Association between Lymphedema Self-Care Adherence and Lymphedema Outcomes among Women with Breast Cancer-Related Lymphedema
Identifieur interne : 006A47 ( Ncbi/Checkpoint ); précédent : 006A46; suivant : 006A48Association between Lymphedema Self-Care Adherence and Lymphedema Outcomes among Women with Breast Cancer-Related Lymphedema
Auteurs : Justin C. Brown [États-Unis] ; Anagha Kumar [États-Unis] ; Andrea L. Cheville [États-Unis] ; Julia C. Tchou [États-Unis] ; Andrea B. Troxel [États-Unis] ; Susan R. Harris [Canada] ; Kathryn H. Schmitz [États-Unis]Source :
- American journal of physical medicine & rehabilitation / Association of Academic Physiatrists [ 0894-9115 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Autosoins, Complications postopératoires (rééducation et réadaptation), Femelle, Haltérophilie, Humains, Lymphoedème (rééducation et réadaptation), Lymphoedème (étiologie), Modèles linéaires, Observance thérapeutique, Résultat thérapeutique, Sujet âgé, Tumeurs du sein (), Études prospectives.
- MESH :
- rééducation et réadaptation : Complications postopératoires, Lymphoedème.
- étiologie : Lymphoedème.
- Adulte d'âge moyen, Autosoins, Femelle, Haltérophilie, Humains, Modèles linéaires, Observance thérapeutique, Résultat thérapeutique, Sujet âgé, Tumeurs du sein, Études prospectives.
English descriptors
- KwdEn :
- MESH :
- complications : Breast Neoplasms.
- etiology : Lymphedema.
- rehabilitation : Lymphedema, Postoperative Complications.
- surgery : Breast Neoplasms.
- Aged, Female, Humans, Linear Models, Middle Aged, Patient Compliance, Prospective Studies, Self Care, Treatment Outcome, Weight Lifting.
Abstract
To determine if adherence to self-care modalities for breast cancer-related lymphedema (BCRL) predicts BCRL outcomes among 128 breast cancer (BrCa) survivors who participated in the 12-month physical activity and lymphedema (PAL) trial.
This was a prospective cohort study. Adherence to 10 BCRL self-care modalities, as recommended in the clinical practice guidelines for the management of BCRL was assessed by questionnaire at baseline. BCRL outcomes assessed at baseline and 12-months included volumetry, circumferences, bioimpedence spectroscopy, the Norman lymphedema survey, and clinician-defined lymphedema exacerbations requiring treatment. Generalized linear models were used to estimate the relationship between adherence to BCRL self-care modalities and the likelihood of experiencing a BCRL outcome.
Adherence to BCRL self-care activities did not predict experiencing any BCRL outcomes at 12-months. Levels of adherence to BCRL self-care modalities did not predict a ≥5% decrease in interlimb volume (
Our findings suggest levels of BCRL self-care adherence do not predict BCRL outcomes among BrCa survivors with stable lymphedema who were followed for 12-months.
Url:
DOI: 10.1097/PHM.0000000000000178
PubMed: 25171662
PubMed Central: 4344918
Affiliations:
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PMC:4344918Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term>
<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Linear Models</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (rehabilitation)</term>
<term>Middle Aged</term>
<term>Patient Compliance</term>
<term>Postoperative Complications (rehabilitation)</term>
<term>Prospective Studies</term>
<term>Self Care</term>
<term>Treatment Outcome</term>
<term>Weight Lifting</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Autosoins</term>
<term>Complications postopératoires (rééducation et réadaptation)</term>
<term>Femelle</term>
<term>Haltérophilie</term>
<term>Humains</term>
<term>Lymphoedème (rééducation et réadaptation)</term>
<term>Lymphoedème (étiologie)</term>
<term>Modèles linéaires</term>
<term>Observance thérapeutique</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Tumeurs du sein ()</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Lymphedema</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Complications postopératoires</term>
<term>Lymphoedème</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>Female</term>
<term>Humans</term>
<term>Linear Models</term>
<term>Middle Aged</term>
<term>Patient Compliance</term>
<term>Prospective Studies</term>
<term>Self Care</term>
<term>Treatment Outcome</term>
<term>Weight Lifting</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Autosoins</term>
<term>Femelle</term>
<term>Haltérophilie</term>
<term>Humains</term>
<term>Modèles linéaires</term>
<term>Observance thérapeutique</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Tumeurs du sein</term>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title>
<p id="P1">To determine if adherence to self-care modalities for breast cancer-related lymphedema (BCRL) predicts BCRL outcomes among 128 breast cancer (BrCa) survivors who participated in the 12-month physical activity and lymphedema (PAL) trial.</p>
</sec>
<sec id="S2"><title>Design</title>
<p id="P2">This was a prospective cohort study. Adherence to 10 BCRL self-care modalities, as recommended in the clinical practice guidelines for the management of BCRL was assessed by questionnaire at baseline. BCRL outcomes assessed at baseline and 12-months included volumetry, circumferences, bioimpedence spectroscopy, the Norman lymphedema survey, and clinician-defined lymphedema exacerbations requiring treatment. Generalized linear models were used to estimate the relationship between adherence to BCRL self-care modalities and the likelihood of experiencing a BCRL outcome.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Adherence to BCRL self-care activities did not predict experiencing any BCRL outcomes at 12-months. Levels of adherence to BCRL self-care modalities did not predict a ≥5% decrease in interlimb volume (<italic>P</italic>
<sub>trend</sub>
=0.79), ≥5% decrease in the sum of interlimb arm circumferences (<italic>P</italic>
<sub>trend</sub>
=0.47), ≥10% decrease in bioimpedence spectroscopy (<italic>P</italic>
<sub>trend</sub>
=0.83), ≥1 decrease in self-reported lymphedema symptoms (<italic>P</italic>
<sub>trend</sub>
=0.91), or clinician-defined lymphedema exacerbation requiring treatment (<italic>P</italic>
<sub>trend</sub>
=0.84).</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Our findings suggest levels of BCRL self-care adherence do not predict BCRL outcomes among BrCa survivors with stable lymphedema who were followed for 12-months.</p>
</sec>
</div>
</front>
</TEI>
<affiliations><list><country><li>Canada</li>
<li>États-Unis</li>
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<region><li>Minnesota</li>
<li>Pennsylvanie</li>
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<tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Brown, Justin C" sort="Brown, Justin C" uniqKey="Brown J" first="Justin C." last="Brown">Justin C. Brown</name>
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<name sortKey="Cheville, Andrea L" sort="Cheville, Andrea L" uniqKey="Cheville A" first="Andrea L." last="Cheville">Andrea L. Cheville</name>
<name sortKey="Kumar, Anagha" sort="Kumar, Anagha" uniqKey="Kumar A" first="Anagha" last="Kumar">Anagha Kumar</name>
<name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H." last="Schmitz">Kathryn H. Schmitz</name>
<name sortKey="Tchou, Julia C" sort="Tchou, Julia C" uniqKey="Tchou J" first="Julia C." last="Tchou">Julia C. Tchou</name>
<name sortKey="Troxel, Andrea B" sort="Troxel, Andrea B" uniqKey="Troxel A" first="Andrea B." last="Troxel">Andrea B. Troxel</name>
</country>
<country name="Canada"><noRegion><name sortKey="Harris, Susan R" sort="Harris, Susan R" uniqKey="Harris S" first="Susan R." last="Harris">Susan R. Harris</name>
</noRegion>
</country>
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