Factors associated with the development of arm lymphedema following breast cancer treatment: A match pair case-control study
Identifieur interne : 009895 ( Main/Exploration ); précédent : 009894; suivant : 009896Factors associated with the development of arm lymphedema following breast cancer treatment: A match pair case-control study
Auteurs : K. Johansson [Suède] ; K. Ohlsson [Suède] ; C. Ingvar [Suède] ; M. Albertsson [Suède] ; C. Ekdahl [Suède]Source :
- Lymphology [ 0024-7766 ] ; 2002.
Descripteurs français
- KwdFr :
- MESH :
- étiologie : Lymphoedème.
- Pascal (Inist)
- Adulte d'âge moyen, Aisselle, Bras, Facteurs de risque, Facteurs socioéconomiques, Femelle, Humains, Lymphadénectomie, Mode de vie, Radiothérapie adjuvante, Tumeur maligne, Glande mammaire, Traitement, Chirurgie, Traitement adjuvant, Radiothérapie, Facteur risque, Complication, Lymphoedème, Bras, Mode de vie, Etude comparative, Etude cas témoin, Homme, Tumeurs du sein, Études cas-témoins.
- Wicri :
English descriptors
- KwdEn :
- Adjuvant treatment, Arm, Axilla, Breast Neoplasms (surgery), Case control study, Case-Control Studies, Comparative study, Complication, Female, Human, Humans, Life Style, Life style, Lymph Node Excision, Lymphedema, Lymphedema (etiology), Malignant tumor, Mammary gland, Middle Aged, Radiotherapy, Radiotherapy, Adjuvant, Risk Factors, Risk factor, Socioeconomic Factors, Surgery, Treatment.
- MESH :
- etiology : Lymphedema.
- surgery : Breast Neoplasms.
- Arm, Axilla, Case-Control Studies, Female, Humans, Life Style, Lymph Node Excision, Middle Aged, Radiotherapy, Adjuvant, Risk Factors, Socioeconomic Factors.
Abstract
We examined factors that may influence the development of arm lymphedema following breast cancer treatment including the specific mode of therapy, patient occupation and life style. Medical record data and a questionnaire were used to collect information after surgery concerning such issues as wound seroma, infection, adjuvant treatment, vessel string (phlebitis), body mass index, smoking habits and stress. Occupational workload was assessed after surgery whereas housework, exercise, hobbies and body weight were assessed both before and after surgery. Seventy-one breast cancer treated women with arm lymphedema lasting more than 6 months but less than 2 years were matched to women similarly treated for breast cancer but without arm lymphedema (controls). The matching factors included axillary node status, time after axillary dissection, and age. In the lymphedema group, there was a higher body mass index at time of surgery (p=0.03) as well at time of study (p=0.04). No differences were found in occupational workload (n=38) or housework, but the lymphedema group reduced their spare time activities including exercise after surgery compared with the controls (p<0.01). In conclusion, women treated for breast cancer with axillary node dissection with or without adjuvant radiotherapy could maintain their level of physical activity and occupational workload after treatment without an added risk of developing arm lymphedema. On the other hand, a higher BMI before and after operation increases the lymphedema risk.
Affiliations:
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Johansson</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Physical Therapy, Lund University</s1><s3>SWE</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Suède</country><wicri:noRegion>Department of Physical Therapy, Lund University</wicri:noRegion></affiliation></author><author><name sortKey="Ohlsson, K" sort="Ohlsson, K" uniqKey="Ohlsson K" first="K." last="Ohlsson">K. Ohlsson</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Occupational and Environmental Medicine, Lund University</s1><s3>SWE</s3><sZ>2 aut.</sZ></inist:fA14><country>Suède</country><wicri:noRegion>Department of Occupational and Environmental Medicine, Lund University</wicri:noRegion></affiliation></author><author><name sortKey="Ingvar, C" sort="Ingvar, C" uniqKey="Ingvar C" first="C." last="Ingvar">C. Ingvar</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Surgery, Lund University Hospital</s1><s3>SWE</s3><sZ>3 aut.</sZ></inist:fA14><country>Suède</country><wicri:noRegion>Department of Surgery, Lund University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Albertsson, M" sort="Albertsson, M" uniqKey="Albertsson M" first="M." last="Albertsson">M. Albertsson</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Oncology, Malmo University Hospital</s1><s3>SWE</s3><sZ>4 aut.</sZ></inist:fA14><country>Suède</country><wicri:noRegion>Department of Oncology, Malmo University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Ekdahl, C" sort="Ekdahl, C" uniqKey="Ekdahl C" first="C." last="Ekdahl">C. Ekdahl</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Physical Therapy, Lund University</s1><s3>SWE</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Suède</country><wicri:noRegion>Department of Physical Therapy, Lund University</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Lymphology</title><title level="j" type="abbreviated">Lymphology</title><idno type="ISSN">0024-7766</idno><imprint><date when="2002">2002</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Lymphology</title><title level="j" type="abbreviated">Lymphology</title><idno type="ISSN">0024-7766</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adjuvant treatment</term><term>Arm</term><term>Axilla</term><term>Breast Neoplasms (surgery)</term><term>Case control study</term><term>Case-Control Studies</term><term>Comparative study</term><term>Complication</term><term>Female</term><term>Human</term><term>Humans</term><term>Life Style</term><term>Life style</term><term>Lymph Node Excision</term><term>Lymphedema</term><term>Lymphedema (etiology)</term><term>Malignant tumor</term><term>Mammary gland</term><term>Middle Aged</term><term>Radiotherapy</term><term>Radiotherapy, Adjuvant</term><term>Risk Factors</term><term>Risk factor</term><term>Socioeconomic Factors</term><term>Surgery</term><term>Treatment</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Bras</term><term>Facteurs de risque</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Lymphoedème (étiologie)</term><term>Mode de vie</term><term>Radiothérapie adjuvante</term><term>Tumeurs du sein ()</term><term>Études cas-témoins</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Arm</term><term>Axilla</term><term>Case-Control Studies</term><term>Female</term><term>Humans</term><term>Life Style</term><term>Lymph Node Excision</term><term>Middle Aged</term><term>Radiotherapy, Adjuvant</term><term>Risk Factors</term><term>Socioeconomic Factors</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Bras</term><term>Facteurs de risque</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Mode de vie</term><term>Radiothérapie adjuvante</term><term>Tumeur maligne</term><term>Glande mammaire</term><term>Traitement</term><term>Chirurgie</term><term>Traitement adjuvant</term><term>Radiothérapie</term><term>Facteur risque</term><term>Complication</term><term>Lymphoedème</term><term>Bras</term><term>Mode de vie</term><term>Etude comparative</term><term>Etude cas témoin</term><term>Homme</term><term>Tumeurs du sein</term><term>Études cas-témoins</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We examined factors that may influence the development of arm lymphedema following breast cancer treatment including the specific mode of therapy, patient occupation and life style. Medical record data and a questionnaire were used to collect information after surgery concerning such issues as wound seroma, infection, adjuvant treatment, vessel string (phlebitis), body mass index, smoking habits and stress. Occupational workload was assessed after surgery whereas housework, exercise, hobbies and body weight were assessed both before and after surgery. Seventy-one breast cancer treated women with arm lymphedema lasting more than 6 months but less than 2 years were matched to women similarly treated for breast cancer but without arm lymphedema (controls). The matching factors included axillary node status, time after axillary dissection, and age. In the lymphedema group, there was a higher body mass index at time of surgery (p=0.03) as well at time of study (p=0.04). No differences were found in occupational workload (n=38) or housework, but the lymphedema group reduced their spare time activities including exercise after surgery compared with the controls (p<0.01). In conclusion, women treated for breast cancer with axillary node dissection with or without adjuvant radiotherapy could maintain their level of physical activity and occupational workload after treatment without an added risk of developing arm lymphedema. On the other hand, a higher BMI before and after operation increases the lymphedema risk.</div></front></TEI><affiliations><list><country><li>Suède</li></country></list><tree><country name="Suède"><noRegion><name sortKey="Johansson, K" sort="Johansson, K" uniqKey="Johansson K" first="K." last="Johansson">K. Johansson</name></noRegion><name sortKey="Albertsson, M" sort="Albertsson, M" uniqKey="Albertsson M" first="M." last="Albertsson">M. Albertsson</name><name sortKey="Ekdahl, C" sort="Ekdahl, C" uniqKey="Ekdahl C" first="C." last="Ekdahl">C. Ekdahl</name><name sortKey="Ingvar, C" sort="Ingvar, C" uniqKey="Ingvar C" first="C." last="Ingvar">C. Ingvar</name><name sortKey="Ohlsson, K" sort="Ohlsson, K" uniqKey="Ohlsson K" first="K." last="Ohlsson">K. Ohlsson</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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