The Patient's Perspective on the Effect of Autologous Breast Reconstruction on Lymphedema.
Identifieur interne : 006507 ( Ncbi/Merge ); précédent : 006506; suivant : 006508The Patient's Perspective on the Effect of Autologous Breast Reconstruction on Lymphedema.
Auteurs : Joshua Fosnot [États-Unis] ; John P. Fischer ; Liza C. Wu ; Joseph M. SerlettiSource :
- Annals of plastic surgery [ 1536-3708 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Complications postopératoires (diagnostic), Complications postopératoires (épidémiologie), Complications postopératoires (étiologie), Enquêtes de santé, Enquêtes et questionnaires, Facteurs temps, Femelle, Humains, Lambeaux tissulaires libres (transplantation), Lymphoedème (diagnostic), Lymphoedème (épidémiologie), Lymphoedème (étiologie), Mammoplastie (), Mastectomie, Prévalence, Résultat thérapeutique, Sujet âgé, Transplantation autologue, Tumeurs du sein (), Études rétrospectives.
- MESH :
- diagnostic : Complications postopératoires, Lymphoedème.
- épidémiologie : Complications postopératoires, Lambeaux tissulaires libres, Lymphoedème.
- étiologie : Complications postopératoires, Lymphoedème.
- Adulte, Adulte d'âge moyen, Enquêtes de santé, Enquêtes et questionnaires, Facteurs temps, Femelle, Humains, Mammoplastie, Mastectomie, Prévalence, Résultat thérapeutique, Sujet âgé, Transplantation autologue, Tumeurs du sein, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Aged, Breast Neoplasms (surgery), Female, Free Tissue Flaps (transplantation), Health Surveys, Humans, Lymphedema (diagnosis), Lymphedema (epidemiology), Lymphedema (etiology), Mammaplasty (methods), Mastectomy, Middle Aged, Postoperative Complications (diagnosis), Postoperative Complications (epidemiology), Postoperative Complications (etiology), Prevalence, Retrospective Studies, Surveys and Questionnaires, Time Factors, Transplantation, Autologous, Treatment Outcome.
- MESH :
- diagnosis : Lymphedema, Postoperative Complications.
- epidemiology : Lymphedema, Postoperative Complications.
- etiology : Lymphedema, Postoperative Complications.
- methods : Mammaplasty.
- surgery : Breast Neoplasms.
- transplantation : Free Tissue Flaps.
- Adult, Aged, Female, Health Surveys, Humans, Mastectomy, Middle Aged, Prevalence, Retrospective Studies, Surveys and Questionnaires, Time Factors, Transplantation, Autologous, Treatment Outcome.
Abstract
Lymphedema is a well-documented complication of the treatment for breast cancer. Although the onset of lymphedema is rare after delayed autologous breast reconstruction, no studies have surveyed a patient's perspective on the effects of reconstruction on lymphedema.
DOI: 10.1097/SAP.0000000000000115
PubMed: 24691304
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Fischer</name></author><author><name sortKey="Wu, Liza C" sort="Wu, Liza C" uniqKey="Wu L" first="Liza C" last="Wu">Liza C. Wu</name></author><author><name sortKey="Serletti, Joseph M" sort="Serletti, Joseph M" uniqKey="Serletti J" first="Joseph M" last="Serletti">Joseph M. Serletti</name></author></analytic><series><title level="j">Annals of plastic surgery</title><idno type="eISSN">1536-3708</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Breast Neoplasms (surgery)</term><term>Female</term><term>Free Tissue Flaps (transplantation)</term><term>Health Surveys</term><term>Humans</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (epidemiology)</term><term>Lymphedema (etiology)</term><term>Mammaplasty (methods)</term><term>Mastectomy</term><term>Middle Aged</term><term>Postoperative Complications (diagnosis)</term><term>Postoperative Complications (epidemiology)</term><term>Postoperative Complications (etiology)</term><term>Prevalence</term><term>Retrospective Studies</term><term>Surveys and Questionnaires</term><term>Time Factors</term><term>Transplantation, Autologous</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Complications postopératoires (diagnostic)</term><term>Complications postopératoires (épidémiologie)</term><term>Complications postopératoires (étiologie)</term><term>Enquêtes de santé</term><term>Enquêtes et questionnaires</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Lambeaux tissulaires libres (transplantation)</term><term>Lymphoedème (diagnostic)</term><term>Lymphoedème (épidémiologie)</term><term>Lymphoedème (étiologie)</term><term>Mammoplastie ()</term><term>Mastectomie</term><term>Prévalence</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Transplantation autologue</term><term>Tumeurs du sein ()</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Complications postopératoires</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Mammaplasty</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Free Tissue Flaps</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Complications postopératoires</term><term>Lambeaux tissulaires libres</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Complications postopératoires</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Health Surveys</term><term>Humans</term><term>Mastectomy</term><term>Middle Aged</term><term>Prevalence</term><term>Retrospective Studies</term><term>Surveys and Questionnaires</term><term>Time Factors</term><term>Transplantation, Autologous</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enquêtes de santé</term><term>Enquêtes et questionnaires</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Mammoplastie</term><term>Mastectomie</term><term>Prévalence</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Transplantation autologue</term><term>Tumeurs du sein</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphedema is a well-documented complication of the treatment for breast cancer. Although the onset of lymphedema is rare after delayed autologous breast reconstruction, no studies have surveyed a patient's perspective on the effects of reconstruction on lymphedema.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24691304</PMID><DateCreated><Year>2015</Year><Month>07</Month><Day>13</Day></DateCreated><DateCompleted><Year>2016</Year><Month>04</Month><Day>08</Day></DateCompleted><DateRevised><Year>2015</Year><Month>07</Month><Day>13</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1536-3708</ISSN><JournalIssue CitedMedium="Internet"><Volume>75</Volume><Issue>2</Issue><PubDate><Year>2015</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Annals of plastic surgery</Title><ISOAbbreviation>Ann Plast Surg</ISOAbbreviation></Journal><ArticleTitle>The Patient's Perspective on the Effect of Autologous Breast Reconstruction on Lymphedema.</ArticleTitle><Pagination><MedlinePgn>149-52</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/SAP.0000000000000115</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lymphedema is a well-documented complication of the treatment for breast cancer. Although the onset of lymphedema is rare after delayed autologous breast reconstruction, no studies have surveyed a patient's perspective on the effects of reconstruction on lymphedema.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">The design of this study was a retrospective review of delayed unilateral breast reconstruction performed by the senior authors between 2005 and 2009 combined with the use of a well-validated survey instrument that can be used to diagnose lymphedema. Patients were mailed a series of questions to determine if they had lymphedema. In addition, they were asked separate questions about reconstruction's effect on arm symptoms.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">During this period, 90 patients underwent delayed unilateral breast reconstruction with an autologous free flap. After 2 mailings, 68.8% (n = 62) of patients returned the survey and were included in data analysis. Of the 62 respondents, 11.3% (n = 7) had been diagnosed and documented as having lymphedema in the medical record. This is in stark contrast to the survey that reported 48.3% (n = 30) with lymphedema (P < 0.01), which is more consistent with previous reports of lymphedema after mastectomy. Overall, 29.0% (n = 18) reported mild lymphedema and 20.0% (n = 12) reported moderate/severe lymphedema. Of those diagnosed by survey, 51.7% thought there was no change, 27.6% were worse, and 20.7% were better after reconstruction. Although not necessarily indicative of a diagnosis of lymphedema, when asked questions about arm symptoms, 38.4% thought their symptoms were worse, 30.8% reported no change, and 30.8% stated they were better. Of those patients with lymphedema by survey, only 18.5% reported discussing this with their plastic surgeon.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Overall, the prevalence of lymphedema was similar to published reports in the cancer literature, but much more common than reported in our plastic surgery clinic or recent plastic surgery literature. On the whole, delayed reconstruction seems to have no effect on lymphedema. Although more prospective study is necessary to answer this question conclusively, as part of a multidisciplinary team, plastic surgeons should be aware that lymphedema is common; patients may not volunteer their symptoms and may in fact benefit from specific questioning to aid in diagnosis and treatment.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Fosnot</LastName><ForeName>Joshua</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>From the Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fischer</LastName><ForeName>John P</ForeName><Initials>JP</Initials></Author><Author ValidYN="Y"><LastName>Wu</LastName><ForeName>Liza C</ForeName><Initials>LC</Initials></Author><Author ValidYN="Y"><LastName>Serletti</LastName><ForeName>Joseph M</ForeName><Initials>JM</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D023362">Evaluation Studies</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ann Plast Surg</MedlineTA><NlmUniqueID>7805336</NlmUniqueID><ISSNLinking>0148-7043</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058752" MajorTopicYN="N">Free Tissue Flaps</DescriptorName><QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006306" MajorTopicYN="N">Health Surveys</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016462" MajorTopicYN="N">Mammaplasty</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008408" MajorTopicYN="Y">Mastectomy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014182" MajorTopicYN="N">Transplantation, Autologous</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>4</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>4</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>4</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24691304</ArticleId><ArticleId IdType="doi">10.1097/SAP.0000000000000115</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Pennsylvanie</li></region></list><tree><noCountry><name sortKey="Fischer, John P" sort="Fischer, John P" uniqKey="Fischer J" first="John P" last="Fischer">John P. Fischer</name><name sortKey="Serletti, Joseph M" sort="Serletti, Joseph M" uniqKey="Serletti J" first="Joseph M" last="Serletti">Joseph M. Serletti</name><name sortKey="Wu, Liza C" sort="Wu, Liza C" uniqKey="Wu L" first="Liza C" last="Wu">Liza C. Wu</name></noCountry><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Fosnot, Joshua" sort="Fosnot, Joshua" uniqKey="Fosnot J" first="Joshua" last="Fosnot">Joshua Fosnot</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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