Prevalence of lymphedema in women undergoing treatment for breast cancer in a referral center in southeastern Brazil
Identifieur interne : 005618 ( Ncbi/Checkpoint ); précédent : 005617; suivant : 005619Prevalence of lymphedema in women undergoing treatment for breast cancer in a referral center in southeastern Brazil
Auteurs : Daniella Mf Paiva [Brésil] ; Vivian O. Rodrigues [Brésil] ; Marcelle G. Cesca [Brésil] ; Pamella V. Palma [Brésil] ; Isabel Cg Leite [Brésil]Source :
- BMC Women's Health [ 1472-6874 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Brésil (épidémiologie), Femelle, Humains, Indice de gravité médicale, Lymphadénectomie, Lymphoedème (), Lymphoedème (anatomopathologie), Lymphoedème (épidémiologie), Prévalence, Qualité de vie, Santé des femmes, Sujet âgé, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Tumeurs du sein (épidémiologie), Études transversales.
- MESH :
- anatomopathologie : Lymphoedème, Tumeurs du sein.
- épidémiologie : Brésil, Lymphoedème, Tumeurs du sein.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Indice de gravité médicale, Lymphadénectomie, Lymphoedème, Prévalence, Qualité de vie, Santé des femmes, Sujet âgé, Tumeurs du sein, Études transversales.
- Wicri :
- geographic : Brésil.
English descriptors
- KwdEn :
- Adult, Aged, Brazil (epidemiology), Breast Neoplasms (epidemiology), Breast Neoplasms (pathology), Breast Neoplasms (therapy), Cross-Sectional Studies, Female, Humans, Lymph Node Excision, Lymphedema (epidemiology), Lymphedema (pathology), Lymphedema (therapy), Middle Aged, Prevalence, Quality of Life, Severity of Illness Index, Women's Health.
- MESH :
- geographic , epidemiology : Brazil.
- epidemiology : Breast Neoplasms, Lymphedema.
- pathology : Breast Neoplasms, Lymphedema.
- therapy : Breast Neoplasms, Lymphedema.
- Adult, Aged, Cross-Sectional Studies, Female, Humans, Lymph Node Excision, Middle Aged, Prevalence, Quality of Life, Severity of Illness Index, Women's Health.
Abstract
Lymphedema is a highly prevalent condition in women who have undergone treatment for breast cancer. Lymphedema negatively affects the quality of life. The objective of this study was to estimate the prevalence of lymphedema and associated factors in women treated for breast cancer in the municipality of Juiz de Fora.
We performed a cross-sectional study that evaluated 250 women who were being treated for breast cancer. Pre-screening of the sample by analysis of medical records was performed to select women who met the inclusion criteria as follows: women who had an operation more than 6 months ago; absence of active disease, locoregional or distant; the absence of functional change in the affected limb before surgery, which could lead to swelling of the limb; and simulating or masking symptoms of lymphedema, such as bursitis, tendonitis, and work-related musculoskeletal disorders. Women with bilateral breast cancer, absence of axillary intervention (partial or complete axillary dissection and/or SLN biopsy), active disease in the region, or lympho-venous alteration of the limb before surgery were excluded. Data were collected from the medical records of the selected cases, and they subsequently underwent an interview and a physical assessment.
The prevalence of lymphedema was 44.8%. There were medical records on the presence of this condition in 5.4% of cases. With regard to shoulder joint mobility, restrictions on abduction movements, internal and external rotation, and anterior shoulder adduction were significantly associated with lymphedema. Variables, including the presence of seroma, vascular changes, time elapsed after surgery, episodes of redness in the extremities, and cuticle removal from the hand with pliers were considered as major associated factors for lymphedema (p<0.05).
The prevalence of 44.8% for lymphedema found in this study is considered to be relevant because it is a morbidity that produces psychological, physical, and functional damage in patients with this condition. The planning of health programs and services appropriate for the immediate postoperative treatment of women with breast cancer, and increasing the awareness of health professionals regarding the early diagnosis of lymphedema, can help minimize the morbidity of this disease.
Url:
DOI: 10.1186/1472-6874-13-6
PubMed: 23406386
PubMed Central: 3577444
Affiliations:
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PMC:3577444Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Prevalence of lymphedema in women undergoing treatment for breast cancer in a referral center in southeastern Brazil</title>
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<country xml:lang="fr">Brésil</country>
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<series><title level="j">BMC Women's Health</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Brazil (epidemiology)</term>
<term>Breast Neoplasms (epidemiology)</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (therapy)</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision</term>
<term>Lymphedema (epidemiology)</term>
<term>Lymphedema (pathology)</term>
<term>Lymphedema (therapy)</term>
<term>Middle Aged</term>
<term>Prevalence</term>
<term>Quality of Life</term>
<term>Severity of Illness Index</term>
<term>Women's Health</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Brésil (épidémiologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Lymphadénectomie</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (anatomopathologie)</term>
<term>Lymphoedème (épidémiologie)</term>
<term>Prévalence</term>
<term>Qualité de vie</term>
<term>Santé des femmes</term>
<term>Sujet âgé</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (anatomopathologie)</term>
<term>Tumeurs du sein (épidémiologie)</term>
<term>Études transversales</term>
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<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Brazil</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Lymphoedème</term>
<term>Tumeurs du sein</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Breast Neoplasms</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term>
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Breast Neoplasms</term>
<term>Lymphedema</term>
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<term>Lymphoedème</term>
<term>Tumeurs du sein</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision</term>
<term>Middle Aged</term>
<term>Prevalence</term>
<term>Quality of Life</term>
<term>Severity of Illness Index</term>
<term>Women's Health</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Lymphadénectomie</term>
<term>Lymphoedème</term>
<term>Prévalence</term>
<term>Qualité de vie</term>
<term>Santé des femmes</term>
<term>Sujet âgé</term>
<term>Tumeurs du sein</term>
<term>Études transversales</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Lymphedema is a highly prevalent condition in women who have undergone treatment for breast cancer. Lymphedema negatively affects the quality of life. The objective of this study was to estimate the prevalence of lymphedema and associated factors in women treated for breast cancer in the municipality of Juiz de Fora.</p>
</sec>
<sec><title>Methods</title>
<p>We performed a cross-sectional study that evaluated 250 women who were being treated for breast cancer. Pre-screening of the sample by analysis of medical records was performed to select women who met the inclusion criteria as follows: women who had an operation more than 6 months ago; absence of active disease, locoregional or distant; the absence of functional change in the affected limb before surgery, which could lead to swelling of the limb; and simulating or masking symptoms of lymphedema, such as bursitis, tendonitis, and work-related musculoskeletal disorders. Women with bilateral breast cancer, absence of axillary intervention (partial or complete axillary dissection and/or SLN biopsy), active disease in the region, or lympho-venous alteration of the limb before surgery were excluded. Data were collected from the medical records of the selected cases, and they subsequently underwent an interview and a physical assessment.</p>
</sec>
<sec><title>Results</title>
<p>The prevalence of lymphedema was 44.8%. There were medical records on the presence of this condition in 5.4% of cases. With regard to shoulder joint mobility, restrictions on abduction movements, internal and external rotation, and anterior shoulder adduction were significantly associated with lymphedema. Variables, including the presence of seroma, vascular changes, time elapsed after surgery, episodes of redness in the extremities, and cuticle removal from the hand with pliers were considered as major associated factors for lymphedema (p<0.05).</p>
</sec>
<sec><title>Conclusions</title>
<p>The prevalence of 44.8% for lymphedema found in this study is considered to be relevant because it is a morbidity that produces psychological, physical, and functional damage in patients with this condition. The planning of health programs and services appropriate for the immediate postoperative treatment of women with breast cancer, and increasing the awareness of health professionals regarding the early diagnosis of lymphedema, can help minimize the morbidity of this disease.</p>
</sec>
</div>
</front>
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