A Propensity-Matched Analysis of the Influence of Breast Reconstruction on Subsequent Development of Lymphedema.
Identifieur interne : 007677 ( Ncbi/Merge ); précédent : 007676; suivant : 007678A Propensity-Matched Analysis of the Influence of Breast Reconstruction on Subsequent Development of Lymphedema.
Auteurs : Marten N. Basta ; John P. Fischer ; Suhail K. Kanchwala ; Jason Silvestre ; Liza C. Wu ; Joseph M. Serletti ; Julia C. Tchou ; Stephen J. Kovach ; Joshua FosnotSource :
- Plastic and reconstructive surgery [ 1529-4242 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Aisselle, Analyse multivariée, Bases de données factuelles, Centres hospitaliers universitaires, Comorbidité, Complications postopératoires (), Complications postopératoires (diagnostic), Facteurs temps, Femelle, Humains, Incidence, Lymphadénectomie (), Lymphadénectomie (effets indésirables), Lymphoedème (épidémiologie), Lymphoedème (étiologie), Mammoplastie (), Mammoplastie (effets indésirables), Mastectomie (), Mastectomie (effets indésirables), Modèles logistiques, Résultat thérapeutique, Sujet âgé, Taux de survie, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Tumeurs du sein (mortalité), Études de cohortes, Études de suivi, Études rétrospectives, Évaluation des risques.
- MESH :
- anatomopathologie : Tumeurs du sein.
- diagnostic : Complications postopératoires.
- effets indésirables : Lymphadénectomie, Mammoplastie, Mastectomie.
- mortalité : Tumeurs du sein.
- épidémiologie : Lymphoedème.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Aisselle, Analyse multivariée, Bases de données factuelles, Centres hospitaliers universitaires, Comorbidité, Complications postopératoires, Facteurs temps, Femelle, Humains, Incidence, Lymphadénectomie, Mammoplastie, Mastectomie, Modèles logistiques, Résultat thérapeutique, Sujet âgé, Taux de survie, Tumeurs du sein, Études de cohortes, Études de suivi, Études rétrospectives, Évaluation des risques.
English descriptors
- KwdEn :
- Academic Medical Centers, Adult, Aged, Axilla, Breast Neoplasms (mortality), Breast Neoplasms (pathology), Breast Neoplasms (surgery), Cohort Studies, Comorbidity, Databases, Factual, Female, Follow-Up Studies, Humans, Incidence, Logistic Models, Lymph Node Excision (adverse effects), Lymph Node Excision (methods), Lymph Node Excision (statistics & numerical data), Lymphedema (epidemiology), Lymphedema (etiology), Mammaplasty (adverse effects), Mammaplasty (methods), Mastectomy (adverse effects), Mastectomy (methods), Middle Aged, Multivariate Analysis, Postoperative Complications (diagnosis), Postoperative Complications (surgery), Retrospective Studies, Risk Assessment, Survival Rate, Time Factors, Treatment Outcome.
- MESH :
- adverse effects : Lymph Node Excision, Mammaplasty, Mastectomy.
- diagnosis : Postoperative Complications.
- epidemiology : Lymphedema.
- etiology : Lymphedema.
- methods : Lymph Node Excision, Mammaplasty, Mastectomy.
- mortality : Breast Neoplasms.
- pathology : Breast Neoplasms.
- statistics & numerical data : Lymph Node Excision.
- surgery : Breast Neoplasms, Postoperative Complications.
- Academic Medical Centers, Adult, Aged, Axilla, Cohort Studies, Comorbidity, Databases, Factual, Female, Follow-Up Studies, Humans, Incidence, Logistic Models, Middle Aged, Multivariate Analysis, Retrospective Studies, Risk Assessment, Survival Rate, Time Factors, Treatment Outcome.
Abstract
Recent literature demonstrates a lower incidence of lymphedema with breast reconstruction. This study compared the incidence of lymphedema after axillary dissection in a propensity-matched cohort of patients with and without immediate breast reconstruction.
DOI: 10.1097/PRS.0000000000001417
PubMed: 26218386
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 000D45
- to stream PubMed, to step Curation: 000D45
- to stream PubMed, to step Checkpoint: 000D45
Links to Exploration step
pubmed:26218386Le document en format XML
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<term>Adult</term>
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<term>Breast Neoplasms (mortality)</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Cohort Studies</term>
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<term>Mammaplasty (adverse effects)</term>
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<term>Bases de données factuelles</term>
<term>Centres hospitaliers universitaires</term>
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<term>Complications postopératoires ()</term>
<term>Complications postopératoires (diagnostic)</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Lymphadénectomie ()</term>
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<term>Modèles logistiques</term>
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</keywords>
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<term>Mastectomy</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Lymph Node Excision</term>
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<term>Postoperative Complications</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Lymphoedème</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
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<front><div type="abstract" xml:lang="en">Recent literature demonstrates a lower incidence of lymphedema with breast reconstruction. This study compared the incidence of lymphedema after axillary dissection in a propensity-matched cohort of patients with and without immediate breast reconstruction.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26218386</PMID>
<DateCreated><Year>2015</Year>
<Month>07</Month>
<Day>29</Day>
</DateCreated>
<DateCompleted><Year>2015</Year>
<Month>10</Month>
<Day>20</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>07</Month>
<Day>28</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1529-4242</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>136</Volume>
<Issue>2</Issue>
<PubDate><Year>2015</Year>
<Month>Aug</Month>
</PubDate>
</JournalIssue>
<Title>Plastic and reconstructive surgery</Title>
<ISOAbbreviation>Plast. Reconstr. Surg.</ISOAbbreviation>
</Journal>
<ArticleTitle>A Propensity-Matched Analysis of the Influence of Breast Reconstruction on Subsequent Development of Lymphedema.</ArticleTitle>
<Pagination><MedlinePgn>134e-143e</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1097/PRS.0000000000001417</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Recent literature demonstrates a lower incidence of lymphedema with breast reconstruction. This study compared the incidence of lymphedema after axillary dissection in a propensity-matched cohort of patients with and without immediate breast reconstruction.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A review of patients undergoing axillary lymphadenectomy with or without immediate breast reconstruction from January 1, 2000, to July 1, 2013, was conducted. Comorbidities, cancer treatment, operative characteristics, and pathologic findings were reviewed. The primary outcome was postoperative lymphedema. Univariate analysis identified baseline differences between the patient groups. Cohorts were propensity-matched by age, body mass index greater than 30 kg/m, adjuvant radiation therapy, cardiovascular disease, and hypertension. Subsequent multivariate regression was performed to identify independent predictors of lymphedema among matched patients.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 4647 patients underwent breast cancer resection, with 1955 having axillary lymphadenectomy (no reconstruction, n = 1200; autologous, n = 563; implant-based, n = 192). Matching yielded a cohort of 239 reconstruction and 239 no-reconstruction patients demonstrating no differences in age, body mass index, hypertension, adjuvant radiation therapy, or axillary dissection extent. With 55.9 months' follow-up, postoperative lymphedema was diagnosed in 94 patients (19.7 percent). Reconstruction patients developed lymphedema in 19.2 percent of cases versus 20.1 percent for no- reconstruction patients (p = 0.82). Regression identified two independent predictors of lymphedema: postoperative radiation therapy (OR, 2.90; p < 0.001) and obesity (OR, 2.36; p < 0.001).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study demonstrates a 19.7 percent incidence of lymphedema following axillary lymphadenectomy. Reconstruction does not appear to alter lymphedema risk, whereas postoperative radiation therapy, obesity, and extensive axillary dissection greatly increase risk.</AbstractText>
<AbstractText Label="CLINICAL QUESTION/LEVEL OF EVIDENCE" NlmCategory="METHODS">Therapeutic, III.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Basta</LastName>
<ForeName>Marten N</ForeName>
<Initials>MN</Initials>
<AffiliationInfo><Affiliation>Philadelphia, Pa. From the Divisions of Plastic Surgery and Endocrine and Oncology Surgery, Perelman School of Medicine at the University of Pennsylvania, University of Pennsylvania Health System.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fischer</LastName>
<ForeName>John P</ForeName>
<Initials>JP</Initials>
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<Author ValidYN="Y"><LastName>Kanchwala</LastName>
<ForeName>Suhail K</ForeName>
<Initials>SK</Initials>
</Author>
<Author ValidYN="Y"><LastName>Silvestre</LastName>
<ForeName>Jason</ForeName>
<Initials>J</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>
<Author ValidYN="Y"><LastName>Tchou</LastName>
<ForeName>Julia C</ForeName>
<Initials>JC</Initials>
</Author>
<Author ValidYN="Y"><LastName>Kovach</LastName>
<ForeName>Stephen J</ForeName>
<Initials>SJ</Initials>
</Author>
<Author ValidYN="Y"><LastName>Fosnot</LastName>
<ForeName>Joshua</ForeName>
<Initials>J</Initials>
</Author>
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<Language>eng</Language>
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<PublicationType UI="D016428">Journal Article</PublicationType>
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<MedlineTA>Plast Reconstr Surg</MedlineTA>
<NlmUniqueID>1306050</NlmUniqueID>
<ISSNLinking>0032-1052</ISSNLinking>
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<CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Plast Reconstr Surg. 2016 Apr;137(4):749e-750e</RefSource>
<PMID Version="1">27018704</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="CommentIn"><RefSource>Plast Reconstr Surg. 2016 Apr;137(4):750e-751e</RefSource>
<PMID Version="1">27018705</PMID>
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<tree><noCountry><name sortKey="Basta, Marten N" sort="Basta, Marten N" uniqKey="Basta M" first="Marten N" last="Basta">Marten N. Basta</name>
<name sortKey="Fischer, John P" sort="Fischer, John P" uniqKey="Fischer J" first="John P" last="Fischer">John P. Fischer</name>
<name sortKey="Fosnot, Joshua" sort="Fosnot, Joshua" uniqKey="Fosnot J" first="Joshua" last="Fosnot">Joshua Fosnot</name>
<name sortKey="Kanchwala, Suhail K" sort="Kanchwala, Suhail K" uniqKey="Kanchwala S" first="Suhail K" last="Kanchwala">Suhail K. Kanchwala</name>
<name sortKey="Kovach, Stephen J" sort="Kovach, Stephen J" uniqKey="Kovach S" first="Stephen J" last="Kovach">Stephen J. Kovach</name>
<name sortKey="Serletti, Joseph M" sort="Serletti, Joseph M" uniqKey="Serletti J" first="Joseph M" last="Serletti">Joseph M. Serletti</name>
<name sortKey="Silvestre, Jason" sort="Silvestre, Jason" uniqKey="Silvestre J" first="Jason" last="Silvestre">Jason Silvestre</name>
<name sortKey="Tchou, Julia C" sort="Tchou, Julia C" uniqKey="Tchou J" first="Julia C" last="Tchou">Julia C. Tchou</name>
<name sortKey="Wu, Liza C" sort="Wu, Liza C" uniqKey="Wu L" first="Liza C" last="Wu">Liza C. Wu</name>
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