Conservative treatment of postmastectomy lymphedema: a controlled, randomized trial.
Identifieur interne : 00D572 ( Main/Exploration ); précédent : 00D571; suivant : 00D573Conservative treatment of postmastectomy lymphedema: a controlled, randomized trial.
Auteurs : G. Bertelli [Italie] ; M. Venturini ; G. Forno ; F. Macchiavello ; D. DiniSource :
- Annals of oncology : official journal of the European Society for Medical Oncology [ 0923-7534 ] ; 1991.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Bandages, Drainage (), Facteurs temps, Femelle, Humains, Lymphoedème (), Lymphoedème (étiologie), Mastectomie (effets indésirables), Mastectomie partielle (effets indésirables), Mastectomie radicale (effets indésirables), Mastectomie radicale modifiée (effets indésirables), Pression hydrostatique, Soins postopératoires (), Stimulation électrique, Sujet âgé, Système lymphatique, Tumeurs du sein ().
- MESH :
- effets indésirables : Mastectomie, Mastectomie partielle, Mastectomie radicale, Mastectomie radicale modifiée.
- étiologie : Lymphoedème.
- Adulte d'âge moyen, Bandages, Drainage, Facteurs temps, Femelle, Humains, Lymphoedème, Pression hydrostatique, Soins postopératoires, Stimulation électrique, Sujet âgé, Système lymphatique, Tumeurs du sein.
English descriptors
- KwdEn :
- Aged, Bandages, Breast Neoplasms (surgery), Drainage (methods), Electric Stimulation, Female, Humans, Hydrostatic Pressure, Lymphatic System, Lymphedema (etiology), Lymphedema (prevention & control), Mastectomy (adverse effects), Mastectomy, Modified Radical (adverse effects), Mastectomy, Radical (adverse effects), Mastectomy, Segmental (adverse effects), Middle Aged, Postoperative Care (methods), Time Factors.
- MESH :
- adverse effects : Mastectomy, Mastectomy, Modified Radical, Mastectomy, Radical, Mastectomy, Segmental.
- etiology : Lymphedema.
- methods : Drainage, Postoperative Care.
- prevention & control : Lymphedema.
- surgery : Breast Neoplasms.
- Aged, Bandages, Electric Stimulation, Female, Humans, Hydrostatic Pressure, Lymphatic System, Middle Aged, Time Factors.
Abstract
A controlled, randomized trial was carried out to evaluate the effectiveness of a new conservative treatment for postmastectomy lymphedema. Seventy-four patients were randomized to wear only an elastic sleeve for six months (group A) or to receive additionally an induction treatment with electrically stimulated lymphatic drainage (group B). The evaluation of results was focused not only on the mean variations in limb measurements in the two groups, but also on the frequency of clinically significant reductions of lymphedema (i.e., at least 25% compared to the initial values). A mean reduction of limb girth of about 17% was obtained in both groups, without significant differences between the two treatments. An 'objective response', however, was not achieved by the majority of patients. On the other hand, compliance to therapy was good and a significant result could be obtained simply and economically also in the group of patients treated only with the elastic sleeve.
PubMed: 1793725
Affiliations:
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Bertelli</name><affiliation wicri:level="1"><nlm:affiliation>National Institute for Cancer Research, Dept. of Rehabilitation, Genova, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>National Institute for Cancer Research, Dept. of Rehabilitation, Genova</wicri:regionArea><wicri:noRegion>Genova</wicri:noRegion></affiliation></author><author><name sortKey="Venturini, M" sort="Venturini, M" uniqKey="Venturini M" first="M" last="Venturini">M. Venturini</name></author><author><name sortKey="Forno, G" sort="Forno, G" uniqKey="Forno G" first="G" last="Forno">G. Forno</name></author><author><name sortKey="Macchiavello, F" sort="Macchiavello, F" uniqKey="Macchiavello F" first="F" last="Macchiavello">F. Macchiavello</name></author><author><name sortKey="Dini, D" sort="Dini, D" uniqKey="Dini D" first="D" last="Dini">D. Dini</name></author></analytic><series><title level="j">Annals of oncology : official journal of the European Society for Medical Oncology</title><idno type="ISSN">0923-7534</idno><imprint><date when="1991" type="published">1991</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Bandages</term><term>Breast Neoplasms (surgery)</term><term>Drainage (methods)</term><term>Electric Stimulation</term><term>Female</term><term>Humans</term><term>Hydrostatic Pressure</term><term>Lymphatic System</term><term>Lymphedema (etiology)</term><term>Lymphedema (prevention & control)</term><term>Mastectomy (adverse effects)</term><term>Mastectomy, Modified Radical (adverse effects)</term><term>Mastectomy, Radical (adverse effects)</term><term>Mastectomy, Segmental (adverse effects)</term><term>Middle Aged</term><term>Postoperative Care (methods)</term><term>Time Factors</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Bandages</term><term>Drainage ()</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Mastectomie (effets indésirables)</term><term>Mastectomie partielle (effets indésirables)</term><term>Mastectomie radicale (effets indésirables)</term><term>Mastectomie radicale modifiée (effets indésirables)</term><term>Pression hydrostatique</term><term>Soins postopératoires ()</term><term>Stimulation électrique</term><term>Sujet âgé</term><term>Système lymphatique</term><term>Tumeurs du sein ()</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy</term><term>Mastectomy, Modified Radical</term><term>Mastectomy, Radical</term><term>Mastectomy, Segmental</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Mastectomie</term><term>Mastectomie partielle</term><term>Mastectomie radicale</term><term>Mastectomie radicale modifiée</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Drainage</term><term>Postoperative Care</term></keywords><keywords scheme="MESH" qualifier="prevention & control" 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>Aged</term><term>Bandages</term><term>Electric Stimulation</term><term>Female</term><term>Humans</term><term>Hydrostatic Pressure</term><term>Lymphatic System</term><term>Middle Aged</term><term>Time Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Bandages</term><term>Drainage</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Pression hydrostatique</term><term>Soins postopératoires</term><term>Stimulation électrique</term><term>Sujet âgé</term><term>Système lymphatique</term><term>Tumeurs du sein</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A controlled, randomized trial was carried out to evaluate the effectiveness of a new conservative treatment for postmastectomy lymphedema. Seventy-four patients were randomized to wear only an elastic sleeve for six months (group A) or to receive additionally an induction treatment with electrically stimulated lymphatic drainage (group B). The evaluation of results was focused not only on the mean variations in limb measurements in the two groups, but also on the frequency of clinically significant reductions of lymphedema (i.e., at least 25% compared to the initial values). A mean reduction of limb girth of about 17% was obtained in both groups, without significant differences between the two treatments. An 'objective response', however, was not achieved by the majority of patients. On the other hand, compliance to therapy was good and a significant result could be obtained simply and economically also in the group of patients treated only with the elastic sleeve.</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><noCountry><name sortKey="Dini, D" sort="Dini, D" uniqKey="Dini D" first="D" last="Dini">D. Dini</name><name sortKey="Forno, G" sort="Forno, G" uniqKey="Forno G" first="G" last="Forno">G. Forno</name><name sortKey="Macchiavello, F" sort="Macchiavello, F" uniqKey="Macchiavello F" first="F" last="Macchiavello">F. Macchiavello</name><name sortKey="Venturini, M" sort="Venturini, M" uniqKey="Venturini M" first="M" last="Venturini">M. Venturini</name></noCountry><country name="Italie"><noRegion><name sortKey="Bertelli, G" sort="Bertelli, G" uniqKey="Bertelli G" first="G" last="Bertelli">G. Bertelli</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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