Massive Localized Lymphedema: A Case-Control Study.
Identifieur interne : 008A71 ( Ncbi/Merge ); précédent : 008A70; suivant : 008A72Massive Localized Lymphedema: A Case-Control Study.
Auteurs : Reid A. Maclellan [États-Unis] ; David Zurakowski [États-Unis] ; Frederick D. Grant [États-Unis] ; Arin K. Greene [États-Unis]Source :
- Journal of the American College of Surgeons [ 1879-1190 ] ; 2017.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Lymphoedème.
- diagnostic : Lymphoedème.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Courbe ROC, Facteurs de risque, Femelle, Humains, Modèles logistiques, Mâle, Obésité, Sujet âgé, Études cas-témoins.
English descriptors
- KwdEn :
- MESH :
- complications : Obesity.
- diagnosis : Lymphedema.
- etiology : Lymphedema.
- pathology : Lymphedema.
- Adult, Aged, Case-Control Studies, Female, Humans, Logistic Models, Male, Middle Aged, ROC Curve, Risk Factors.
Abstract
Massive localized lymphedema (MLL) is an area of skin and subcutaneous overgrowth associated with obesity. The purpose of this study was to determine whether MLL results from obesity-induced lymphedema (OIL) and to characterize the prevalence and risk factors for the condition.
DOI: 10.1016/j.jamcollsurg.2016.10.047
PubMed: 27915052
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Maclellan</name><affiliation wicri:level="2"><nlm:affiliation>Department of Plastic and Oral Surgery, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, MA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Plastic and Oral Surgery, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Zurakowski, David" sort="Zurakowski, David" uniqKey="Zurakowski D" first="David" last="Zurakowski">David Zurakowski</name><affiliation wicri:level="2"><nlm:affiliation>Department of Anesthesia, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, MA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Anesthesia, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Grant, Frederick D" sort="Grant, Frederick D" uniqKey="Grant F" first="Frederick D" last="Grant">Frederick D. Grant</name><affiliation wicri:level="2"><nlm:affiliation>Division of Nuclear Medicine, Department of Radiology, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, MA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Division of Nuclear Medicine, Department of Radiology, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Greene, Arin K" sort="Greene, Arin K" uniqKey="Greene A" first="Arin K" last="Greene">Arin K. Greene</name><affiliation wicri:level="2"><nlm:affiliation>Department of Plastic and Oral Surgery, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, MA. Electronic address: arin.greene@childrens.harvard.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Plastic and Oral Surgery, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of the American College of Surgeons</title><idno type="eISSN">1879-1190</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Case-Control Studies</term><term>Female</term><term>Humans</term><term>Logistic Models</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (etiology)</term><term>Lymphedema (pathology)</term><term>Male</term><term>Middle Aged</term><term>Obesity (complications)</term><term>ROC Curve</term><term>Risk Factors</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Courbe ROC</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Lymphoedème (anatomopathologie)</term><term>Lymphoedème (diagnostic)</term><term>Lymphoedème (étiologie)</term><term>Modèles logistiques</term><term>Mâle</term><term>Obésité ()</term><term>Sujet âgé</term><term>Études cas-témoins</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Obesity</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="pathology" 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>Adult</term><term>Aged</term><term>Case-Control Studies</term><term>Female</term><term>Humans</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>ROC Curve</term><term>Risk Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Courbe ROC</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Modèles logistiques</term><term>Mâle</term><term>Obésité</term><term>Sujet âgé</term><term>Études cas-témoins</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Massive localized lymphedema (MLL) is an area of skin and subcutaneous overgrowth associated with obesity. The purpose of this study was to determine whether MLL results from obesity-induced lymphedema (OIL) and to characterize the prevalence and risk factors for the condition.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27915052</PMID><DateCreated><Year>2016</Year><Month>12</Month><Day>04</Day></DateCreated><DateCompleted><Year>2017</Year><Month>08</Month><Day>07</Day></DateCompleted><DateRevised><Year>2017</Year><Month>08</Month><Day>07</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-1190</ISSN><JournalIssue CitedMedium="Internet"><Volume>224</Volume><Issue>2</Issue><PubDate><Year>2017</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Journal of the American College of Surgeons</Title><ISOAbbreviation>J. Am. Coll. Surg.</ISOAbbreviation></Journal><ArticleTitle>Massive Localized Lymphedema: A Case-Control Study.</ArticleTitle><Pagination><MedlinePgn>212-216</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1072-7515(16)31593-9</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jamcollsurg.2016.10.047</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Massive localized lymphedema (MLL) is an area of skin and subcutaneous overgrowth associated with obesity. The purpose of this study was to determine whether MLL results from obesity-induced lymphedema (OIL) and to characterize the prevalence and risk factors for the condition.</AbstractText><AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Patients evaluated in our Lymphedema Program between 2009 and 2016 were reviewed for obese individuals (BMI ≥30 kg/m(2)) who had lower-extremity lymphatic function evaluated by lymphoscintigraphy. Candidate variables included age, sex, BMI, duration of lymphedema, infection history, and lymphoscintigraphy findings. A possible association between candidate variables and presence of MLL was determined using multivariable logistic regression. Optimal cutoff for BMI in predicting MLL was identified by receiver operating characteristic curve analysis.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Eighty-two patients were included in the study population. In patients with MLL (n = 17), all had OIL and none had primary or secondary lymphedema (median BMI 66 kg/m(2); interquartile range 62 to 78). Massive localized lymphedema involved the thigh (n = 16; bilateral = 10, unilateral = 6), genitalia (n = 3), and suprapubic area (n = 2). Control patients without MLL (n = 65) had primary (46%), secondary (37%), or obesity-induced (17%) lymphatic dysfunction (median BMI 36 kg/m(2); interquartile range 32 to 45). Logistic regression indicated a significant relationship between BMI and MLL condition; patients with a BMI >56 kg/m(2) had a 213-times greater odds of MLL developing vs patients with BMI ≤56 kg/m(2) (p < 0.0001). Age, sex, duration of obesity, and infection history were not associated with development of MLL (all p > 0.2).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Massive localized lymphedema is a consequence of OIL and affects approximately 60% of obese patients with lower-extremity dysfunction; a BMI >56 kg/m(2) significantly increases the risk. Obese individuals should be referred to a bariatric weight-loss center before their BMI reaches a threshold for OIL and MLL to develop.</AbstractText><CopyrightInformation>Copyright © 2016 American College of Surgeons. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Maclellan</LastName><ForeName>Reid A</ForeName><Initials>RA</Initials><AffiliationInfo><Affiliation>Department of Plastic and Oral Surgery, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, MA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zurakowski</LastName><ForeName>David</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Anesthesia, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, MA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Grant</LastName><ForeName>Frederick D</ForeName><Initials>FD</Initials><AffiliationInfo><Affiliation>Division of Nuclear Medicine, Department of Radiology, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, MA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Greene</LastName><ForeName>Arin K</ForeName><Initials>AK</Initials><AffiliationInfo><Affiliation>Department of Plastic and Oral Surgery, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, MA. Electronic address: arin.greene@childrens.harvard.edu.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>11</Month><Day>30</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Am Coll Surg</MedlineTA><NlmUniqueID>9431305</NlmUniqueID><ISSNLinking>1072-7515</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009765" MajorTopicYN="N">Obesity</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012372" MajorTopicYN="N">ROC Curve</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>08</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>10</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>12</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>8</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>12</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27915052</ArticleId><ArticleId IdType="pii">S1072-7515(16)31593-9</ArticleId><ArticleId IdType="doi">10.1016/j.jamcollsurg.2016.10.047</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Massachusetts</li></region></list><tree><country name="États-Unis"><region name="Massachusetts"><name sortKey="Maclellan, Reid A" sort="Maclellan, Reid A" uniqKey="Maclellan R" first="Reid A" last="Maclellan">Reid A. Maclellan</name></region><name sortKey="Grant, Frederick D" sort="Grant, Frederick D" uniqKey="Grant F" first="Frederick D" last="Grant">Frederick D. Grant</name><name sortKey="Greene, Arin K" sort="Greene, Arin K" uniqKey="Greene A" first="Arin K" last="Greene">Arin K. Greene</name><name sortKey="Zurakowski, David" sort="Zurakowski, David" uniqKey="Zurakowski D" first="David" last="Zurakowski">David Zurakowski</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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