Risk factors for arm lymphedema following breast cancer diagnosis in Black women and White women
Identifieur interne : 000340 ( PascalFrancis/Corpus ); précédent : 000339; suivant : 000341Risk factors for arm lymphedema following breast cancer diagnosis in Black women and White women
Auteurs : Kathleen A. Meeske ; Jane Sullivan-Halley ; Ashley W. Smith ; Anne Mctiernan ; Kathy B. Baumgartner ; Linda C. Harlan ; Leslie BernsteinSource :
- Breast cancer research and treatment [ 0167-6806 ] ; 2009.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Purpose Lymphedema of the arm is a potential complication of breast cancer therapy. This study examines pre-disposing factors that may operate in conjunction with treatment-related factors in the development of arm lymphedema in a large cohort of White and Black breast cancer survivors. Methods 494 women (271 White and 223 Black) with in situ to Stage III-A primary breast cancer completed a baseline interview within 18 months of diagnosis. Information on lymphedema was collected during a follow-up interview, conducted on average 50 months after diagnosis. Self-reported data were used to classify women with or without lymphedema. Multivariable logistic regression models were developed to identify risk factors for arm lymphedema. Results Arm lymphedema was associated with younger age at diagnosis (odds ratio, OR per year of age = 0.96; 95% confidence interval, CI = 0.93-0.99), positive history of hypertension (OR = 2.31; 95% CI = 1.38-3.88), obesity (OR for body mass index, BMI>30 = 2.48; 95% CI = 1.05-5.84) and having had surgery where 10 or more lymph nodes were excised (OR = 2.16; 95% CI = 1.12-4.17). While Black women had higher prevalence of arm lymphedema than White women (28% vs. 21%), race was not associated with lymphedema risk in models adjusted for multiple factors (adjusted OR = 1.01; 95% CI = 0.63-1.63). Conclusion Risk of arm lymphedema did not differ significantly for Black and White women. Risk factors identified in this study offer opportunities for interventions (weight loss, control of blood pressure, use of sentinel node biopsy where possible) for reducing incidence of lymphedema or controlling the symptoms associated with this condition.
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Format Inist (serveur)
NO : | PASCAL 09-0141950 INIST |
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ET : | Risk factors for arm lymphedema following breast cancer diagnosis in Black women and White women |
AU : | MEESKE (Kathleen A.); SULLIVAN-HALLEY (Jane); SMITH (Ashley W.); MCTIERNAN (Anne); BAUMGARTNER (Kathy B.); HARLAN (Linda C.); BERNSTEIN (Leslie) |
AF : | Department of Preventive Medicine, Keck School of Medicine of the University of Southern California/Los Angeles, CA/Etats-Unis (1 aut., 2 aut., 7 aut.); Department of Cancer Etiology, Division of Population Sciences, City of Hope National Medical Center and Comprehensive Cancer Center, 1500 Duarte Road, Bldg. 173/Duarte, CA 91010/Etats-Unis (2 aut.); Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute/Bethesda, MD/Etats-Unis (3 aut., 6 aut.); Cancer Prevention Research Program, Fred Hutchinson Cancer Research Center/Seattle, WA/Etats-Unis (4 aut.); Department of Epidemiology & Population Health, University of Louisville/Louisville, KY/Etats-Unis (5 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Breast cancer research and treatment; ISSN 0167-6806; Coden BCTRD6; Pays-Bas; Da. 2009; Vol. 113; No. 2; Pp. 383-391; Bibl. 45 ref. |
LA : | Anglais |
EA : | Purpose Lymphedema of the arm is a potential complication of breast cancer therapy. This study examines pre-disposing factors that may operate in conjunction with treatment-related factors in the development of arm lymphedema in a large cohort of White and Black breast cancer survivors. Methods 494 women (271 White and 223 Black) with in situ to Stage III-A primary breast cancer completed a baseline interview within 18 months of diagnosis. Information on lymphedema was collected during a follow-up interview, conducted on average 50 months after diagnosis. Self-reported data were used to classify women with or without lymphedema. Multivariable logistic regression models were developed to identify risk factors for arm lymphedema. Results Arm lymphedema was associated with younger age at diagnosis (odds ratio, OR per year of age = 0.96; 95% confidence interval, CI = 0.93-0.99), positive history of hypertension (OR = 2.31; 95% CI = 1.38-3.88), obesity (OR for body mass index, BMI>30 = 2.48; 95% CI = 1.05-5.84) and having had surgery where 10 or more lymph nodes were excised (OR = 2.16; 95% CI = 1.12-4.17). While Black women had higher prevalence of arm lymphedema than White women (28% vs. 21%), race was not associated with lymphedema risk in models adjusted for multiple factors (adjusted OR = 1.01; 95% CI = 0.63-1.63). Conclusion Risk of arm lymphedema did not differ significantly for Black and White women. Risk factors identified in this study offer opportunities for interventions (weight loss, control of blood pressure, use of sentinel node biopsy where possible) for reducing incidence of lymphedema or controlling the symptoms associated with this condition. |
CC : | 002B20E02; 002B12B04; 002B12B05 |
FD : | Facteur risque; Epidémiologie; Bras; Lymphoedème; Cancer du sein; Diagnostic; Négroïde; Race; Homme; Femelle; Adulte; Femme; Caucasoïde; Survivant; Hypertension artérielle; Indice masse corporelle |
FG : | Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques; Tumeur maligne; Cancer; Pathologie de la glande mammaire; Pathologie du sein |
ED : | Risk factor; Epidemiology; Arm; Lymphedema; Breast cancer; Diagnosis; Negroid; Race; Human; Female; Adult; Woman; Caucasoid; Survivor; Hypertension; Body mass index |
EG : | Cardiovascular disease; Lymphatic vessel disease; Malignant tumor; Cancer; Mammary gland diseases; Breast disease |
SD : | Factor riesgo; Epidemiología; Brazo; Linfedema; Cáncer del pecho; Diagnóstico; Negroide; Raza; Hombre; Hembra; Adulto; Mujer; Caucásico; Sobreviviente; Hipertensión arterial; Indice masa corporal |
LO : | INIST-20699.354000186985230230 |
ID : | 09-0141950 |
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Pascal:09-0141950Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Arm</term>
<term>Body mass index</term>
<term>Breast cancer</term>
<term>Caucasoid</term>
<term>Diagnosis</term>
<term>Epidemiology</term>
<term>Female</term>
<term>Human</term>
<term>Hypertension</term>
<term>Lymphedema</term>
<term>Negroid</term>
<term>Race</term>
<term>Risk factor</term>
<term>Survivor</term>
<term>Woman</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Facteur risque</term>
<term>Epidémiologie</term>
<term>Bras</term>
<term>Lymphoedème</term>
<term>Cancer du sein</term>
<term>Diagnostic</term>
<term>Négroïde</term>
<term>Race</term>
<term>Homme</term>
<term>Femelle</term>
<term>Adulte</term>
<term>Femme</term>
<term>Caucasoïde</term>
<term>Survivant</term>
<term>Hypertension artérielle</term>
<term>Indice masse corporelle</term>
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<front><div type="abstract" xml:lang="en">Purpose Lymphedema of the arm is a potential complication of breast cancer therapy. This study examines pre-disposing factors that may operate in conjunction with treatment-related factors in the development of arm lymphedema in a large cohort of White and Black breast cancer survivors. Methods 494 women (271 White and 223 Black) with in situ to Stage III-A primary breast cancer completed a baseline interview within 18 months of diagnosis. Information on lymphedema was collected during a follow-up interview, conducted on average 50 months after diagnosis. Self-reported data were used to classify women with or without lymphedema. Multivariable logistic regression models were developed to identify risk factors for arm lymphedema. Results Arm lymphedema was associated with younger age at diagnosis (odds ratio, OR per year of age = 0.96; 95% confidence interval, CI = 0.93-0.99), positive history of hypertension (OR = 2.31; 95% CI = 1.38-3.88), obesity (OR for body mass index, BMI>30 = 2.48; 95% CI = 1.05-5.84) and having had surgery where 10 or more lymph nodes were excised (OR = 2.16; 95% CI = 1.12-4.17). While Black women had higher prevalence of arm lymphedema than White women (28% vs. 21%), race was not associated with lymphedema risk in models adjusted for multiple factors (adjusted OR = 1.01; 95% CI = 0.63-1.63). Conclusion Risk of arm lymphedema did not differ significantly for Black and White women. Risk factors identified in this study offer opportunities for interventions (weight loss, control of blood pressure, use of sentinel node biopsy where possible) for reducing incidence of lymphedema or controlling the symptoms associated with this condition.</div>
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<fA11 i1="01" i2="1"><s1>MEESKE (Kathleen A.)</s1>
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<fA14 i1="02"><s1>Department of Cancer Etiology, Division of Population Sciences, City of Hope National Medical Center and Comprehensive Cancer Center, 1500 Duarte Road, Bldg. 173</s1>
<s2>Duarte, CA 91010</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
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<fA14 i1="03"><s1>Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute</s1>
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<sZ>6 aut.</sZ>
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<fA14 i1="05"><s1>Department of Epidemiology & Population Health, University of Louisville</s1>
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<fC01 i1="01" l="ENG"><s0>Purpose Lymphedema of the arm is a potential complication of breast cancer therapy. This study examines pre-disposing factors that may operate in conjunction with treatment-related factors in the development of arm lymphedema in a large cohort of White and Black breast cancer survivors. Methods 494 women (271 White and 223 Black) with in situ to Stage III-A primary breast cancer completed a baseline interview within 18 months of diagnosis. Information on lymphedema was collected during a follow-up interview, conducted on average 50 months after diagnosis. Self-reported data were used to classify women with or without lymphedema. Multivariable logistic regression models were developed to identify risk factors for arm lymphedema. Results Arm lymphedema was associated with younger age at diagnosis (odds ratio, OR per year of age = 0.96; 95% confidence interval, CI = 0.93-0.99), positive history of hypertension (OR = 2.31; 95% CI = 1.38-3.88), obesity (OR for body mass index, BMI>30 = 2.48; 95% CI = 1.05-5.84) and having had surgery where 10 or more lymph nodes were excised (OR = 2.16; 95% CI = 1.12-4.17). While Black women had higher prevalence of arm lymphedema than White women (28% vs. 21%), race was not associated with lymphedema risk in models adjusted for multiple factors (adjusted OR = 1.01; 95% CI = 0.63-1.63). Conclusion Risk of arm lymphedema did not differ significantly for Black and White women. Risk factors identified in this study offer opportunities for interventions (weight loss, control of blood pressure, use of sentinel node biopsy where possible) for reducing incidence of lymphedema or controlling the symptoms associated with this condition.</s0>
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<s5>06</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Négroïde</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Negroid</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Negroide</s0>
<s5>07</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Race</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Race</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Raza</s0>
<s5>08</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Homme</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Human</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Hombre</s0>
<s5>09</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE"><s0>Femelle</s0>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG"><s0>Female</s0>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA"><s0>Hembra</s0>
<s5>10</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE"><s0>Adulte</s0>
<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG"><s0>Adult</s0>
<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA"><s0>Adulto</s0>
<s5>11</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE"><s0>Femme</s0>
<s5>12</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG"><s0>Woman</s0>
<s5>12</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA"><s0>Mujer</s0>
<s5>12</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE"><s0>Caucasoïde</s0>
<s5>13</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG"><s0>Caucasoid</s0>
<s5>13</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA"><s0>Caucásico</s0>
<s5>13</s5>
</fC03>
<fC03 i1="14" i2="X" l="FRE"><s0>Survivant</s0>
<s5>14</s5>
</fC03>
<fC03 i1="14" i2="X" l="ENG"><s0>Survivor</s0>
<s5>14</s5>
</fC03>
<fC03 i1="14" i2="X" l="SPA"><s0>Sobreviviente</s0>
<s5>14</s5>
</fC03>
<fC03 i1="15" i2="X" l="FRE"><s0>Hypertension artérielle</s0>
<s5>15</s5>
</fC03>
<fC03 i1="15" i2="X" l="ENG"><s0>Hypertension</s0>
<s5>15</s5>
</fC03>
<fC03 i1="15" i2="X" l="SPA"><s0>Hipertensión arterial</s0>
<s5>15</s5>
</fC03>
<fC03 i1="16" i2="X" l="FRE"><s0>Indice masse corporelle</s0>
<s5>16</s5>
</fC03>
<fC03 i1="16" i2="X" l="ENG"><s0>Body mass index</s0>
<s5>16</s5>
</fC03>
<fC03 i1="16" i2="X" l="SPA"><s0>Indice masa corporal</s0>
<s5>16</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Pathologie de l'appareil circulatoire</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Cardiovascular disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Aparato circulatorio patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Pathologie des vaisseaux lymphatiques</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Lymphatic vessel disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Linfático patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Tumeur maligne</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Malignant tumor</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Tumor maligno</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Cancer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Cancer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Cáncer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Pathologie de la glande mammaire</s0>
<s2>NM</s2>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Mammary gland diseases</s0>
<s2>NM</s2>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Glándula mamaria patología</s0>
<s2>NM</s2>
<s5>40</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE"><s0>Pathologie du sein</s0>
<s2>NM</s2>
<s5>41</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Breast disease</s0>
<s2>NM</s2>
<s5>41</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Seno patología</s0>
<s2>NM</s2>
<s5>41</s5>
</fC07>
<fN21><s1>096</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
<server><NO>PASCAL 09-0141950 INIST</NO>
<ET>Risk factors for arm lymphedema following breast cancer diagnosis in Black women and White women</ET>
<AU>MEESKE (Kathleen A.); SULLIVAN-HALLEY (Jane); SMITH (Ashley W.); MCTIERNAN (Anne); BAUMGARTNER (Kathy B.); HARLAN (Linda C.); BERNSTEIN (Leslie)</AU>
<AF>Department of Preventive Medicine, Keck School of Medicine of the University of Southern California/Los Angeles, CA/Etats-Unis (1 aut., 2 aut., 7 aut.); Department of Cancer Etiology, Division of Population Sciences, City of Hope National Medical Center and Comprehensive Cancer Center, 1500 Duarte Road, Bldg. 173/Duarte, CA 91010/Etats-Unis (2 aut.); Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute/Bethesda, MD/Etats-Unis (3 aut., 6 aut.); Cancer Prevention Research Program, Fred Hutchinson Cancer Research Center/Seattle, WA/Etats-Unis (4 aut.); Department of Epidemiology & Population Health, University of Louisville/Louisville, KY/Etats-Unis (5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Breast cancer research and treatment; ISSN 0167-6806; Coden BCTRD6; Pays-Bas; Da. 2009; Vol. 113; No. 2; Pp. 383-391; Bibl. 45 ref.</SO>
<LA>Anglais</LA>
<EA>Purpose Lymphedema of the arm is a potential complication of breast cancer therapy. This study examines pre-disposing factors that may operate in conjunction with treatment-related factors in the development of arm lymphedema in a large cohort of White and Black breast cancer survivors. Methods 494 women (271 White and 223 Black) with in situ to Stage III-A primary breast cancer completed a baseline interview within 18 months of diagnosis. Information on lymphedema was collected during a follow-up interview, conducted on average 50 months after diagnosis. Self-reported data were used to classify women with or without lymphedema. Multivariable logistic regression models were developed to identify risk factors for arm lymphedema. Results Arm lymphedema was associated with younger age at diagnosis (odds ratio, OR per year of age = 0.96; 95% confidence interval, CI = 0.93-0.99), positive history of hypertension (OR = 2.31; 95% CI = 1.38-3.88), obesity (OR for body mass index, BMI>30 = 2.48; 95% CI = 1.05-5.84) and having had surgery where 10 or more lymph nodes were excised (OR = 2.16; 95% CI = 1.12-4.17). While Black women had higher prevalence of arm lymphedema than White women (28% vs. 21%), race was not associated with lymphedema risk in models adjusted for multiple factors (adjusted OR = 1.01; 95% CI = 0.63-1.63). Conclusion Risk of arm lymphedema did not differ significantly for Black and White women. Risk factors identified in this study offer opportunities for interventions (weight loss, control of blood pressure, use of sentinel node biopsy where possible) for reducing incidence of lymphedema or controlling the symptoms associated with this condition.</EA>
<CC>002B20E02; 002B12B04; 002B12B05</CC>
<FD>Facteur risque; Epidémiologie; Bras; Lymphoedème; Cancer du sein; Diagnostic; Négroïde; Race; Homme; Femelle; Adulte; Femme; Caucasoïde; Survivant; Hypertension artérielle; Indice masse corporelle</FD>
<FG>Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques; Tumeur maligne; Cancer; Pathologie de la glande mammaire; Pathologie du sein</FG>
<ED>Risk factor; Epidemiology; Arm; Lymphedema; Breast cancer; Diagnosis; Negroid; Race; Human; Female; Adult; Woman; Caucasoid; Survivor; Hypertension; Body mass index</ED>
<EG>Cardiovascular disease; Lymphatic vessel disease; Malignant tumor; Cancer; Mammary gland diseases; Breast disease</EG>
<SD>Factor riesgo; Epidemiología; Brazo; Linfedema; Cáncer del pecho; Diagnóstico; Negroide; Raza; Hombre; Hembra; Adulto; Mujer; Caucásico; Sobreviviente; Hipertensión arterial; Indice masa corporal</SD>
<LO>INIST-20699.354000186985230230</LO>
<ID>09-0141950</ID>
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</inist>
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