Proactive Approach to Lymphedema Risk Reduction: A Prospective Study
Identifieur interne : 006646 ( Ncbi/Merge ); précédent : 006645; suivant : 006647Proactive Approach to Lymphedema Risk Reduction: A Prospective Study
Auteurs : Mei R. Fu [États-Unis] ; Deborah Axelrod [États-Unis] ; Amber A. Guth [États-Unis] ; Francis Cartwright [États-Unis] ; Zeyuan Qiu [États-Unis] ; Judith D. Goldberg ; June Kim ; Joan Scagliola [États-Unis] ; Robin Kleinman [États-Unis] ; Judith Haber [États-Unis]Source :
- Annals of surgical oncology [ 1068-9265 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Autosoins, Biopsie de noeud lymphatique sentinelle (effets indésirables), Complications postopératoires (), Complications postopératoires (étiologie), Comportement de réduction des risques, Enquêtes et questionnaires, Femelle, Humains, Lymphadénectomie (effets indésirables), Lymphoedème (), Lymphoedème (étiologie), Projets pilotes, Pronostic, Stade de la tumeur, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Études de suivi, Études longitudinales, Études prospectives.
- MESH :
- anatomopathologie : Tumeurs du sein.
- effets indésirables : Biopsie de noeud lymphatique sentinelle, Lymphadénectomie.
- étiologie : Complications postopératoires, Lymphoedème.
- Adulte, Adulte d'âge moyen, Autosoins, Complications postopératoires, Comportement de réduction des risques, Enquêtes et questionnaires, Femelle, Humains, Lymphoedème, Projets pilotes, Pronostic, Stade de la tumeur, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein, Études de suivi, Études longitudinales, Études prospectives.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Breast Neoplasms (pathology), Breast Neoplasms (surgery), Female, Follow-Up Studies, Humans, Longitudinal Studies, Lymph Node Excision (adverse effects), Lymphedema (etiology), Lymphedema (prevention & control), Middle Aged, Neoplasm Staging, Pilot Projects, Postoperative Complications (etiology), Postoperative Complications (prevention & control), Prognosis, Prospective Studies, Risk Reduction Behavior, Self Care, Sentinel Lymph Node Biopsy (adverse effects), Surveys and Questionnaires.
- MESH :
- adverse effects : Lymph Node Excision, Sentinel Lymph Node Biopsy.
- etiology : Lymphedema, Postoperative Complications.
- pathology : Breast Neoplasms.
- prevention & control : Lymphedema, Postoperative Complications.
- surgery : Breast Neoplasms.
- Adult, Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Longitudinal Studies, Middle Aged, Neoplasm Staging, Pilot Projects, Prognosis, Prospective Studies, Risk Reduction Behavior, Self Care, Surveys and Questionnaires.
Abstract
Advances in cancer treatments continue to reduce the incidence of lymphedema. Yet, many breast cancer survivors still face long-term post-operative challenges as a result of developing lymphedema. The purpose of this study was to preliminarily evaluate
A prospective, longitudinal, quasi-experimental design with repeated-measures was used. The study outcomes included lymph volume changes by
Fifty-eight percent patients had axillary node dissection and 42% had sentinel lymph node biopsy. The majority (97%) of patients maintained and improved their preoperative limb volume and body mass index at the study endpoint of 12 months following cancer surgery. Cumulatively, 2 patients with sentinel lymph node biopsy and 2 patients with the axillary lymph node dissection had measurable lymphedema (>10% limb volume change). At 12-month follow-up, among the 4 patients with measurable lymphedema, 2 patients' limb volume returned to pre-operative level without compression therapy but by maintaining
This educational and behavioral program is effective to enhance lymphedema risk reduction. The study provided initial evidence for emerging change in lymphedema care from treatment-focus to proactive risk reduction.
Url:
DOI: 10.1245/s10434-014-3761-z
PubMed: 24809302
PubMed Central: 4163073
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PMC:4163073Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (prevention & control)</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Pilot Projects</term>
<term>Postoperative Complications (etiology)</term>
<term>Postoperative Complications (prevention & control)</term>
<term>Prognosis</term>
<term>Prospective Studies</term>
<term>Risk Reduction Behavior</term>
<term>Self Care</term>
<term>Sentinel Lymph Node Biopsy (adverse effects)</term>
<term>Surveys and Questionnaires</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Autosoins</term>
<term>Biopsie de noeud lymphatique sentinelle (effets indésirables)</term>
<term>Complications postopératoires ()</term>
<term>Complications postopératoires (étiologie)</term>
<term>Comportement de réduction des risques</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Projets pilotes</term>
<term>Pronostic</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (anatomopathologie)</term>
<term>Études de suivi</term>
<term>Études longitudinales</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term>
<term>Sentinel Lymph Node Biopsy</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Biopsie de noeud lymphatique sentinelle</term>
<term>Lymphadénectomie</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</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>Aged, 80 and over</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Pilot Projects</term>
<term>Prognosis</term>
<term>Prospective Studies</term>
<term>Risk Reduction Behavior</term>
<term>Self Care</term>
<term>Surveys and Questionnaires</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Autosoins</term>
<term>Complications postopératoires</term>
<term>Comportement de réduction des risques</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème</term>
<term>Projets pilotes</term>
<term>Pronostic</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du sein</term>
<term>Études de suivi</term>
<term>Études longitudinales</term>
<term>Études prospectives</term>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">Advances in cancer treatments continue to reduce the incidence of lymphedema. Yet, many breast cancer survivors still face long-term post-operative challenges as a result of developing lymphedema. The purpose of this study was to preliminarily evaluate <italic>The-Optimal-Lymph-Flow</italic>
program, a patient-centered education and behavioral program focusing on self-care strategies to enhance lymphedema risk reduction by promoting lymph flow and optimize body mass index.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">A prospective, longitudinal, quasi-experimental design with repeated-measures was used. The study outcomes included lymph volume changes by <italic>infra-red perometer</italic>
and body mass index by a <italic>bioimpedance</italic>
device at pre-surgery baseline, 2-4 weeks after surgery, 6-month, and 12-month follow-up. A total of 140 patients were recruited and participated in <italic>The-Optimal-Lymph-Flow</italic>
program; 134 patients completed the study with 4% attrition rate.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Fifty-eight percent patients had axillary node dissection and 42% had sentinel lymph node biopsy. The majority (97%) of patients maintained and improved their preoperative limb volume and body mass index at the study endpoint of 12 months following cancer surgery. Cumulatively, 2 patients with sentinel lymph node biopsy and 2 patients with the axillary lymph node dissection had measurable lymphedema (>10% limb volume change). At 12-month follow-up, among the 4 patients with measurable lymphedema, 2 patients' limb volume returned to pre-operative level without compression therapy but by maintaining <italic>The-Optimal-Lymph-Flow</italic>
exercises to promote daily lymph flow.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">This educational and behavioral program is effective to enhance lymphedema risk reduction. The study provided initial evidence for emerging change in lymphedema care from treatment-focus to proactive risk reduction.</p>
</sec>
</div>
</front>
</TEI>
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<wicri:cityArea>Department of Surgery, New York University School of Medicine, New York</wicri:cityArea>
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<affiliation wicri:level="2"><nlm:aff id="A3">NYU Clinical Cancer Center, New York, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>NYU Clinical Cancer Center, New York</wicri:cityArea>
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<author><name sortKey="Guth, Amber A" sort="Guth, Amber A" uniqKey="Guth A" first="Amber A." last="Guth">Amber A. Guth</name>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>NYU Clinical Cancer Center, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Cartwright, Francis" sort="Cartwright, Francis" uniqKey="Cartwright F" first="Francis" last="Cartwright">Francis Cartwright</name>
<affiliation wicri:level="2"><nlm:aff id="A3">NYU Clinical Cancer Center, New York, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>NYU Clinical Cancer Center, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Qiu, Zeyuan" sort="Qiu, Zeyuan" uniqKey="Qiu Z" first="Zeyuan" last="Qiu">Zeyuan Qiu</name>
<affiliation wicri:level="2"><nlm:aff id="A4">New Jersey Institute of Technology, Newark, NJ</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">New Jersey</region>
</placeName>
<wicri:cityArea>New Jersey Institute of Technology, Newark</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Goldberg, Judith D" sort="Goldberg, Judith D" uniqKey="Goldberg J" first="Judith D." last="Goldberg">Judith D. Goldberg</name>
<affiliation><nlm:aff id="A5">Division of Biostatistics, New York University School of Medicine</nlm:aff>
<wicri:noCountry code="subfield">New York University School of Medicine</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Kim, June" sort="Kim, June" uniqKey="Kim J" first="June" last="Kim">June Kim</name>
<affiliation><nlm:aff id="A5">Division of Biostatistics, New York University School of Medicine</nlm:aff>
<wicri:noCountry code="subfield">New York University School of Medicine</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Scagliola, Joan" sort="Scagliola, Joan" uniqKey="Scagliola J" first="Joan" last="Scagliola">Joan Scagliola</name>
<affiliation wicri:level="2"><nlm:aff id="A3">NYU Clinical Cancer Center, New York, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>NYU Clinical Cancer Center, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Kleinman, Robin" sort="Kleinman, Robin" uniqKey="Kleinman R" first="Robin" last="Kleinman">Robin Kleinman</name>
<affiliation wicri:level="2"><nlm:aff id="A3">NYU Clinical Cancer Center, New York, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>NYU Clinical Cancer Center, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Haber, Judith" sort="Haber, Judith" uniqKey="Haber J" first="Judith" last="Haber">Judith Haber</name>
<affiliation wicri:level="2"><nlm:aff id="A1">College of Nursing, New York University, New York, NY</nlm:aff>
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<placeName><region type="state">État de New York</region>
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<wicri:cityArea>College of Nursing, New York University, New York</wicri:cityArea>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Proactive Approach to Lymphedema Risk Reduction: A Prospective Study</title>
<author><name sortKey="Fu, Mei R" sort="Fu, Mei R" uniqKey="Fu M" first="Mei R." last="Fu">Mei R. Fu</name>
<affiliation wicri:level="2"><nlm:aff id="A1">College of Nursing, New York University, New York, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>College of Nursing, New York University, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Axelrod, Deborah" sort="Axelrod, Deborah" uniqKey="Axelrod D" first="Deborah" last="Axelrod">Deborah Axelrod</name>
<affiliation wicri:level="2"><nlm:aff id="A2">Department of Surgery, New York University School of Medicine, New York, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Surgery, New York University School of Medicine, New York</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A3">NYU Clinical Cancer Center, New York, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>NYU Clinical Cancer Center, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Guth, Amber A" sort="Guth, Amber A" uniqKey="Guth A" first="Amber A." last="Guth">Amber A. Guth</name>
<affiliation wicri:level="2"><nlm:aff id="A2">Department of Surgery, New York University School of Medicine, New York, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Surgery, New York University School of Medicine, New York</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A3">NYU Clinical Cancer Center, New York, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>NYU Clinical Cancer Center, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Cartwright, Francis" sort="Cartwright, Francis" uniqKey="Cartwright F" first="Francis" last="Cartwright">Francis Cartwright</name>
<affiliation wicri:level="2"><nlm:aff id="A3">NYU Clinical Cancer Center, New York, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>NYU Clinical Cancer Center, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Qiu, Zeyuan" sort="Qiu, Zeyuan" uniqKey="Qiu Z" first="Zeyuan" last="Qiu">Zeyuan Qiu</name>
<affiliation wicri:level="2"><nlm:aff id="A4">New Jersey Institute of Technology, Newark, NJ</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">New Jersey</region>
</placeName>
<wicri:cityArea>New Jersey Institute of Technology, Newark</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Goldberg, Judith D" sort="Goldberg, Judith D" uniqKey="Goldberg J" first="Judith D." last="Goldberg">Judith D. Goldberg</name>
<affiliation><nlm:aff id="A5">Division of Biostatistics, New York University School of Medicine</nlm:aff>
<wicri:noCountry code="subfield">New York University School of Medicine</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Kim, June" sort="Kim, June" uniqKey="Kim J" first="June" last="Kim">June Kim</name>
<affiliation><nlm:aff id="A5">Division of Biostatistics, New York University School of Medicine</nlm:aff>
<wicri:noCountry code="subfield">New York University School of Medicine</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Scagliola, Joan" sort="Scagliola, Joan" uniqKey="Scagliola J" first="Joan" last="Scagliola">Joan Scagliola</name>
<affiliation wicri:level="2"><nlm:aff id="A3">NYU Clinical Cancer Center, New York, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>NYU Clinical Cancer Center, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Kleinman, Robin" sort="Kleinman, Robin" uniqKey="Kleinman R" first="Robin" last="Kleinman">Robin Kleinman</name>
<affiliation wicri:level="2"><nlm:aff id="A3">NYU Clinical Cancer Center, New York, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>NYU Clinical Cancer Center, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Haber, Judith" sort="Haber, Judith" uniqKey="Haber J" first="Judith" last="Haber">Judith Haber</name>
<affiliation wicri:level="2"><nlm:aff id="A1">College of Nursing, New York University, New York, NY</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>College of Nursing, New York University, New York</wicri:cityArea>
</affiliation>
</author>
</analytic>
<series><title level="j">Annals of surgical oncology</title>
<idno type="ISSN">1068-9265</idno>
<idno type="eISSN">1534-4681</idno>
<imprint><date when="2014">2014</date>
</imprint>
</series>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">Advances in cancer treatments continue to reduce the incidence of lymphedema. Yet, many breast cancer survivors still face long-term post-operative challenges as a result of developing lymphedema. The purpose of this study was to preliminarily evaluate <italic>The-Optimal-Lymph-Flow</italic>
program, a patient-centered education and behavioral program focusing on self-care strategies to enhance lymphedema risk reduction by promoting lymph flow and optimize body mass index.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">A prospective, longitudinal, quasi-experimental design with repeated-measures was used. The study outcomes included lymph volume changes by <italic>infra-red perometer</italic>
and body mass index by a <italic>bioimpedance</italic>
device at pre-surgery baseline, 2-4 weeks after surgery, 6-month, and 12-month follow-up. A total of 140 patients were recruited and participated in <italic>The-Optimal-Lymph-Flow</italic>
program; 134 patients completed the study with 4% attrition rate.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Fifty-eight percent patients had axillary node dissection and 42% had sentinel lymph node biopsy. The majority (97%) of patients maintained and improved their preoperative limb volume and body mass index at the study endpoint of 12 months following cancer surgery. Cumulatively, 2 patients with sentinel lymph node biopsy and 2 patients with the axillary lymph node dissection had measurable lymphedema (>10% limb volume change). At 12-month follow-up, among the 4 patients with measurable lymphedema, 2 patients' limb volume returned to pre-operative level without compression therapy but by maintaining <italic>The-Optimal-Lymph-Flow</italic>
exercises to promote daily lymph flow.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">This educational and behavioral program is effective to enhance lymphedema risk reduction. The study provided initial evidence for emerging change in lymphedema care from treatment-focus to proactive risk reduction.</p>
</sec>
</div>
</front>
</TEI>
</pmc>
<pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Proactive approach to lymphedema risk reduction: a prospective study.</title>
<author><name sortKey="Fu, Mei R" sort="Fu, Mei R" uniqKey="Fu M" first="Mei R" last="Fu">Mei R. Fu</name>
<affiliation wicri:level="1"><nlm:affiliation>College of Nursing, New York University, New York, NY, USA, mf67@nyu.edu.</nlm:affiliation>
<country wicri:rule="url">États-Unis</country>
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<wicri:noRegion>USA</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Axelrod, Deborah" sort="Axelrod, Deborah" uniqKey="Axelrod D" first="Deborah" last="Axelrod">Deborah Axelrod</name>
</author>
<author><name sortKey="Guth, Amber A" sort="Guth, Amber A" uniqKey="Guth A" first="Amber A" last="Guth">Amber A. Guth</name>
</author>
<author><name sortKey="Cartwright, Francis" sort="Cartwright, Francis" uniqKey="Cartwright F" first="Francis" last="Cartwright">Francis Cartwright</name>
</author>
<author><name sortKey="Qiu, Zeyuan" sort="Qiu, Zeyuan" uniqKey="Qiu Z" first="Zeyuan" last="Qiu">Zeyuan Qiu</name>
</author>
<author><name sortKey="Goldberg, Judith D" sort="Goldberg, Judith D" uniqKey="Goldberg J" first="Judith D" last="Goldberg">Judith D. Goldberg</name>
</author>
<author><name sortKey="Kim, June" sort="Kim, June" uniqKey="Kim J" first="June" last="Kim">June Kim</name>
</author>
<author><name sortKey="Scagliola, Joan" sort="Scagliola, Joan" uniqKey="Scagliola J" first="Joan" last="Scagliola">Joan Scagliola</name>
</author>
<author><name sortKey="Kleinman, Robin" sort="Kleinman, Robin" uniqKey="Kleinman R" first="Robin" last="Kleinman">Robin Kleinman</name>
</author>
<author><name sortKey="Haber, Judith" sort="Haber, Judith" uniqKey="Haber J" first="Judith" last="Haber">Judith Haber</name>
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<author><name sortKey="Axelrod, Deborah" sort="Axelrod, Deborah" uniqKey="Axelrod D" first="Deborah" last="Axelrod">Deborah Axelrod</name>
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<author><name sortKey="Guth, Amber A" sort="Guth, Amber A" uniqKey="Guth A" first="Amber A" last="Guth">Amber A. Guth</name>
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<author><name sortKey="Qiu, Zeyuan" sort="Qiu, Zeyuan" uniqKey="Qiu Z" first="Zeyuan" last="Qiu">Zeyuan Qiu</name>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (prevention & control)</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Pilot Projects</term>
<term>Postoperative Complications (etiology)</term>
<term>Postoperative Complications (prevention & control)</term>
<term>Prognosis</term>
<term>Prospective Studies</term>
<term>Risk Reduction Behavior</term>
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<term>Sentinel Lymph Node Biopsy (adverse effects)</term>
<term>Surveys and Questionnaires</term>
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<term>Adulte d'âge moyen</term>
<term>Autosoins</term>
<term>Biopsie de noeud lymphatique sentinelle (effets indésirables)</term>
<term>Complications postopératoires ()</term>
<term>Complications postopératoires (étiologie)</term>
<term>Comportement de réduction des risques</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Projets pilotes</term>
<term>Pronostic</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (anatomopathologie)</term>
<term>Études de suivi</term>
<term>Études longitudinales</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term>
<term>Sentinel Lymph Node Biopsy</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Biopsie de noeud lymphatique sentinelle</term>
<term>Lymphadénectomie</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</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>Aged, 80 and over</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Pilot Projects</term>
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<term>Prospective Studies</term>
<term>Risk Reduction Behavior</term>
<term>Self Care</term>
<term>Surveys and Questionnaires</term>
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<term>Adulte d'âge moyen</term>
<term>Autosoins</term>
<term>Complications postopératoires</term>
<term>Comportement de réduction des risques</term>
<term>Enquêtes et questionnaires</term>
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<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du sein</term>
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<front><div type="abstract" xml:lang="en">Advances in cancer treatments continue to reduce the incidence of lymphedema. Yet, many breast cancer survivors still face long-term postoperative challenges as a result of developing lymphedema. The purpose of this study was to preliminarily evaluate The Optimal Lymph Flow program, a patient-centered education and behavioral program focusing on self-care strategies to enhance lymphedema risk reduction by promoting lymph flow and optimize body mass index (BMI).</div>
</front>
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