A systematic review of common conservative therapies for arm lymphoedema secondary to breast cancer treatment
Identifieur interne : 000484 ( PascalFrancis/Checkpoint ); précédent : 000483; suivant : 000485A systematic review of common conservative therapies for arm lymphoedema secondary to breast cancer treatment
Auteurs : A. L. Moseley [Australie] ; C. J. Carati [Australie] ; N. B. Piller [Australie]Source :
- Annals of oncology [ 0923-7534 ] ; 2007.
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- Pascal (Inist)
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Abstract
Secondary arm lymphoedema is a chronic and distressing condition which affects a significant number of women who undergo breast cancer treatment. A number of health professional and patient instigated conservative therapies have been developed to help with this condition, but their comparative benefits are not clearly known. This systematic review undertook a broad investigation of commonly instigated conservative therapies for secondary arm lymphoedema including; complex physical therapy, manual lymphatic drainage, pneumatic pumps, oral pharmaceuticals, low level laser therapy, compression bandaging and garments, limb exercises and limb elevation. It was found that the more intensive and health professional based therapies, such as complex physical therapy, manual lymphatic drainage, pneumatic pump and laser therapy generally yielded the greater volume reductions, whilst self instigated therapies such as compression garment wear, exercises and limb elevation yielded smaller reductions. All conservative therapies produced improvements in subjective arm symptoms and quality of life issues, where these were measured. Despite the identified benefits, there is still the need for large scale, high level clinical trials in this area.
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">A systematic review of common conservative therapies for arm lymphoedema secondary to breast cancer treatment</title><author><name sortKey="Moseley, A L" sort="Moseley, A L" uniqKey="Moseley A" first="A. L." last="Moseley">A. L. Moseley</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>School of Nursing & Midwifery, University of South Australia</s1><s2>Adelaide</s2><s3>AUS</s3><sZ>1 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Adelaide</wicri:noRegion></affiliation></author><author><name sortKey="Carati, C J" sort="Carati, C J" uniqKey="Carati C" first="C. J." last="Carati">C. J. Carati</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Anatomy, School of Medicine, Flinders University</s1><s2>Adelaide</s2><s3>AUS</s3><sZ>2 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Adelaide</wicri:noRegion></affiliation></author><author><name sortKey="Piller, N B" sort="Piller, N B" uniqKey="Piller N" first="N. B." last="Piller">N. B. Piller</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Surgery & Lymphoedema Assessment Clinic, Flinders University & Medical Centre</s1><s2>Adelaide</s2><s3>AUS</s3><sZ>3 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Adelaide</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">07-0225467</idno><date when="2007">2007</date><idno type="stanalyst">PASCAL 07-0225467 INIST</idno><idno type="RBID">Pascal:07-0225467</idno><idno type="wicri:Area/PascalFrancis/Corpus">000481</idno><idno type="wicri:Area/PascalFrancis/Curation">000479</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000484</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000484</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">A systematic review of common conservative therapies for arm lymphoedema secondary to breast cancer treatment</title><author><name sortKey="Moseley, A L" sort="Moseley, A L" uniqKey="Moseley A" first="A. L." last="Moseley">A. L. Moseley</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>School of Nursing & Midwifery, University of South Australia</s1><s2>Adelaide</s2><s3>AUS</s3><sZ>1 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Adelaide</wicri:noRegion></affiliation></author><author><name sortKey="Carati, C J" sort="Carati, C J" uniqKey="Carati C" first="C. J." last="Carati">C. J. Carati</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Anatomy, School of Medicine, Flinders University</s1><s2>Adelaide</s2><s3>AUS</s3><sZ>2 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Adelaide</wicri:noRegion></affiliation></author><author><name sortKey="Piller, N B" sort="Piller, N B" uniqKey="Piller N" first="N. B." last="Piller">N. B. Piller</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Surgery & Lymphoedema Assessment Clinic, Flinders University & Medical Centre</s1><s2>Adelaide</s2><s3>AUS</s3><sZ>3 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Adelaide</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Annals of oncology</title><title level="j" type="abbreviated">Ann. oncol.</title><idno type="ISSN">0923-7534</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Annals of oncology</title><title level="j" type="abbreviated">Ann. oncol.</title><idno type="ISSN">0923-7534</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arm</term><term>Breast cancer</term><term>Conservative treatment</term><term>Lymphedema</term><term>Review</term><term>Second cancer</term><term>Systematic review</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Revue systématique</term><term>Article synthèse</term><term>Traitement conservateur</term><term>Bras</term><term>Lymphoedème</term><term>Second cancer</term><term>Cancer du sein</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Secondary arm lymphoedema is a chronic and distressing condition which affects a significant number of women who undergo breast cancer treatment. A number of health professional and patient instigated conservative therapies have been developed to help with this condition, but their comparative benefits are not clearly known. This systematic review undertook a broad investigation of commonly instigated conservative therapies for secondary arm lymphoedema including; complex physical therapy, manual lymphatic drainage, pneumatic pumps, oral pharmaceuticals, low level laser therapy, compression bandaging and garments, limb exercises and limb elevation. It was found that the more intensive and health professional based therapies, such as complex physical therapy, manual lymphatic drainage, pneumatic pump and laser therapy generally yielded the greater volume reductions, whilst self instigated therapies such as compression garment wear, exercises and limb elevation yielded smaller reductions. All conservative therapies produced improvements in subjective arm symptoms and quality of life issues, where these were measured. Despite the identified benefits, there is still the need for large scale, high level clinical trials in this area.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0923-7534</s0></fA01><fA03 i2="1"><s0>Ann. oncol.</s0></fA03><fA05><s2>18</s2></fA05><fA06><s2>4</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>A systematic review of common conservative therapies for arm lymphoedema secondary to breast cancer treatment</s1></fA08><fA11 i1="01" i2="1"><s1>MOSELEY (A. L.)</s1></fA11><fA11 i1="02" i2="1"><s1>CARATI (C. J.)</s1></fA11><fA11 i1="03" i2="1"><s1>PILLER (N. 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It was found that the more intensive and health professional based therapies, such as complex physical therapy, manual lymphatic drainage, pneumatic pump and laser therapy generally yielded the greater volume reductions, whilst self instigated therapies such as compression garment wear, exercises and limb elevation yielded smaller reductions. All conservative therapies produced improvements in subjective arm symptoms and quality of life issues, where these were measured. 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L." last="Moseley">A. L. Moseley</name></noRegion><name sortKey="Carati, C J" sort="Carati, C J" uniqKey="Carati C" first="C. J." last="Carati">C. J. Carati</name><name sortKey="Piller, N B" sort="Piller, N B" uniqKey="Piller N" first="N. B." last="Piller">N. B. Piller</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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