Is Surviving Enough? Coping and Impact on Activities of Daily Living Among Melanoma Patients with Lymphoedema
Identifieur interne : 007188 ( Ncbi/Merge ); précédent : 007187; suivant : 007189Is Surviving Enough? Coping and Impact on Activities of Daily Living Among Melanoma Patients with Lymphoedema
Auteurs : Kate D. Cromwell [États-Unis] ; Yi-Ju Chiang [États-Unis] ; Jane Armer [États-Unis] ; Puncky P. Heppner [États-Unis] ; Kristi Mungovan [États-Unis] ; Merrick I. Ross [États-Unis] ; Jeffrey E. Gershenwald [États-Unis] ; Jeffrey E. Lee [États-Unis] ; Richard E. Royal [États-Unis] ; Anthony Lucci [États-Unis] ; Janice N. Cormier [États-Unis]Source :
- European journal of cancer care [ 0961-5423 ] ; 2015.
Descripteurs français
- KwdFr :
- Activités de la vie quotidienne, Adaptation psychologique, Adulte, Adulte d'âge moyen, Analyse de régression, Auto-efficacité, Enquêtes et questionnaires, Femelle, Humains, Lymphoedème (physiopathologie), Lymphoedème (psychologie), Lymphoedème (étiologie), Mâle, Mélanome (), Odds ratio, Qualité de vie, Sujet âgé, Sujet âgé de 80 ans ou plus, Études prospectives.
- MESH :
- physiopathologie : Lymphoedème.
- psychologie : Lymphoedème.
- étiologie : Lymphoedème.
- Activités de la vie quotidienne, Adaptation psychologique, Adulte, Adulte d'âge moyen, Analyse de régression, Auto-efficacité, Enquêtes et questionnaires, Femelle, Humains, Mâle, Mélanome, Odds ratio, Qualité de vie, Sujet âgé, Sujet âgé de 80 ans ou plus, Études prospectives.
English descriptors
- KwdEn :
- Activities of Daily Living, Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Female, Humans, Lymphedema (etiology), Lymphedema (physiopathology), Lymphedema (psychology), Male, Melanoma (complications), Middle Aged, Odds Ratio, Prospective Studies, Quality of Life, Regression Analysis, Self Efficacy, Surveys and Questionnaires.
- MESH :
- complications : Melanoma.
- etiology : Lymphedema.
- physiopathology : Lymphedema.
- psychology : Lymphedema.
- Activities of Daily Living, Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Odds Ratio, Prospective Studies, Quality of Life, Regression Analysis, Self Efficacy, Surveys and Questionnaires.
Abstract
We assessed the impact of lymphoedema (defined as >10% limb volume change) on quality of life (QOL), ability to perform activities of daily living (ADLs), and coping in 277 melanoma patients. Limb volume was measured prospectively, preoperatively, and every 3–6 months for 18 months postoperatively using a perometer. Three questionnaires were administered to measure quality of life, coping and impact on activities of daily living. Statistical analyses were conducted using longitudinal logistic regression models. At 18 months, 31% of patients with upper-extremity nodal basin treatment and 40% of lower extremity nodal basin treatment patients had lymphoedema. Patients with lower-extremity lymphoedema reported lower QOL scores than those with upper-extremity lymphoedema. Over 18 months, both groups with mild and moderate lymphoedema showed improvement in coping (odds ratio [OR]: 7.2, 95% confidence interval [CI]: 3.5–14.5) and performance of ADLs (OR: 6.8, CI: 3.2–14.3). Over the course of 18 months, males were found to have poorer coping scores than females (OR: 2.4, CI: 1.2–5.1). Lymphoedema was associated with improvement in coping over time (p=0.08) and a higher reported interference with ADLs (OR: 2.5, CI: 1.3–5.0), primarily household tasks and sleep. Patient education about lymphoedema at the time of surgical consent may improve self-efficacy and coping ability. Effective management of lymphoedema may improve patient QOL and reduce interference with ADLs.
Url:
DOI: 10.1111/ecc.12311
PubMed: 25809989
PubMed Central: 4625843
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<author><name sortKey="Lee, Jeffrey E" sort="Lee, Jeffrey E" uniqKey="Lee J" first="Jeffrey E." last="Lee">Jeffrey E. Lee</name>
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<term>Adaptation, Psychological</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (physiopathology)</term>
<term>Lymphedema (psychology)</term>
<term>Male</term>
<term>Melanoma (complications)</term>
<term>Middle Aged</term>
<term>Odds Ratio</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de régression</term>
<term>Auto-efficacité</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème (physiopathologie)</term>
<term>Lymphoedème (psychologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Mâle</term>
<term>Mélanome ()</term>
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<term>Sujet âgé</term>
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</keywords>
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<term>Surveys and Questionnaires</term>
</keywords>
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<term>Odds ratio</term>
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<front><div type="abstract" xml:lang="en"><p id="P1">We assessed the impact of lymphoedema (defined as >10% limb volume change) on quality of life (QOL), ability to perform activities of daily living (ADLs), and coping in 277 melanoma patients. Limb volume was measured prospectively, preoperatively, and every 3–6 months for 18 months postoperatively using a perometer. Three questionnaires were administered to measure quality of life, coping and impact on activities of daily living. Statistical analyses were conducted using longitudinal logistic regression models. At 18 months, 31% of patients with upper-extremity nodal basin treatment and 40% of lower extremity nodal basin treatment patients had lymphoedema. Patients with lower-extremity lymphoedema reported lower QOL scores than those with upper-extremity lymphoedema. Over 18 months, both groups with mild and moderate lymphoedema showed improvement in coping (odds ratio [OR]: 7.2, 95% confidence interval [CI]: 3.5–14.5) and performance of ADLs (OR: 6.8, CI: 3.2–14.3). Over the course of 18 months, males were found to have poorer coping scores than females (OR: 2.4, CI: 1.2–5.1). Lymphoedema was associated with improvement in coping over time (p=0.08) and a higher reported interference with ADLs (OR: 2.5, CI: 1.3–5.0), primarily household tasks and sleep. Patient education about lymphoedema at the time of surgical consent may improve self-efficacy and coping ability. Effective management of lymphoedema may improve patient QOL and reduce interference with ADLs.</p>
</div>
</front>
</TEI>
<double pmid="25809989"><pmc><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Is Surviving Enough? Coping and Impact on Activities of Daily Living Among Melanoma Patients with Lymphoedema</title>
<author><name sortKey="Cromwell, Kate D" sort="Cromwell, Kate D" uniqKey="Cromwell K" first="Kate D." last="Cromwell">Kate D. Cromwell</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230</wicri:regionArea>
<wicri:noRegion>Texas 77230</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chiang, Yi Ju" sort="Chiang, Yi Ju" uniqKey="Chiang Y" first="Yi-Ju" last="Chiang">Yi-Ju Chiang</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230</wicri:regionArea>
<wicri:noRegion>Texas 77230</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Armer, Jane" sort="Armer, Jane" uniqKey="Armer J" first="Jane" last="Armer">Jane Armer</name>
<affiliation wicri:level="1"><nlm:aff id="A2">University of Missouri Sinclair School of Nursing, Ellis Fischel Cancer Center, DC 116.05 Suite 408 Columbia, Missouri 65211, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Missouri Sinclair School of Nursing, Ellis Fischel Cancer Center, DC 116.05 Suite 408 Columbia, Missouri 65211</wicri:regionArea>
<wicri:noRegion>Missouri 65211</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Heppner, Puncky P" sort="Heppner, Puncky P" uniqKey="Heppner P" first="Puncky P." last="Heppner">Puncky P. Heppner</name>
<affiliation wicri:level="1"><nlm:aff id="A3">University of Missouri, Department of Educational, School and Counseling Psychology, University of Missouri, 16 Hill Hall, Columbia, Missouri, 65211, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Missouri, Department of Educational, School and Counseling Psychology, University of Missouri, 16 Hill Hall, Columbia, Missouri, 65211</wicri:regionArea>
<wicri:noRegion>65211</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Mungovan, Kristi" sort="Mungovan, Kristi" uniqKey="Mungovan K" first="Kristi" last="Mungovan">Kristi Mungovan</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230</wicri:regionArea>
<wicri:noRegion>Texas 77230</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ross, Merrick I" sort="Ross, Merrick I" uniqKey="Ross M" first="Merrick I." last="Ross">Merrick I. Ross</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230</wicri:regionArea>
<wicri:noRegion>Texas 77230</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Gershenwald, Jeffrey E" sort="Gershenwald, Jeffrey E" uniqKey="Gershenwald J" first="Jeffrey E." last="Gershenwald">Jeffrey E. Gershenwald</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230</wicri:regionArea>
<wicri:noRegion>Texas 77230</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lee, Jeffrey E" sort="Lee, Jeffrey E" uniqKey="Lee J" first="Jeffrey E." last="Lee">Jeffrey E. Lee</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230</wicri:regionArea>
<wicri:noRegion>Texas 77230</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Royal, Richard E" sort="Royal, Richard E" uniqKey="Royal R" first="Richard E." last="Royal">Richard E. Royal</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230</wicri:regionArea>
<wicri:noRegion>Texas 77230</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lucci, Anthony" sort="Lucci, Anthony" uniqKey="Lucci A" first="Anthony" last="Lucci">Anthony Lucci</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230</wicri:regionArea>
<wicri:noRegion>Texas 77230</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Cormier, Janice N" sort="Cormier, Janice N" uniqKey="Cormier J" first="Janice N." last="Cormier">Janice N. Cormier</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230</wicri:regionArea>
<wicri:noRegion>Texas 77230</wicri:noRegion>
</affiliation>
</author>
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<idno type="pmid">25809989</idno>
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<idno type="doi">10.1111/ecc.12311</idno>
<date when="2015">2015</date>
<idno type="wicri:Area/Pmc/Corpus">003939</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Is Surviving Enough? Coping and Impact on Activities of Daily Living Among Melanoma Patients with Lymphoedema</title>
<author><name sortKey="Cromwell, Kate D" sort="Cromwell, Kate D" uniqKey="Cromwell K" first="Kate D." last="Cromwell">Kate D. Cromwell</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230</wicri:regionArea>
<wicri:noRegion>Texas 77230</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chiang, Yi Ju" sort="Chiang, Yi Ju" uniqKey="Chiang Y" first="Yi-Ju" last="Chiang">Yi-Ju Chiang</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230</wicri:regionArea>
<wicri:noRegion>Texas 77230</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Armer, Jane" sort="Armer, Jane" uniqKey="Armer J" first="Jane" last="Armer">Jane Armer</name>
<affiliation wicri:level="1"><nlm:aff id="A2">University of Missouri Sinclair School of Nursing, Ellis Fischel Cancer Center, DC 116.05 Suite 408 Columbia, Missouri 65211, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Missouri Sinclair School of Nursing, Ellis Fischel Cancer Center, DC 116.05 Suite 408 Columbia, Missouri 65211</wicri:regionArea>
<wicri:noRegion>Missouri 65211</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Heppner, Puncky P" sort="Heppner, Puncky P" uniqKey="Heppner P" first="Puncky P." last="Heppner">Puncky P. Heppner</name>
<affiliation wicri:level="1"><nlm:aff id="A3">University of Missouri, Department of Educational, School and Counseling Psychology, University of Missouri, 16 Hill Hall, Columbia, Missouri, 65211, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Missouri, Department of Educational, School and Counseling Psychology, University of Missouri, 16 Hill Hall, Columbia, Missouri, 65211</wicri:regionArea>
<wicri:noRegion>65211</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Mungovan, Kristi" sort="Mungovan, Kristi" uniqKey="Mungovan K" first="Kristi" last="Mungovan">Kristi Mungovan</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230</wicri:regionArea>
<wicri:noRegion>Texas 77230</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ross, Merrick I" sort="Ross, Merrick I" uniqKey="Ross M" first="Merrick I." last="Ross">Merrick I. Ross</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230</wicri:regionArea>
<wicri:noRegion>Texas 77230</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Gershenwald, Jeffrey E" sort="Gershenwald, Jeffrey E" uniqKey="Gershenwald J" first="Jeffrey E." last="Gershenwald">Jeffrey E. Gershenwald</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230</wicri:regionArea>
<wicri:noRegion>Texas 77230</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lee, Jeffrey E" sort="Lee, Jeffrey E" uniqKey="Lee J" first="Jeffrey E." last="Lee">Jeffrey E. Lee</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230</wicri:regionArea>
<wicri:noRegion>Texas 77230</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Royal, Richard E" sort="Royal, Richard E" uniqKey="Royal R" first="Richard E." last="Royal">Richard E. Royal</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230</wicri:regionArea>
<wicri:noRegion>Texas 77230</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lucci, Anthony" sort="Lucci, Anthony" uniqKey="Lucci A" first="Anthony" last="Lucci">Anthony Lucci</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230</wicri:regionArea>
<wicri:noRegion>Texas 77230</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Cormier, Janice N" sort="Cormier, Janice N" uniqKey="Cormier J" first="Janice N." last="Cormier">Janice N. Cormier</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230</wicri:regionArea>
<wicri:noRegion>Texas 77230</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">European journal of cancer care</title>
<idno type="ISSN">0961-5423</idno>
<idno type="eISSN">1365-2354</idno>
<imprint><date when="2015">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p id="P1">We assessed the impact of lymphoedema (defined as >10% limb volume change) on quality of life (QOL), ability to perform activities of daily living (ADLs), and coping in 277 melanoma patients. Limb volume was measured prospectively, preoperatively, and every 3–6 months for 18 months postoperatively using a perometer. Three questionnaires were administered to measure quality of life, coping and impact on activities of daily living. Statistical analyses were conducted using longitudinal logistic regression models. At 18 months, 31% of patients with upper-extremity nodal basin treatment and 40% of lower extremity nodal basin treatment patients had lymphoedema. Patients with lower-extremity lymphoedema reported lower QOL scores than those with upper-extremity lymphoedema. Over 18 months, both groups with mild and moderate lymphoedema showed improvement in coping (odds ratio [OR]: 7.2, 95% confidence interval [CI]: 3.5–14.5) and performance of ADLs (OR: 6.8, CI: 3.2–14.3). Over the course of 18 months, males were found to have poorer coping scores than females (OR: 2.4, CI: 1.2–5.1). Lymphoedema was associated with improvement in coping over time (p=0.08) and a higher reported interference with ADLs (OR: 2.5, CI: 1.3–5.0), primarily household tasks and sleep. Patient education about lymphoedema at the time of surgical consent may improve self-efficacy and coping ability. Effective management of lymphoedema may improve patient QOL and reduce interference with ADLs.</p>
</div>
</front>
</TEI>
</pmc>
<pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Is surviving enough? Coping and impact on activities of daily living among melanoma patients with lymphoedema.</title>
<author><name sortKey="Cromwell, K D" sort="Cromwell, K D" uniqKey="Cromwell K" first="K D" last="Cromwell">K D Cromwell</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
<placeName><region type="state">Texas</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Chiang, Y J" sort="Chiang, Y J" uniqKey="Chiang Y" first="Y J" last="Chiang">Y J Chiang</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
<placeName><region type="state">Texas</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Armer, J" sort="Armer, J" uniqKey="Armer J" first="J" last="Armer">J. Armer</name>
<affiliation wicri:level="2"><nlm:affiliation>Ellis Fischel Cancer Center, Sinclair School of Nursing, University of Missouri, Columbia, MO, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Ellis Fischel Cancer Center, Sinclair School of Nursing, University of Missouri, Columbia, MO</wicri:regionArea>
<placeName><region type="state">Missouri (État)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Heppner, P P" sort="Heppner, P P" uniqKey="Heppner P" first="P P" last="Heppner">P P Heppner</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Educational, School and Counseling Psychology, University of Missouri, Columbia, MO, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Educational, School and Counseling Psychology, University of Missouri, Columbia, MO</wicri:regionArea>
<placeName><region type="state">Missouri (État)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Mungovan, K" sort="Mungovan, K" uniqKey="Mungovan K" first="K" last="Mungovan">K. Mungovan</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
<placeName><region type="state">Texas</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ross, M I" sort="Ross, M I" uniqKey="Ross M" first="M I" last="Ross">M I Ross</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
<placeName><region type="state">Texas</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Gershenwald, J E" sort="Gershenwald, J E" uniqKey="Gershenwald J" first="J E" last="Gershenwald">J E Gershenwald</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
<placeName><region type="state">Texas</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Lee, J E" sort="Lee, J E" uniqKey="Lee J" first="J E" last="Lee">J E Lee</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
<placeName><region type="state">Texas</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Royal, R E" sort="Royal, R E" uniqKey="Royal R" first="R E" last="Royal">R E Royal</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
<placeName><region type="state">Texas</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Lucci, A" sort="Lucci, A" uniqKey="Lucci A" first="A" last="Lucci">A. Lucci</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
<placeName><region type="state">Texas</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Cormier, J N" sort="Cormier, J N" uniqKey="Cormier J" first="J N" last="Cormier">J N Cormier</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
<placeName><region type="state">Texas</region>
</placeName>
</affiliation>
</author>
</titleStmt>
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<date when="2015">2015</date>
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<idno type="doi">10.1111/ecc.12311</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Is surviving enough? Coping and impact on activities of daily living among melanoma patients with lymphoedema.</title>
<author><name sortKey="Cromwell, K D" sort="Cromwell, K D" uniqKey="Cromwell K" first="K D" last="Cromwell">K D Cromwell</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
<placeName><region type="state">Texas</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Chiang, Y J" sort="Chiang, Y J" uniqKey="Chiang Y" first="Y J" last="Chiang">Y J Chiang</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
<placeName><region type="state">Texas</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Armer, J" sort="Armer, J" uniqKey="Armer J" first="J" last="Armer">J. Armer</name>
<affiliation wicri:level="2"><nlm:affiliation>Ellis Fischel Cancer Center, Sinclair School of Nursing, University of Missouri, Columbia, MO, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Ellis Fischel Cancer Center, Sinclair School of Nursing, University of Missouri, Columbia, MO</wicri:regionArea>
<placeName><region type="state">Missouri (État)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Heppner, P P" sort="Heppner, P P" uniqKey="Heppner P" first="P P" last="Heppner">P P Heppner</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Educational, School and Counseling Psychology, University of Missouri, Columbia, MO, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Educational, School and Counseling Psychology, University of Missouri, Columbia, MO</wicri:regionArea>
<placeName><region type="state">Missouri (État)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Mungovan, K" sort="Mungovan, K" uniqKey="Mungovan K" first="K" last="Mungovan">K. Mungovan</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
<placeName><region type="state">Texas</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ross, M I" sort="Ross, M I" uniqKey="Ross M" first="M I" last="Ross">M I Ross</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
<placeName><region type="state">Texas</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Gershenwald, J E" sort="Gershenwald, J E" uniqKey="Gershenwald J" first="J E" last="Gershenwald">J E Gershenwald</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
<placeName><region type="state">Texas</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Lee, J E" sort="Lee, J E" uniqKey="Lee J" first="J E" last="Lee">J E Lee</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
<placeName><region type="state">Texas</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Royal, R E" sort="Royal, R E" uniqKey="Royal R" first="R E" last="Royal">R E Royal</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
<placeName><region type="state">Texas</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Lucci, A" sort="Lucci, A" uniqKey="Lucci A" first="A" last="Lucci">A. Lucci</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
<placeName><region type="state">Texas</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Cormier, J N" sort="Cormier, J N" uniqKey="Cormier J" first="J N" last="Cormier">J N Cormier</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
<placeName><region type="state">Texas</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j">European journal of cancer care</title>
<idno type="eISSN">1365-2354</idno>
<imprint><date when="2015" type="published">2015</date>
</imprint>
</series>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living</term>
<term>Adaptation, Psychological</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (physiopathology)</term>
<term>Lymphedema (psychology)</term>
<term>Male</term>
<term>Melanoma (complications)</term>
<term>Middle Aged</term>
<term>Odds Ratio</term>
<term>Prospective Studies</term>
<term>Quality of Life</term>
<term>Regression Analysis</term>
<term>Self Efficacy</term>
<term>Surveys and Questionnaires</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Activités de la vie quotidienne</term>
<term>Adaptation psychologique</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de régression</term>
<term>Auto-efficacité</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème (physiopathologie)</term>
<term>Lymphoedème (psychologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Mâle</term>
<term>Mélanome ()</term>
<term>Odds ratio</term>
<term>Qualité de vie</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Melanoma</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term>
<term>Adaptation, Psychological</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Odds Ratio</term>
<term>Prospective Studies</term>
<term>Quality of Life</term>
<term>Regression Analysis</term>
<term>Self Efficacy</term>
<term>Surveys and Questionnaires</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Activités de la vie quotidienne</term>
<term>Adaptation psychologique</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de régression</term>
<term>Auto-efficacité</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Mélanome</term>
<term>Odds ratio</term>
<term>Qualité de vie</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études prospectives</term>
</keywords>
</textClass>
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<front><div type="abstract" xml:lang="en">We assessed the impact of lymphoedema (defined as ≥ 10% limb volume change) on quality of life (QOL), ability to perform activities of daily living (ADLs) and coping in 277 melanoma patients. Limb volume was measured prospectively, pre-operatively and every 3-6 months for 18 months post-operatively using a perometer. Three questionnaires were administered to measure QOL, coping and impact on ADLs. Statistical analyses were conducted using longitudinal logistic regression models. At 18 months, the cumulative incidence of lymphoedema was 31% in patients with upper extremity nodal basin treatment and 40% in lower extremity nodal basin treatment patients. Patients with lower extremity lymphoedema reported lower QOL scores than those with upper extremity lymphoedema. Over 18 months, both groups with mild and moderate lymphoedema showed improvement in coping [odds ratio (OR): 6.67, 95% confidence interval (CI): 3.30-13.47] and performance of ADLs (OR: 7.46, CI: 3.38-16.47). Over the course of 18 months, men were found to have poorer coping scores than women (OR: 2.91, CI: 1.35-6.27). Lymphoedema was associated with improvement in coping over time (P = 0.08) and a higher reported interference with ADLs (OR: 2.53, CI: 1.29-4.97). Patient education about lymphoedema at the time of surgical consent may improve self-efficacy and coping ability. Effective management of lymphoedema may improve patient QOL and reduce interference with ADLs.</div>
</front>
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