LymphedemaV1, PascalFrancis, Corpus, bibRecord, 000072

Patient awareness and knowledge of breast cancer-related lymphedema in a large, integrated health care delivery system

Identifieur interne : 000072 ( PascalFrancis/Corpus ); précédent : 000071; suivant : 000073

Patient awareness and knowledge of breast cancer-related lymphedema in a large, integrated health care delivery system

Auteurs : Marilyn L. Kwan ; LING SHEN ; Julie R. Munneke ; Emily K. Tam ; Paula N. Partee ; Mary Andre ; Susan E. Kutner ; Carol P. Somkin ; Lynn M. Ackerson ; Saskia R. J. Thiadens

Source :

Breast cancer research and treatment [ 0167-6806 ] ; 2012.

RBID : Pascal:12-0362001

Descripteurs français

Pascal (Inist)
- Homme, Malade, Connaissance, Cancer du sein, Lymphoedème, Système santé, Soin, Système administration, Education, Facteur risque.

English descriptors

KwdEn :
- Breast cancer, Care, Delivery system, Education, Health system, Human, Knowledge, Lymphedema, Patient, Risk factor.

Abstract

Breast cancer patients have voiced dissatisfaction regarding their education on breast cancer-related lymphedema risk and risk reduction strategies from their clinicians. Informing patients about lymphedema can contribute to decrease their risk of developing the condition, or among those already affected, prevent it from progressing further. In this cross-sectional study, a lymphedema awareness score was calculated based on responses to a brief telephone interview conducted among 389 women diagnosed with invasive breast cancer at Kaiser Permanente Northern California from 2000 to 2008 and had a previous record of a lymphedema-related diagnosis or procedure in their electronic medical record. During the telephone interview, women self-reported a lymphedema clinical diagnosis, lymphedema symptoms but no lymphedema diagnosis, or neither a diagnosis nor symptoms, and responded to questions on lymphedema education and support services as well as health knowledge. Multivariable logistic regression [odds ratio (OR) and 95 % confidence interval (CI)] was used to determine the associations of selected sociodemographic and clinical factors with the odds of having lymphedema awareness (adequate vs. inadequate). The median (range) of the lymphedema awareness score was 4 (0-7). Compared with patients <50 years of age, patients 70+ years of age at breast cancer diagnosis had lower odds of adequate lymphedema awareness (OR 0.25; 95 % CI 0.07, 0.89), while patients 50-59 and 60-69 years had greater odds of adequate awareness although not statistically significant (OR 2.05; 95 % CI 0.88, 4.78 and OR 1.55; 95 % CI 0.60, 4.02, respectively; p for trend = 0.09). Higher educational level and greater health literacy were suggestive of adequate awareness yet were not significant. These results can help inform educational interventions to strengthen patient knowledge of lymphedema risk and risk reduction practices, particularly in an integrated health care delivery setting. With the growing population of breast cancer survivors, increasing patient awareness and education about lymphedema risk reduction and care after cancer diagnosis is warranted.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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Format Inist (serveur)

NO :	PASCAL 12-0362001 INIST
ET :	Patient awareness and knowledge of breast cancer-related lymphedema in a large, integrated health care delivery system
AU :	KWAN (Marilyn L.); LING SHEN; MUNNEKE (Julie R.); TAM (Emily K.); PARTEE (Paula N.); ANDRE (Mary); KUTNER (Susan E.); SOMKIN (Carol P.); ACKERSON (Lynn M.); THIADENS (Saskia R. J.)
AF :	Division of Research, Kaiser Permanente Northern California, 2000 Broadway/Oakland, CA 94612/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 8 aut., 9 aut.); Park Shadelands Medical Offices, Kaiser Permanente Northern California, 320 Lennon Lane/Walnut Creek, CA 94598/Etats-Unis (6 aut.); San Jose Medical Center. Kaiser Permanente Northern California, 280 Hospital Parkway/San Jose, CA 95119/Etats-Unis (7 aut.); National Lymphedema Network, 116 New Montgomery Street, Suite 235/San Francisco, CA 94105/Etats-Unis (10 aut.)
DT :	Publication en série; Niveau analytique
SO :	Breast cancer research and treatment; ISSN 0167-6806; Coden BCTRD6; Pays-Bas; Da. 2012; Vol. 135; No. 2; Pp. 591-602; Bibl. 32 ref.
LA :	Anglais
EA :	Breast cancer patients have voiced dissatisfaction regarding their education on breast cancer-related lymphedema risk and risk reduction strategies from their clinicians. Informing patients about lymphedema can contribute to decrease their risk of developing the condition, or among those already affected, prevent it from progressing further. In this cross-sectional study, a lymphedema awareness score was calculated based on responses to a brief telephone interview conducted among 389 women diagnosed with invasive breast cancer at Kaiser Permanente Northern California from 2000 to 2008 and had a previous record of a lymphedema-related diagnosis or procedure in their electronic medical record. During the telephone interview, women self-reported a lymphedema clinical diagnosis, lymphedema symptoms but no lymphedema diagnosis, or neither a diagnosis nor symptoms, and responded to questions on lymphedema education and support services as well as health knowledge. Multivariable logistic regression [odds ratio (OR) and 95 % confidence interval (CI)] was used to determine the associations of selected sociodemographic and clinical factors with the odds of having lymphedema awareness (adequate vs. inadequate). The median (range) of the lymphedema awareness score was 4 (0-7). Compared with patients <50 years of age, patients 70+ years of age at breast cancer diagnosis had lower odds of adequate lymphedema awareness (OR 0.25; 95 % CI 0.07, 0.89), while patients 50-59 and 60-69 years had greater odds of adequate awareness although not statistically significant (OR 2.05; 95 % CI 0.88, 4.78 and OR 1.55; 95 % CI 0.60, 4.02, respectively; p for trend = 0.09). Higher educational level and greater health literacy were suggestive of adequate awareness yet were not significant. These results can help inform educational interventions to strengthen patient knowledge of lymphedema risk and risk reduction practices, particularly in an integrated health care delivery setting. With the growing population of breast cancer survivors, increasing patient awareness and education about lymphedema risk reduction and care after cancer diagnosis is warranted.
CC :	002B20E02; 002B12B04
FD :	Homme; Malade; Connaissance; Cancer du sein; Lymphoedème; Système santé; Soin; Système administration; Education; Facteur risque
FG :	Tumeur maligne; Cancer; Pathologie de la glande mammaire; Pathologie du sein; Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques
ED :	Human; Patient; Knowledge; Breast cancer; Lymphedema; Health system; Care; Delivery system; Education; Risk factor
EG :	Malignant tumor; Cancer; Mammary gland diseases; Breast disease; Cardiovascular disease; Lymphatic vessel disease
SD :	Hombre; Enfermo; Conocimiento; Cáncer del pecho; Linfedema; Sistema salud; Cuidado; Sistema administración; Educación; Factor riesgo
LO :	INIST-20699.354000505101070240
ID :	12-0362001

Links to Exploration step

Pascal:12-0362001

Le document en format XML

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<author><name sortKey="Kutner, Susan E" sort="Kutner, Susan E" uniqKey="Kutner S" first="Susan E." last="Kutner">Susan E. Kutner</name>
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<s2>San Jose, CA 95119</s2>
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</author>
<author><name sortKey="Somkin, Carol P" sort="Somkin, Carol P" uniqKey="Somkin C" first="Carol P." last="Somkin">Carol P. Somkin</name>
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<author><name sortKey="Ackerson, Lynn M" sort="Ackerson, Lynn M" uniqKey="Ackerson L" first="Lynn M." last="Ackerson">Lynn M. Ackerson</name>
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<s2>Oakland, CA 94612</s2>
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<sZ>1 aut.</sZ>
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<author><name sortKey="Thiadens, Saskia R J" sort="Thiadens, Saskia R J" uniqKey="Thiadens S" first="Saskia R. J." last="Thiadens">Saskia R. J. Thiadens</name>
<affiliation><inist:fA14 i1="04"><s1>National Lymphedema Network, 116 New Montgomery Street, Suite 235</s1>
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<series><title level="j" type="main">Breast cancer research and treatment</title>
<title level="j" type="abbreviated">Breast cancer res. treat.</title>
<idno type="ISSN">0167-6806</idno>
<imprint><date when="2012">2012</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Breast cancer</term>
<term>Care</term>
<term>Delivery system</term>
<term>Education</term>
<term>Health system</term>
<term>Human</term>
<term>Knowledge</term>
<term>Lymphedema</term>
<term>Patient</term>
<term>Risk factor</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Homme</term>
<term>Malade</term>
<term>Connaissance</term>
<term>Cancer du sein</term>
<term>Lymphoedème</term>
<term>Système santé</term>
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<term>Système administration</term>
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<front><div type="abstract" xml:lang="en">Breast cancer patients have voiced dissatisfaction regarding their education on breast cancer-related lymphedema risk and risk reduction strategies from their clinicians. Informing patients about lymphedema can contribute to decrease their risk of developing the condition, or among those already affected, prevent it from progressing further. In this cross-sectional study, a lymphedema awareness score was calculated based on responses to a brief telephone interview conducted among 389 women diagnosed with invasive breast cancer at Kaiser Permanente Northern California from 2000 to 2008 and had a previous record of a lymphedema-related diagnosis or procedure in their electronic medical record. During the telephone interview, women self-reported a lymphedema clinical diagnosis, lymphedema symptoms but no lymphedema diagnosis, or neither a diagnosis nor symptoms, and responded to questions on lymphedema education and support services as well as health knowledge. Multivariable logistic regression [odds ratio (OR) and 95 % confidence interval (CI)] was used to determine the associations of selected sociodemographic and clinical factors with the odds of having lymphedema awareness (adequate vs. inadequate). The median (range) of the lymphedema awareness score was 4 (0-7). Compared with patients <50 years of age, patients 70+ years of age at breast cancer diagnosis had lower odds of adequate lymphedema awareness (OR 0.25; 95 % CI 0.07, 0.89), while patients 50-59 and 60-69 years had greater odds of adequate awareness although not statistically significant (OR 2.05; 95 % CI 0.88, 4.78 and OR 1.55; 95 % CI 0.60, 4.02, respectively; p for trend = 0.09). Higher educational level and greater health literacy were suggestive of adequate awareness yet were not significant. These results can help inform educational interventions to strengthen patient knowledge of lymphedema risk and risk reduction practices, particularly in an integrated health care delivery setting. With the growing population of breast cancer survivors, increasing patient awareness and education about lymphedema risk reduction and care after cancer diagnosis is warranted.</div>
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<server><NO>PASCAL 12-0362001 INIST</NO>
<ET>Patient awareness and knowledge of breast cancer-related lymphedema in a large, integrated health care delivery system</ET>
<AU>KWAN (Marilyn L.); LING SHEN; MUNNEKE (Julie R.); TAM (Emily K.); PARTEE (Paula N.); ANDRE (Mary); KUTNER (Susan E.); SOMKIN (Carol P.); ACKERSON (Lynn M.); THIADENS (Saskia R. J.)</AU>
<AF>Division of Research, Kaiser Permanente Northern California, 2000 Broadway/Oakland, CA 94612/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 8 aut., 9 aut.); Park Shadelands Medical Offices, Kaiser Permanente Northern California, 320 Lennon Lane/Walnut Creek, CA 94598/Etats-Unis (6 aut.); San Jose Medical Center. Kaiser Permanente Northern California, 280 Hospital Parkway/San Jose, CA 95119/Etats-Unis (7 aut.); National Lymphedema Network, 116 New Montgomery Street, Suite 235/San Francisco, CA 94105/Etats-Unis (10 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Breast cancer research and treatment; ISSN 0167-6806; Coden BCTRD6; Pays-Bas; Da. 2012; Vol. 135; No. 2; Pp. 591-602; Bibl. 32 ref.</SO>
<LA>Anglais</LA>
<EA>Breast cancer patients have voiced dissatisfaction regarding their education on breast cancer-related lymphedema risk and risk reduction strategies from their clinicians. Informing patients about lymphedema can contribute to decrease their risk of developing the condition, or among those already affected, prevent it from progressing further. In this cross-sectional study, a lymphedema awareness score was calculated based on responses to a brief telephone interview conducted among 389 women diagnosed with invasive breast cancer at Kaiser Permanente Northern California from 2000 to 2008 and had a previous record of a lymphedema-related diagnosis or procedure in their electronic medical record. During the telephone interview, women self-reported a lymphedema clinical diagnosis, lymphedema symptoms but no lymphedema diagnosis, or neither a diagnosis nor symptoms, and responded to questions on lymphedema education and support services as well as health knowledge. Multivariable logistic regression [odds ratio (OR) and 95 % confidence interval (CI)] was used to determine the associations of selected sociodemographic and clinical factors with the odds of having lymphedema awareness (adequate vs. inadequate). The median (range) of the lymphedema awareness score was 4 (0-7). Compared with patients <50 years of age, patients 70+ years of age at breast cancer diagnosis had lower odds of adequate lymphedema awareness (OR 0.25; 95 % CI 0.07, 0.89), while patients 50-59 and 60-69 years had greater odds of adequate awareness although not statistically significant (OR 2.05; 95 % CI 0.88, 4.78 and OR 1.55; 95 % CI 0.60, 4.02, respectively; p for trend = 0.09). Higher educational level and greater health literacy were suggestive of adequate awareness yet were not significant. These results can help inform educational interventions to strengthen patient knowledge of lymphedema risk and risk reduction practices, particularly in an integrated health care delivery setting. With the growing population of breast cancer survivors, increasing patient awareness and education about lymphedema risk reduction and care after cancer diagnosis is warranted.</EA>
<CC>002B20E02; 002B12B04</CC>
<FD>Homme; Malade; Connaissance; Cancer du sein; Lymphoedème; Système santé; Soin; Système administration; Education; Facteur risque</FD>
<FG>Tumeur maligne; Cancer; Pathologie de la glande mammaire; Pathologie du sein; Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques</FG>
<ED>Human; Patient; Knowledge; Breast cancer; Lymphedema; Health system; Care; Delivery system; Education; Risk factor</ED>
<EG>Malignant tumor; Cancer; Mammary gland diseases; Breast disease; Cardiovascular disease; Lymphatic vessel disease</EG>
<SD>Hombre; Enfermo; Conocimiento; Cáncer del pecho; Linfedema; Sistema salud; Cuidado; Sistema administración; Educación; Factor riesgo</SD>
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Patient awareness and knowledge of breast cancer-related lymphedema in a large, integrated health care delivery system

Patient awareness and knowledge of breast cancer-related lymphedema in a large, integrated health care delivery system

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