No evidence of benefit from class-II compression stockings in the prevention of lower-limb lymphedema after inguinal lymph node dissection: results of a randomized controlled trial.
Identifieur interne : 006438 ( Ncbi/Checkpoint ); précédent : 006437; suivant : 006439No evidence of benefit from class-II compression stockings in the prevention of lower-limb lymphedema after inguinal lymph node dissection: results of a randomized controlled trial.
Auteurs : M M Stuiver ; J D De Rooij ; C. Lucas ; O E Nieweg ; S. Horenblas ; A N Van Geel ; M. Van Beurden ; N K AaronsonSource :
- Lymphology [ 0024-7766 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Bas de contention, Canal inguinal (), Canal inguinal (anatomopathologie), Complications postopératoires, Femelle, Humains, Jeune adulte, Lymphadénectomie (effets indésirables), Lymphoedème (), Lymphoedème (étiologie), Membre inférieur (anatomopathologie), Mâle, Mélanome (), Pronostic, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de l'appareil urogénital (), Études de suivi.
- MESH :
- anatomopathologie : Canal inguinal, Membre inférieur.
- effets indésirables : Lymphadénectomie.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Bas de contention, Canal inguinal, Complications postopératoires, Femelle, Humains, Jeune adulte, Lymphoedème, Mâle, Mélanome, Pronostic, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de l'appareil urogénital, Études de suivi.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Inguinal Canal (pathology), Inguinal Canal (surgery), Lower Extremity (pathology), Lymph Node Excision (adverse effects), Lymphedema (etiology), Lymphedema (prevention & control), Male, Melanoma (complications), Melanoma (surgery), Middle Aged, Postoperative Complications, Prognosis, Stockings, Compression, Urogenital Neoplasms (complications), Urogenital Neoplasms (surgery), Young Adult.
- MESH :
- adverse effects : Lymph Node Excision.
- complications : Melanoma, Urogenital Neoplasms.
- etiology : Lymphedema.
- pathology : Inguinal Canal, Lower Extremity.
- prevention & control : Lymphedema.
- surgery : Inguinal Canal, Melanoma, Urogenital Neoplasms.
- Adult, Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Male, Middle Aged, Postoperative Complications, Prognosis, Stockings, Compression, Young Adult.
Abstract
Graduated compression stockings have been advocated for prevention of lymphedema after inguinal lymph node dissection (ILND) although scientific evidence of their efficacy in preventing lymphedema is lacking. The primary objective of this study was to assess the efficacy of class II compression stockings for the prevention of lymphedema in cancer patients following ILND. Secondary objectives were to investigate the influence of stockings on the occurrence of wound complications and genital edema, health-related quality of life (HRQoL) and body image. Eighty patients (45 with melanoma, 35 with urogenital tumors) who underwent ILND at two specialized cancer centers were randomly allocated to class II compression stocking use for six months or to a usual care control group. Lymphedema of the leg and genital area, wound complications, HRQoL, and body image were assessed at regular intervals prior to and up to 12 months after ILND. No significant differences were observed between groups in the incidence of edema, median time to the occurrence of edema, incidence of genital edema, frequency of complications, HRQoL, or body image. Based on the results of the current study, routine prescription of class II graduated compression stockings after ILND should be questioned and alternative prevention strategies should be considered.
PubMed: 24645535
Affiliations:
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Horenblas</name></author><author><name sortKey="Van Geel, A N" sort="Van Geel, A N" uniqKey="Van Geel A" first="A N" last="Van Geel">A N Van Geel</name></author><author><name sortKey="Van Beurden, M" sort="Van Beurden, M" uniqKey="Van Beurden M" first="M" last="Van Beurden">M. 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Lucas</name></author><author><name sortKey="Nieweg, O E" sort="Nieweg, O E" uniqKey="Nieweg O" first="O E" last="Nieweg">O E Nieweg</name></author><author><name sortKey="Horenblas, S" sort="Horenblas, S" uniqKey="Horenblas S" first="S" last="Horenblas">S. Horenblas</name></author><author><name sortKey="Van Geel, A N" sort="Van Geel, A N" uniqKey="Van Geel A" first="A N" last="Van Geel">A N Van Geel</name></author><author><name sortKey="Van Beurden, M" sort="Van Beurden, M" uniqKey="Van Beurden M" first="M" last="Van Beurden">M. Van Beurden</name></author><author><name sortKey="Aaronson, N K" sort="Aaronson, N K" uniqKey="Aaronson N" first="N K" last="Aaronson">N K Aaronson</name></author></analytic><series><title level="j">Lymphology</title><idno type="ISSN">0024-7766</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Inguinal Canal (pathology)</term><term>Inguinal Canal (surgery)</term><term>Lower Extremity (pathology)</term><term>Lymph Node Excision (adverse effects)</term><term>Lymphedema (etiology)</term><term>Lymphedema (prevention & control)</term><term>Male</term><term>Melanoma (complications)</term><term>Melanoma (surgery)</term><term>Middle Aged</term><term>Postoperative Complications</term><term>Prognosis</term><term>Stockings, Compression</term><term>Urogenital Neoplasms (complications)</term><term>Urogenital Neoplasms (surgery)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bas de contention</term><term>Canal inguinal ()</term><term>Canal inguinal (anatomopathologie)</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Membre inférieur (anatomopathologie)</term><term>Mâle</term><term>Mélanome ()</term><term>Pronostic</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs de l'appareil urogénital ()</term><term>Études de suivi</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Canal inguinal</term><term>Membre inférieur</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Melanoma</term><term>Urogenital Neoplasms</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Inguinal Canal</term><term>Lower Extremity</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Inguinal Canal</term><term>Melanoma</term><term>Urogenital Neoplasms</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Postoperative Complications</term><term>Prognosis</term><term>Stockings, Compression</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bas de contention</term><term>Canal inguinal</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Lymphoedème</term><term>Mâle</term><term>Mélanome</term><term>Pronostic</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs de l'appareil urogénital</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Graduated compression stockings have been advocated for prevention of lymphedema after inguinal lymph node dissection (ILND) although scientific evidence of their efficacy in preventing lymphedema is lacking. The primary objective of this study was to assess the efficacy of class II compression stockings for the prevention of lymphedema in cancer patients following ILND. Secondary objectives were to investigate the influence of stockings on the occurrence of wound complications and genital edema, health-related quality of life (HRQoL) and body image. Eighty patients (45 with melanoma, 35 with urogenital tumors) who underwent ILND at two specialized cancer centers were randomly allocated to class II compression stocking use for six months or to a usual care control group. Lymphedema of the leg and genital area, wound complications, HRQoL, and body image were assessed at regular intervals prior to and up to 12 months after ILND. No significant differences were observed between groups in the incidence of edema, median time to the occurrence of edema, incidence of genital edema, frequency of complications, HRQoL, or body image. Based on the results of the current study, routine prescription of class II graduated compression stockings after ILND should be questioned and alternative prevention strategies should be considered.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Aaronson, N K" sort="Aaronson, N K" uniqKey="Aaronson N" first="N K" last="Aaronson">N K Aaronson</name><name sortKey="De Rooij, J D" sort="De Rooij, J D" uniqKey="De Rooij J" first="J D" last="De Rooij">J D De Rooij</name><name sortKey="Horenblas, S" sort="Horenblas, S" uniqKey="Horenblas S" first="S" last="Horenblas">S. Horenblas</name><name sortKey="Lucas, C" sort="Lucas, C" uniqKey="Lucas C" first="C" last="Lucas">C. Lucas</name><name sortKey="Nieweg, O E" sort="Nieweg, O E" uniqKey="Nieweg O" first="O E" last="Nieweg">O E Nieweg</name><name sortKey="Stuiver, M M" sort="Stuiver, M M" uniqKey="Stuiver M" first="M M" last="Stuiver">M M Stuiver</name><name sortKey="Van Beurden, M" sort="Van Beurden, M" uniqKey="Van Beurden M" first="M" last="Van Beurden">M. Van Beurden</name><name sortKey="Van Geel, A N" sort="Van Geel, A N" uniqKey="Van Geel A" first="A N" last="Van Geel">A N Van Geel</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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