LymphedemaV1, Main, Exploration, bibRecord, 012D91

Do medical procedures in the arm increase the risk of lymphoedema after axillary surgery? A review.

Identifieur interne : 012D91 ( Main/Exploration ); précédent : 012D90; suivant : 012D92

Do medical procedures in the arm increase the risk of lymphoedema after axillary surgery? A review.

Auteurs : Chris-Tin Cheng [Australie] ; Jessica M. Deitch ; Ian E. Haines ; David J. Porter ; Sharon L. Kilbreath

Source :

ANZ journal of surgery [ 1445-2197 ]

RBID : pubmed:24274353

Descripteurs français

KwdFr :
- Aisselle (), Bras, Facteurs de risque, Femelle, Humains, Lymphoedème (étiologie), Mesure de la pression artérielle (effets indésirables), Phlébotomie (effets indésirables), Tumeurs du sein ().
MESH :
- effets indésirables : Mesure de la pression artérielle, Phlébotomie.
- étiologie : Lymphoedème.
- Aisselle, Bras, Facteurs de risque, Femelle, Humains, Tumeurs du sein.

English descriptors

KwdEn :
- Arm, Axilla (surgery), Blood Pressure Determination (adverse effects), Breast Neoplasms (surgery), Female, Humans, Lymphedema (etiology), Phlebotomy (adverse effects), Risk Factors.
MESH :
- adverse effects : Blood Pressure Determination, Phlebotomy.
- etiology : Lymphedema.
- surgery : Axilla, Breast Neoplasms.
- Arm, Female, Humans, Risk Factors.

Abstract

Lymphoedema of the arm is a potentially serious consequence of any axillary procedure performed during the management of breast cancer. In an attempt to reduce its incidence and severity, patients are instructed to avoid venepunctures and blood pressure measurements on the treated arm. These precautions are not possible in some patients and attempts to adhere to them can cause discomfort, anxiety and stress for both patients and their health-care workers. The strength with which these recommendations are made is in contrast to the level of evidence underpinning them. This paper reviews this evidence regarding the safety, or lack thereof, of blood pressure monitoring and intravenous puncture in women who have had axillary surgery. With this evidence generally being anecdotal in nature, there appears to be no rigorous evidence-based support for the risk-reduction behaviours of avoiding blood pressure monitoring and venepuncture in the affected arm in the prevention of lymphoedema after axillary procedure. A clinical trial was proposed to investigate whether such avoidance measures were valuable, but failed during its inception. There remains a need for research from prospective trials on this controversial topic to determine the most appropriate patient recommendations that should be provided after axillary procedure regarding the risks for development of lymphoedema.

DOI: 10.1111/ans.12474
PubMed: 24274353

Affiliations:

Australie

Le document en format XML

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<term>Lymphoedème (étiologie)</term>
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<front><div type="abstract" xml:lang="en">Lymphoedema of the arm is a potentially serious consequence of any axillary procedure performed during the management of breast cancer. In an attempt to reduce its incidence and severity, patients are instructed to avoid venepunctures and blood pressure measurements on the treated arm. These precautions are not possible in some patients and attempts to adhere to them can cause discomfort, anxiety and stress for both patients and their health-care workers. The strength with which these recommendations are made is in contrast to the level of evidence underpinning them. This paper reviews this evidence regarding the safety, or lack thereof, of blood pressure monitoring and intravenous puncture in women who have had axillary surgery. With this evidence generally being anecdotal in nature, there appears to be no rigorous evidence-based support for the risk-reduction behaviours of avoiding blood pressure monitoring and venepuncture in the affected arm in the prevention of lymphoedema after axillary procedure. A clinical trial was proposed to investigate whether such avoidance measures were valuable, but failed during its inception. There remains a need for research from prospective trials on this controversial topic to determine the most appropriate patient recommendations that should be provided after axillary procedure regarding the risks for development of lymphoedema.</div>
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<name sortKey="Haines, Ian E" sort="Haines, Ian E" uniqKey="Haines I" first="Ian E" last="Haines">Ian E. Haines</name>
<name sortKey="Kilbreath, Sharon L" sort="Kilbreath, Sharon L" uniqKey="Kilbreath S" first="Sharon L" last="Kilbreath">Sharon L. Kilbreath</name>
<name sortKey="Porter, David J" sort="Porter, David J" uniqKey="Porter D" first="David J" last="Porter">David J. Porter</name>
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<country name="Australie"><noRegion><name sortKey="Cheng, Chris Tin" sort="Cheng, Chris Tin" uniqKey="Cheng C" first="Chris-Tin" last="Cheng">Chris-Tin Cheng</name>
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Serveur d'exploration sur le lymphœdème

Do medical procedures in the arm increase the risk of lymphoedema after axillary surgery? A review.

Do medical procedures in the arm increase the risk of lymphoedema after axillary surgery? A review.

Source :

Descripteurs français

English descriptors

Abstract

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

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

	Serveur d'exploration sur le lymphœdème
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