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Risk factors for arm lymphedema following breast cancer diagnosis in Black women and White women

Identifieur interne : 000340 ( PascalFrancis/Corpus ); précédent : 000339; suivant : 000341

Risk 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 Bernstein

Source :

RBID : Pascal:09-0141950

Descripteurs français

English descriptors

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
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A02 01      @0 BCTRD6
A03   1    @0 Breast cancer res. treat.
A05       @2 113
A06       @2 2
A08 01  1  ENG  @1 Risk factors for arm lymphedema following breast cancer diagnosis in Black women and White women
A11 01  1    @1 MEESKE (Kathleen A.)
A11 02  1    @1 SULLIVAN-HALLEY (Jane)
A11 03  1    @1 SMITH (Ashley W.)
A11 04  1    @1 MCTIERNAN (Anne)
A11 05  1    @1 BAUMGARTNER (Kathy B.)
A11 06  1    @1 HARLAN (Linda C.)
A11 07  1    @1 BERNSTEIN (Leslie)
A14 01      @1 Department of Preventive Medicine, Keck School of Medicine of the University of Southern California @2 Los Angeles, CA @3 USA @Z 1 aut. @Z 2 aut. @Z 7 aut.
A14 02      @1 Department of Cancer Etiology, Division of Population Sciences, City of Hope National Medical Center and Comprehensive Cancer Center, 1500 Duarte Road, Bldg. 173 @2 Duarte, CA 91010 @3 USA @Z 2 aut.
A14 03      @1 Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute @2 Bethesda, MD @3 USA @Z 3 aut. @Z 6 aut.
A14 04      @1 Cancer Prevention Research Program, Fred Hutchinson Cancer Research Center @2 Seattle, WA @3 USA @Z 4 aut.
A14 05      @1 Department of Epidemiology & Population Health, University of Louisville @2 Louisville, KY @3 USA @Z 5 aut.
A20       @1 383-391
A21       @1 2009
A23 01      @0 ENG
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A60       @1 P
A61       @0 A
A64 01  1    @0 Breast cancer research and treatment
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C01 01    ENG  @0 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
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:09-0141950

Le document en format XML

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<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>
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<term>Facteur risque</term>
<term>Epidémiologie</term>
<term>Bras</term>
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<term>Cancer du sein</term>
<term>Diagnostic</term>
<term>Négroïde</term>
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<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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<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>
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<s3>USA</s3>
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<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>40</s5>
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<s2>NM</s2>
<s5>40</s5>
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<s5>41</s5>
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<s2>NM</s2>
<s5>41</s5>
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<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>
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<ID>09-0141950</ID>
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