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Incidence and risk factors for lower limb lymphedema after gynecologic cancer surgery with initiation of periodic complex decongestive physiotherapy.

Identifieur interne : 006818 ( Ncbi/Merge ); précédent : 006817; suivant : 006819

Incidence and risk factors for lower limb lymphedema after gynecologic cancer surgery with initiation of periodic complex decongestive physiotherapy.

Auteurs : Imari Deura [Japon] ; Muneaki Shimada ; Keiko Hirashita ; Maki Sugimura ; Seiya Sato ; Shinya Sato ; Tetsuro Oishi ; Hiroaki Itamochi ; Tasuku Harada ; Junzo Kigawa

Source :

RBID : pubmed:24993674

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English descriptors

Abstract

Lower limb lymphedema (LLL) is one of the most frequent postoperative complications of retroperitoneal lymphadenectomy for gynecologic cancer. LLL often impairs quality of life, activities of daily living, sleep, and sex in patients with gynecologic cancer. We conducted this study to evaluate the incidence and risk factors for LLL after gynecologic cancer surgery in patients who received assessment and periodic complex decongestive physiotherapy (CDP).

DOI: 10.1007/s10147-014-0724-0
PubMed: 24993674

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pubmed:24993674

Le document en format XML

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<name sortKey="Sato, Seiya" sort="Sato, Seiya" uniqKey="Sato S" first="Seiya" last="Sato">Seiya Sato</name>
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<term>Activities of Daily Living</term>
<term>Female</term>
<term>Genital Neoplasms, Female (surgery)</term>
<term>Gynecologic Surgical Procedures (adverse effects)</term>
<term>Humans</term>
<term>Incidence</term>
<term>Lower Extremity</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (therapy)</term>
<term>Middle Aged</term>
<term>Physical Therapy Modalities</term>
<term>Quality of Life</term>
<term>Retroperitoneal Space</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Activités de la vie quotidienne</term>
<term>Adulte d'âge moyen</term>
<term>Espace rétropéritonéal</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Membre inférieur</term>
<term>Procédures de chirurgie gynécologique (effets indésirables)</term>
<term>Qualité de vie</term>
<term>Techniques de physiothérapie</term>
<term>Tumeurs de l'appareil génital féminin ()</term>
<term>Études rétrospectives</term>
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<term>Gynecologic Surgical Procedures</term>
<term>Lymph Node Excision</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Lymphadénectomie</term>
<term>Procédures de chirurgie gynécologique</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Genital Neoplasms, Female</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Lymphedema</term>
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<term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Activities of Daily Living</term>
<term>Female</term>
<term>Humans</term>
<term>Incidence</term>
<term>Lower Extremity</term>
<term>Middle Aged</term>
<term>Physical Therapy Modalities</term>
<term>Quality of Life</term>
<term>Retroperitoneal Space</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Activités de la vie quotidienne</term>
<term>Adulte d'âge moyen</term>
<term>Espace rétropéritonéal</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Lymphoedème</term>
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<term>Qualité de vie</term>
<term>Techniques de physiothérapie</term>
<term>Tumeurs de l'appareil génital féminin</term>
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<front>
<div type="abstract" xml:lang="en">Lower limb lymphedema (LLL) is one of the most frequent postoperative complications of retroperitoneal lymphadenectomy for gynecologic cancer. LLL often impairs quality of life, activities of daily living, sleep, and sex in patients with gynecologic cancer. We conducted this study to evaluate the incidence and risk factors for LLL after gynecologic cancer surgery in patients who received assessment and periodic complex decongestive physiotherapy (CDP).</div>
</front>
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<DateCreated>
<Year>2015</Year>
<Month>06</Month>
<Day>10</Day>
</DateCreated>
<DateCompleted>
<Year>2016</Year>
<Month>03</Month>
<Day>03</Day>
</DateCompleted>
<DateRevised>
<Year>2015</Year>
<Month>06</Month>
<Day>10</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1437-7772</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>20</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2015</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>International journal of clinical oncology</Title>
<ISOAbbreviation>Int. J. Clin. Oncol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Incidence and risk factors for lower limb lymphedema after gynecologic cancer surgery with initiation of periodic complex decongestive physiotherapy.</ArticleTitle>
<Pagination>
<MedlinePgn>556-60</MedlinePgn>
</Pagination>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lower limb lymphedema (LLL) is one of the most frequent postoperative complications of retroperitoneal lymphadenectomy for gynecologic cancer. LLL often impairs quality of life, activities of daily living, sleep, and sex in patients with gynecologic cancer. We conducted this study to evaluate the incidence and risk factors for LLL after gynecologic cancer surgery in patients who received assessment and periodic complex decongestive physiotherapy (CDP).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We retrospectively reviewed 126 cases of gynecologic cancer that underwent surgery involving retroperitoneal lymphadenectomy at Tottori University Hospital between 2009 and 2012. All patients received physical examinations to detect LLL and underwent CDP by nurse specialists within several months after surgery. The International Society of Lymphology staging of lymphedema severity was used as the diagnostic criteria.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of 126 patients, 57 (45.2%) had LLL, comprising 45 and 12 patients with stage 1 and stage 2 LLL, respectively. No patient had stage 3 LLL. LLL was present in 37 (29.4%) patients at the initial physical examination. Multivariate analysis revealed that adjuvant concurrent chemoradiotherapy and age ≥ 55 years were independent risk factors for ≥ stage 2 LLL.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">To minimize the incidence of ≥ stage 2 LLL, gynecologic oncologists should be vigilant for this condition in patients who are ≥ 55 years and in those who undergo adjuvant chemoradiotherapy. Patients should be advised to have a physical assessment for LLL and to receive education about CDP immediately after surgery involving retroperitoneal lymphadenectomy for gynecologic cancer.</AbstractText>
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<Affiliation>Department of Obstetrics and Gynecology, Tottori University School of Medicine, 36-1 Nishimachi, Yonago, 683-8504, Japan, imari@med.tottori-u.ac.jp.</Affiliation>
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<LastName>Shimada</LastName>
<ForeName>Muneaki</ForeName>
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<Language>eng</Language>
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<Month>07</Month>
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<Country>Japan</Country>
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<DescriptorName UI="D013509" MajorTopicYN="N">Gynecologic Surgical Procedures</DescriptorName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D035002" MajorTopicYN="N">Lower Extremity</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName>
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<MeshHeading>
<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D026741" MajorTopicYN="Y">Physical Therapy Modalities</DescriptorName>
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<DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D012187" MajorTopicYN="N">Retroperitoneal Space</DescriptorName>
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<DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
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<DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
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<name sortKey="Kigawa, Junzo" sort="Kigawa, Junzo" uniqKey="Kigawa J" first="Junzo" last="Kigawa">Junzo Kigawa</name>
<name sortKey="Oishi, Tetsuro" sort="Oishi, Tetsuro" uniqKey="Oishi T" first="Tetsuro" last="Oishi">Tetsuro Oishi</name>
<name sortKey="Sato, Seiya" sort="Sato, Seiya" uniqKey="Sato S" first="Seiya" last="Sato">Seiya Sato</name>
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