Prediction of Treatment Outcome with Bioimpedance Measurements in Breast Cancer Related Lymphedema Patients
Identifieur interne : 004C75 ( Ncbi/Curation ); précédent : 004C74; suivant : 004C76Prediction of Treatment Outcome with Bioimpedance Measurements in Breast Cancer Related Lymphedema Patients
Auteurs : Leesuk Kim [Corée du Sud] ; Jae Yong Jeon [Corée du Sud] ; In Young Sung [Corée du Sud] ; Soon Yong Jeong [Corée du Sud] ; Jung Hwa Do [Corée du Sud] ; Hwa Jung Kim [Corée du Sud]Source :
- Annals of Rehabilitation Medicine [ 2234-0645 ] ; 2011.
Abstract
To investigate the usefulness of bioimpedance measurement for predicting the treatment outcome in breast cancer related lymphedema (BCRL) patients.
Unilateral BCRL patients who received complex decongestive therapy (CDT) for 2 weeks (5 days per week) were enrolled in this study. We measured the ratio of extracellular fluid (ECF) volume by using bioelectrical impedance spectroscopy (BIS), and single frequency bioimpedance analysis (SFBIA) at a 5 kHz frequency before treatment. Arm circumferences were measured at 10 cm above and below the elbow before and after treatment. We also investigated whether there is correlation between ECF ratio and SFBIA ratio with the change of arm circumference after CDT.
A total of 73 patients were enrolled in this study. The higher ECF ratio was significantly correlated with higher reduction of arm circumference at both above and below the elbow after treatment, but the higher SFBIA ratio was correlated only with the higher reduction of arm circumference below the elbow.
These results show that ECF volume measurements and SFBIA before treatment are useful tools for predicting the outcome of patients with lymphedema. We concluded that ECF volume measure can be used as a screening tool for predicting treatment outcome of BCRL patients.
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DOI: 10.5535/arm.2011.35.5.687
PubMed: 22506192
PubMed Central: 3309267
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Medicine, Seoul 138-736, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Jeon, Jae Yong" sort="Jeon, Jae Yong" uniqKey="Jeon J" first="Jae Yong" last="Jeon">Jae Yong Jeon</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Sung, In Young" sort="Sung, In Young" uniqKey="Sung I" first="In Young" last="Sung">In Young Sung</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Jeong, Soon Yong" sort="Jeong, Soon Yong" uniqKey="Jeong S" first="Soon Yong" last="Jeong">Soon Yong Jeong</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Do, Jung Hwa" sort="Do, Jung Hwa" uniqKey="Do J" first="Jung Hwa" last="Do">Jung Hwa Do</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Hwa Jung" sort="Kim, Hwa Jung" uniqKey="Kim H" first="Hwa Jung" last="Kim">Hwa Jung Kim</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Clinical Epidemiology and Biostatistics, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Clinical Epidemiology and Biostatistics, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">Annals of Rehabilitation Medicine</title><idno type="ISSN">2234-0645</idno><idno type="eISSN">2234-0653</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>To investigate the usefulness of bioimpedance measurement for predicting the treatment outcome in breast cancer related lymphedema (BCRL) patients.</p></sec><sec><title>Method</title><p>Unilateral BCRL patients who received complex decongestive therapy (CDT) for 2 weeks (5 days per week) were enrolled in this study. We measured the ratio of extracellular fluid (ECF) volume by using bioelectrical impedance spectroscopy (BIS), and single frequency bioimpedance analysis (SFBIA) at a 5 kHz frequency before treatment. Arm circumferences were measured at 10 cm above and below the elbow before and after treatment. We also investigated whether there is correlation between ECF ratio and SFBIA ratio with the change of arm circumference after CDT.</p></sec><sec><title>Results</title><p>A total of 73 patients were enrolled in this study. The higher ECF ratio was significantly correlated with higher reduction of arm circumference at both above and below the elbow after treatment, but the higher SFBIA ratio was correlated only with the higher reduction of arm circumference below the elbow.</p></sec><sec><title>Conclusion</title><p>These results show that ECF volume measurements and SFBIA before treatment are useful tools for predicting the outcome of patients with lymphedema. We concluded that ECF volume measure can be used as a screening tool for predicting treatment outcome of BCRL patients.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Warren, Ag" uniqKey="Warren A">AG Warren</name></author><author><name sortKey="Brorson, H" uniqKey="Brorson H">H Brorson</name></author><author><name sortKey="Borud, Lj" uniqKey="Borud L">LJ Borud</name></author><author><name sortKey="Slavin, Sa" uniqKey="Slavin S">SA Slavin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Warren, Ag" uniqKey="Warren A">AG Warren</name></author><author><name sortKey="Janz, Ba" uniqKey="Janz B">BA Janz</name></author><author><name sortKey="Slavin, Sa" uniqKey="Slavin S">SA Slavin</name></author><author><name sortKey="Borud, Lj" uniqKey="Borud L">LJ Borud</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hayes, Sc" uniqKey="Hayes S">SC 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Dolsma</name></author><author><name sortKey="Groothoff, Jw" uniqKey="Groothoff J">JW Groothoff</name></author><author><name sortKey="Eisma, Wh" uniqKey="Eisma W">WH Eisma</name></author><author><name sortKey="Hoekstra, Hj" uniqKey="Hoekstra H">HJ Hoekstra</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Szuba, A" uniqKey="Szuba A">A Szuba</name></author><author><name sortKey="Rockson, Sg" uniqKey="Rockson S">SG Rockson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cornish, B" uniqKey="Cornish B">B Cornish</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ward, Lc" uniqKey="Ward L">LC Ward</name></author><author><name sortKey="Czerniec, S" uniqKey="Czerniec S">S Czerniec</name></author><author><name sortKey="Kilbreath, Sl" uniqKey="Kilbreath S">SL Kilbreath</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cornish, Bh" uniqKey="Cornish B">BH 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