Factors influencing breast cancer-related lymphedema volume after intensive decongestive physiotherapy.
Identifieur interne : 003B27 ( Ncbi/Merge ); précédent : 003B26; suivant : 003B28Factors influencing breast cancer-related lymphedema volume after intensive decongestive physiotherapy.
Auteurs : Stéphane Vignes [France] ; Raphaël Porcher ; Maria Arrault ; Alain DupuySource :
- Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer [ 1433-7339 ] ; 2011.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Bas de contention, Complications postopératoires (anatomopathologie), Complications postopératoires (étiologie), Drainage, Facteurs de risque, Femelle, Humains, Indicateurs d'état de santé, Intervalles de confiance, Lymphoedème (anatomopathologie), Lymphoedème (étiologie), Statistiques comme sujet, Sujet âgé, Techniques de physiothérapie (instrumentation), Tumeurs du sein (), Tumeurs du sein (psychologie), Études prospectives.
- MESH :
- anatomopathologie : Complications postopératoires, Lymphoedème.
- psychologie : Tumeurs du sein.
- étiologie : Complications postopératoires, Lymphoedème, Techniques de physiothérapie.
- Adulte d'âge moyen, Bas de contention, Drainage, Facteurs de risque, Femelle, Humains, Indicateurs d'état de santé, Intervalles de confiance, Statistiques comme sujet, Sujet âgé, Tumeurs du sein, Études prospectives.
English descriptors
- KwdEn :
- Aged, Breast Neoplasms (complications), Breast Neoplasms (psychology), Breast Neoplasms (therapy), Confidence Intervals, Drainage, Female, Health Status Indicators, Humans, Lymphedema (etiology), Lymphedema (pathology), Middle Aged, Physical Therapy Modalities (instrumentation), Postoperative Complications (etiology), Postoperative Complications (pathology), Prospective Studies, Risk Factors, Statistics as Topic, Stockings, Compression.
- MESH :
- complications : Breast Neoplasms.
- etiology : Lymphedema, Postoperative Complications.
- instrumentation : Physical Therapy Modalities.
- pathology : Lymphedema, Postoperative Complications.
- psychology : Breast Neoplasms.
- therapy : Breast Neoplasms.
- Aged, Confidence Intervals, Drainage, Female, Health Status Indicators, Humans, Middle Aged, Prospective Studies, Risk Factors, Statistics as Topic, Stockings, Compression.
Abstract
Lymphedema treatment is based on an intensive decongestive physiotherapy phase of volume reduction followed by a long-term maintenance phase. Factors influencing the morbid lymphedema volume increase during maintenance were analyzed.
DOI: 10.1007/s00520-010-0906-x
PubMed: 20495983
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pubmed:20495983Le document en format XML
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sort="Arrault, Maria" uniqKey="Arrault M" first="Maria" last="Arrault">Maria Arrault</name></author><author><name sortKey="Dupuy, Alain" sort="Dupuy, Alain" uniqKey="Dupuy A" first="Alain" last="Dupuy">Alain Dupuy</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:20495983</idno><idno type="pmid">20495983</idno><idno type="doi">10.1007/s00520-010-0906-x</idno><idno type="wicri:Area/PubMed/Corpus">002A64</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002A64</idno><idno type="wicri:Area/PubMed/Curation">002A64</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002A64</idno><idno type="wicri:Area/PubMed/Checkpoint">002A64</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002A64</idno><idno type="wicri:Area/Ncbi/Merge">003B27</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Factors influencing breast cancer-related lymphedema volume after intensive decongestive physiotherapy.</title><author><name sortKey="Vignes, Stephane" sort="Vignes, Stephane" uniqKey="Vignes S" first="Stéphane" last="Vignes">Stéphane Vignes</name><affiliation wicri:level="3"><nlm:affiliation>Department of Lymphology, Hôpital Cognacq-Jay, 15, rue Eugène Millon, 75015, Paris, France. stephane.vignes@hopital-cognacq-jay.fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Lymphology, Hôpital Cognacq-Jay, 15, rue Eugène Millon, 75015, Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Porcher, Raphael" sort="Porcher, Raphael" uniqKey="Porcher R" first="Raphaël" last="Porcher">Raphaël Porcher</name></author><author><name sortKey="Arrault, Maria" sort="Arrault, Maria" uniqKey="Arrault M" first="Maria" last="Arrault">Maria Arrault</name></author><author><name sortKey="Dupuy, Alain" sort="Dupuy, Alain" uniqKey="Dupuy A" first="Alain" last="Dupuy">Alain Dupuy</name></author></analytic><series><title level="j">Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</title><idno type="eISSN">1433-7339</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Breast Neoplasms (complications)</term><term>Breast Neoplasms (psychology)</term><term>Breast Neoplasms (therapy)</term><term>Confidence Intervals</term><term>Drainage</term><term>Female</term><term>Health Status Indicators</term><term>Humans</term><term>Lymphedema (etiology)</term><term>Lymphedema (pathology)</term><term>Middle Aged</term><term>Physical Therapy Modalities (instrumentation)</term><term>Postoperative Complications (etiology)</term><term>Postoperative Complications (pathology)</term><term>Prospective Studies</term><term>Risk Factors</term><term>Statistics as Topic</term><term>Stockings, Compression</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Bas de contention</term><term>Complications postopératoires (anatomopathologie)</term><term>Complications postopératoires (étiologie)</term><term>Drainage</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Indicateurs d'état de santé</term><term>Intervalles de confiance</term><term>Lymphoedème (anatomopathologie)</term><term>Lymphoedème (étiologie)</term><term>Statistiques comme sujet</term><term>Sujet âgé</term><term>Techniques de physiothérapie (instrumentation)</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (psychologie)</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Complications postopératoires</term><term>Lymphoedème</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><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Physical Therapy Modalities</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Complications postopératoires</term><term>Lymphoedème</term><term>Techniques de physiothérapie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Confidence Intervals</term><term>Drainage</term><term>Female</term><term>Health Status Indicators</term><term>Humans</term><term>Middle Aged</term><term>Prospective Studies</term><term>Risk Factors</term><term>Statistics as Topic</term><term>Stockings, Compression</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Bas de contention</term><term>Drainage</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Indicateurs d'état de santé</term><term>Intervalles de confiance</term><term>Statistiques comme sujet</term><term>Sujet âgé</term><term>Tumeurs du sein</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphedema treatment is based on an intensive decongestive physiotherapy phase of volume reduction followed by a long-term maintenance phase. Factors influencing the morbid lymphedema volume increase during maintenance were analyzed.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20495983</PMID><DateCreated><Year>2011</Year><Month>06</Month><Day>07</Day></DateCreated><DateCompleted><Year>2011</Year><Month>10</Month><Day>04</Day></DateCompleted><DateRevised><Year>2011</Year><Month>06</Month><Day>07</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1433-7339</ISSN><JournalIssue CitedMedium="Internet"><Volume>19</Volume><Issue>7</Issue><PubDate><Year>2011</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</Title><ISOAbbreviation>Support Care Cancer</ISOAbbreviation></Journal><ArticleTitle>Factors influencing breast cancer-related lymphedema volume after intensive decongestive physiotherapy.</ArticleTitle><Pagination><MedlinePgn>935-40</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00520-010-0906-x</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lymphedema treatment is based on an intensive decongestive physiotherapy phase of volume reduction followed by a long-term maintenance phase. Factors influencing the morbid lymphedema volume increase during maintenance were analyzed.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Among 867 consecutive women recruited and followed in a single lymphology unit, 682 were analyzed. The other 185 were not analyzed because of an initial lymphedema volume <250 ml, <20% lymphedema volume decrease during the intensive phase, or they were lost to follow-up. Lymphedema volume was recorded prior to and at the end of intensive phase, and at each follow-up visit. During follow-up, treatment failure was defined as a lymphedema volume increase of ≥50% of the total reduction obtained during the intensive phase.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Median lymphedema volume was 936 ml before and 335 ml after intensive decongestive physiotherapy (P < 0.0001). Median follow-up was 28 months. During the maintenance phase, the risk of treatment failure at 1, 2, and 4 years was estimated to be 38.1%, 53.1%, and 64.8%, respectively. Wearing an elastic sleeve during the day and an overnight multilayer low-stretch bandage (median, four nights per week; interquartile range, 2-6) significantly decreased the risk of treatment failure [hazard ratio, 0.53, (0.34-0.82), P = 0.004], whereas manual lymph drainage adjunction to those therapeutic components did not. The risk of treatment failure was also associated with weight and body mass index at inclusion.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Risk of maintenance-therapy failure after intensive decongestive physiotherapy was associated with patients characteristics (younger age, higher weight, and body mass index), while elastic sleeve and bandage were associated with better maintenance results. Paradoxical effect of manual lymph drainage is likely to be related to indication bias.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Vignes</LastName><ForeName>Stéphane</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Lymphology, Hôpital Cognacq-Jay, 15, rue Eugène Millon, 75015, Paris, France. stephane.vignes@hopital-cognacq-jay.fr</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Porcher</LastName><ForeName>Raphaël</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Arrault</LastName><ForeName>Maria</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Dupuy</LastName><ForeName>Alain</ForeName><Initials>A</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2010</Year><Month>05</Month><Day>22</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Support Care Cancer</MedlineTA><NlmUniqueID>9302957</NlmUniqueID><ISSNLinking>0941-4355</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016001" MajorTopicYN="N">Confidence Intervals</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004322" MajorTopicYN="Y">Drainage</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006305" MajorTopicYN="N">Health Status Indicators</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D026741" MajorTopicYN="N">Physical Therapy Modalities</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013223" MajorTopicYN="N">Statistics as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053828" MajorTopicYN="Y">Stockings, Compression</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2009</Year><Month>12</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2010</Year><Month>05</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>5</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2010</Year><Month>5</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>10</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">20495983</ArticleId><ArticleId IdType="doi">10.1007/s00520-010-0906-x</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Île-de-France</li></region><settlement><li>Paris</li></settlement></list><tree><noCountry><name sortKey="Arrault, Maria" sort="Arrault, Maria" uniqKey="Arrault M" first="Maria" last="Arrault">Maria Arrault</name><name sortKey="Dupuy, Alain" sort="Dupuy, Alain" uniqKey="Dupuy A" first="Alain" last="Dupuy">Alain Dupuy</name><name sortKey="Porcher, Raphael" sort="Porcher, Raphael" uniqKey="Porcher R" first="Raphaël" last="Porcher">Raphaël Porcher</name></noCountry><country name="France"><region name="Île-de-France"><name sortKey="Vignes, Stephane" sort="Vignes, Stephane" uniqKey="Vignes S" first="Stéphane" last="Vignes">Stéphane Vignes</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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