKey="Janda M" first="Monika" last="Janda">Monika Janda</name><name sortKey="Newman, Beth" sort="Newman, Beth" uniqKey="Newman B" first="Beth" last="Newman">Beth Newman</name></noCountry><country name="Australie"><noRegion><name sortKey="Hayes, Sandra C" sort="Hayes, Sandra C" uniqKey="Hayes S" first="Sandra C." last="Hayes">Sandra C. Hayes</name></noRegion><name sortKey="Hayes, Sandra C" sort="Hayes, Sandra C" uniqKey="Hayes S" first="Sandra C." last="Hayes">Sandra C. Hayes</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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