Breast cancer treatment, BMI, post-op swelling/lymphoedema
Identifieur interne : 003C79 ( Ncbi/Curation ); précédent : 003C78; suivant : 003C80Breast cancer treatment, BMI, post-op swelling/lymphoedema
Auteurs : Wannapa Kay Mahamaneerat ; Chi-Ren Shyu ; Bob R. Stewart ; Jane M. ArmerSource :
- Journal of lymphoedema [ 1750-7235 ] ; 2008.
Abstract
Diagnosis of post-breast cancer lymphoedema is difficult because of inconsistent measurement approaches, measurement reliability and validity, and lymphoedema definition and criterion.
To examine lymphoedema occurrence using a body mass index (BMI)-adjusted limb volume change (LVC) as a potentially sensitive alternative criterion for assessment and diagnosis of lymphoedema. Secondary aims were to examine the risk of lymphoedema occurrence in relation to post-operative swelling and limb dominance and the cancer-affected side.
The volume calculated from circumferences of 193 breast cancer survivors was used to analyse lymphoedema assessment. A change ≥5% in affected-arm volume over percent change in BMI in comparison to pre-operative baseline was considered indicative of lymphoedema.
For all participants, 63% met the 5% BMI-adjusted LVC criterion. Dominant limb and cancer-affected side were significantly related to lymphoedema occurrence only in those whose BMI ≥30 (
The proposed 5% BMI-adjusted LVC criterion provides a more sensitive estimation of post-breast cancer lymphoedema occurrence.
Url:
PubMed: 20657749
PubMed Central: 2908324
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PMC:2908324Le document en format XML
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<author><name sortKey="Mahamaneerat, Wannapa Kay" sort="Mahamaneerat, Wannapa Kay" uniqKey="Mahamaneerat W" first="Wannapa Kay" last="Mahamaneerat">Wannapa Kay Mahamaneerat</name>
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<author><name sortKey="Shyu, Chi Ren" sort="Shyu, Chi Ren" uniqKey="Shyu C" first="Chi-Ren" last="Shyu">Chi-Ren Shyu</name>
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<author><name sortKey="Stewart, Bob R" sort="Stewart, Bob R" uniqKey="Stewart B" first="Bob R" last="Stewart">Bob R. Stewart</name>
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<author><name sortKey="Armer, Jane M" sort="Armer, Jane M" uniqKey="Armer J" first="Jane M" last="Armer">Jane M. Armer</name>
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<author><name sortKey="Shyu, Chi Ren" sort="Shyu, Chi Ren" uniqKey="Shyu C" first="Chi-Ren" last="Shyu">Chi-Ren Shyu</name>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">Diagnosis of post-breast cancer lymphoedema is difficult because of inconsistent measurement approaches, measurement reliability and validity, and lymphoedema definition and criterion.</p>
</sec>
<sec id="S2"><title>Aims</title>
<p id="P2">To examine lymphoedema occurrence using a body mass index (BMI)-adjusted limb volume change (LVC) as a potentially sensitive alternative criterion for assessment and diagnosis of lymphoedema. Secondary aims were to examine the risk of lymphoedema occurrence in relation to post-operative swelling and limb dominance and the cancer-affected side.</p>
</sec>
<sec sec-type="methods" id="S3"><title>Methods</title>
<p id="P3">The volume calculated from circumferences of 193 breast cancer survivors was used to analyse lymphoedema assessment. A change ≥5% in affected-arm volume over percent change in BMI in comparison to pre-operative baseline was considered indicative of lymphoedema.</p>
</sec>
<sec id="S4"><title>Results</title>
<p id="P4">For all participants, 63% met the 5% BMI-adjusted LVC criterion. Dominant limb and cancer-affected side were significantly related to lymphoedema occurrence only in those whose BMI ≥30 (<italic>p</italic>
=0.02), while post-operative swelling significantly increased the lymphoedema risk irrespective of BMI (<italic>p</italic>
=0.01).</p>
</sec>
<sec id="S5"><title>Conclusions</title>
<p id="P5">The proposed 5% BMI-adjusted LVC criterion provides a more sensitive estimation of post-breast cancer lymphoedema occurrence.</p>
</sec>
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