Long-term management of breast cancer-related lymphedema after intensive decongestive physiotherapy
Identifieur interne : 000458 ( PascalFrancis/Corpus ); précédent : 000457; suivant : 000459Long-term management of breast cancer-related lymphedema after intensive decongestive physiotherapy
Auteurs : Stéphane Vignes ; Raphael Porcher ; Maria Arrault ; Alain DupuySource :
- Breast cancer research and treatment [ 0167-6806 ] ; 2007.
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- Pascal (Inist)
English descriptors
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Abstract
Background Treatment of lymphedema is based on intensive decongestive physiotherapy followed by a long-term maintenance treatment. We analyzed the factors influencing lymphedema volume during maintenance treatment. Method Prospective cohort of 537 patients with secondary arm lymphedema were recruited in a single lymphology unit and followed for 12 months. Lymphedema volume was recorded prior to and at the end of intensive treatment, and at month 6 and month 12 follow-up visits. Multivariate models were fitted to analyze the respective role of the three components of complete decongestive therapy, i.e. manual lymph drainage, low stretch bandage, and elastic sleeve, on lymphedema volume during the 1-year maintenance phase therapy. Results Mean volume of lymphedema was 1,054 ± 633 ml prior and 647 ± 351 ml after intensive decongestive physiotherapy. During the 1-year maintenance phase therapy, the mean lymphedema volume slightly increased (84 ml-95% confidence interval [CI]: 56-113). Fifty-two percent of patients had their lymphedema volume increased above 10% from their value at the end of the intensive decongestive physiotherapy treatment phase. Non-compliance to low stretch bandage and elastic sleeve were risk factors for an increased lymphedema after 1-year of maintenance treatment (RR: 1.55 [95% CI: 1.3-1.76]; P < 0.0001 and RR: 1.61 (95% CI: 1.25-1.82); P = 0.002, respectively). Non-compliance to MLD was not a risk factor (RR: 0.99 [95% CI: 0.77-1.2]; P = 0.91). Conclusion During maintenance phase after intensive decongestive physiotherapy, compliance to the use of elastic sleeve and low stretch bandage should be required to stabilize lymphedema volume.
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Format Inist (serveur)
| NO : | PASCAL 07-0325056 INIST |
|---|---|
| ET : | Long-term management of breast cancer-related lymphedema after intensive decongestive physiotherapy |
| AU : | VIGNES (Stéphane); PORCHER (Raphael); ARRAULT (Maria); DUPUY (Alain) |
| AF : | Department of Lymphology, Hôpital Cognacq-Jay, Site Broussais, 102 rue Didot/75014 Paris/France (1 aut., 3 aut.); Department of Biostatistics and Medical Informatics, Hopital Saint-Louis AP-HP, Université Paris 7, Inserm U717/Paris/France (2 aut.); Department of Dermatology 2, Hôpital Saint Louis AP-HP, 1 Avenue Claude Vellefaux/75475 Paris/France (4 aut.) |
| DT : | Publication en série; Compte-rendu; Niveau analytique |
| SO : | Breast cancer research and treatment; ISSN 0167-6806; Coden BCTRD6; Pays-Bas; Da. 2007; Vol. 101; No. 3; Pp. 285-290; Bibl. 28 ref. |
| LA : | Anglais |
| EA : | Background Treatment of lymphedema is based on intensive decongestive physiotherapy followed by a long-term maintenance treatment. We analyzed the factors influencing lymphedema volume during maintenance treatment. Method Prospective cohort of 537 patients with secondary arm lymphedema were recruited in a single lymphology unit and followed for 12 months. Lymphedema volume was recorded prior to and at the end of intensive treatment, and at month 6 and month 12 follow-up visits. Multivariate models were fitted to analyze the respective role of the three components of complete decongestive therapy, i.e. manual lymph drainage, low stretch bandage, and elastic sleeve, on lymphedema volume during the 1-year maintenance phase therapy. Results Mean volume of lymphedema was 1,054 ± 633 ml prior and 647 ± 351 ml after intensive decongestive physiotherapy. During the 1-year maintenance phase therapy, the mean lymphedema volume slightly increased (84 ml-95% confidence interval [CI]: 56-113). Fifty-two percent of patients had their lymphedema volume increased above 10% from their value at the end of the intensive decongestive physiotherapy treatment phase. Non-compliance to low stretch bandage and elastic sleeve were risk factors for an increased lymphedema after 1-year of maintenance treatment (RR: 1.55 [95% CI: 1.3-1.76]; P < 0.0001 and RR: 1.61 (95% CI: 1.25-1.82); P = 0.002, respectively). Non-compliance to MLD was not a risk factor (RR: 0.99 [95% CI: 0.77-1.2]; P = 0.91). Conclusion During maintenance phase after intensive decongestive physiotherapy, compliance to the use of elastic sleeve and low stretch bandage should be required to stabilize lymphedema volume. |
| CC : | 002B20E02; 002B12B04 |
| FD : | Long terme; Traitement; Conduite à tenir; Lymphoedème; Physiothérapie; Observance; Cancer du sein |
| FG : | Tumeur maligne; Glande mammaire pathologie; Appareil circulatoire pathologie; Lymphatique pathologie |
| ED : | Long term; Treatment; Clinical management; Lymphedema; Physiotherapy; Compliance; Breast cancer |
| EG : | Malignant tumor; Mammary gland diseases; Cardiovascular disease; Lymphatic vessel disease |
| SD : | Largo plazo; Tratamiento; Actitud médica; Linfedema; Fisioterapia; Observancia; Cáncer de pecho |
| LO : | INIST-20699.354000149916580050 |
| ID : | 07-0325056 |
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Long-term management of breast cancer-related lymphedema after intensive decongestive physiotherapy</title><author><name sortKey="Vignes, Stephane" sort="Vignes, Stephane" uniqKey="Vignes S" first="Stéphane" last="Vignes">Stéphane Vignes</name><affiliation><inist:fA14 i1="01"><s1>Department of Lymphology, Hôpital Cognacq-Jay, Site Broussais, 102 rue Didot</s1><s2>75014 Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Porcher, Raphael" sort="Porcher, Raphael" uniqKey="Porcher R" first="Raphael" last="Porcher">Raphael Porcher</name><affiliation><inist:fA14 i1="02"><s1>Department of Biostatistics and Medical Informatics, Hopital Saint-Louis AP-HP, Université Paris 7, Inserm U717</s1><s2>Paris</s2><s3>FRA</s3><sZ>2 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Arrault, Maria" sort="Arrault, Maria" uniqKey="Arrault M" first="Maria" last="Arrault">Maria Arrault</name><affiliation><inist:fA14 i1="01"><s1>Department of Lymphology, Hôpital Cognacq-Jay, Site Broussais, 102 rue Didot</s1><s2>75014 Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Dupuy, Alain" sort="Dupuy, Alain" uniqKey="Dupuy A" first="Alain" last="Dupuy">Alain Dupuy</name><affiliation><inist:fA14 i1="03"><s1>Department of Dermatology 2, Hôpital Saint Louis AP-HP, 1 Avenue Claude Vellefaux</s1><s2>75475 Paris</s2><s3>FRA</s3><sZ>4 aut.</sZ></inist:fA14></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">07-0325056</idno><date when="2007">2007</date><idno type="stanalyst">PASCAL 07-0325056 INIST</idno><idno type="RBID">Pascal:07-0325056</idno><idno type="wicri:Area/PascalFrancis/Corpus">000458</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Long-term management of breast cancer-related lymphedema after intensive decongestive physiotherapy</title><author><name sortKey="Vignes, Stephane" sort="Vignes, Stephane" uniqKey="Vignes S" first="Stéphane" last="Vignes">Stéphane Vignes</name><affiliation><inist:fA14 i1="01"><s1>Department of Lymphology, Hôpital Cognacq-Jay, Site Broussais, 102 rue Didot</s1><s2>75014 Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Porcher, Raphael" sort="Porcher, Raphael" uniqKey="Porcher R" first="Raphael" last="Porcher">Raphael Porcher</name><affiliation><inist:fA14 i1="02"><s1>Department of Biostatistics and Medical Informatics, Hopital Saint-Louis AP-HP, Université Paris 7, Inserm U717</s1><s2>Paris</s2><s3>FRA</s3><sZ>2 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Arrault, Maria" sort="Arrault, Maria" uniqKey="Arrault M" first="Maria" last="Arrault">Maria Arrault</name><affiliation><inist:fA14 i1="01"><s1>Department of Lymphology, Hôpital Cognacq-Jay, Site Broussais, 102 rue Didot</s1><s2>75014 Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Dupuy, Alain" sort="Dupuy, Alain" uniqKey="Dupuy A" first="Alain" last="Dupuy">Alain Dupuy</name><affiliation><inist:fA14 i1="03"><s1>Department of Dermatology 2, Hôpital Saint Louis AP-HP, 1 Avenue Claude Vellefaux</s1><s2>75475 Paris</s2><s3>FRA</s3><sZ>4 aut.</sZ></inist:fA14></affiliation></author></analytic><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="2007">2007</date></imprint></series></biblStruct></sourceDesc><seriesStmt><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></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Breast cancer</term><term>Clinical management</term><term>Compliance</term><term>Long term</term><term>Lymphedema</term><term>Physiotherapy</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Long terme</term><term>Traitement</term><term>Conduite à tenir</term><term>Lymphoedème</term><term>Physiothérapie</term><term>Observance</term><term>Cancer du sein</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background Treatment of lymphedema is based on intensive decongestive physiotherapy followed by a long-term maintenance treatment. We analyzed the factors influencing lymphedema volume during maintenance treatment. Method Prospective cohort of 537 patients with secondary arm lymphedema were recruited in a single lymphology unit and followed for 12 months. Lymphedema volume was recorded prior to and at the end of intensive treatment, and at month 6 and month 12 follow-up visits. Multivariate models were fitted to analyze the respective role of the three components of complete decongestive therapy, i.e. manual lymph drainage, low stretch bandage, and elastic sleeve, on lymphedema volume during the 1-year maintenance phase therapy. Results Mean volume of lymphedema was 1,054 ± 633 ml prior and 647 ± 351 ml after intensive decongestive physiotherapy. During the 1-year maintenance phase therapy, the mean lymphedema volume slightly increased (84 ml-95% confidence interval [CI]: 56-113). Fifty-two percent of patients had their lymphedema volume increased above 10% from their value at the end of the intensive decongestive physiotherapy treatment phase. Non-compliance to low stretch bandage and elastic sleeve were risk factors for an increased lymphedema after 1-year of maintenance treatment (RR: 1.55 [95% CI: 1.3-1.76]; P < 0.0001 and RR: 1.61 (95% CI: 1.25-1.82); P = 0.002, respectively). Non-compliance to MLD was not a risk factor (RR: 0.99 [95% CI: 0.77-1.2]; P = 0.91). Conclusion During maintenance phase after intensive decongestive physiotherapy, compliance to the use of elastic sleeve and low stretch bandage should be required to stabilize lymphedema volume.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0167-6806</s0></fA01><fA02 i1="01"><s0>BCTRD6</s0></fA02><fA03 i2="1"><s0>Breast cancer res. treat.</s0></fA03><fA05><s2>101</s2></fA05><fA06><s2>3</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Long-term management of breast cancer-related lymphedema after intensive decongestive physiotherapy</s1></fA08><fA11 i1="01" i2="1"><s1>VIGNES (Stéphane)</s1></fA11><fA11 i1="02" i2="1"><s1>PORCHER (Raphael)</s1></fA11><fA11 i1="03" i2="1"><s1>ARRAULT (Maria)</s1></fA11><fA11 i1="04" i2="1"><s1>DUPUY (Alain)</s1></fA11><fA14 i1="01"><s1>Department of Lymphology, Hôpital Cognacq-Jay, Site Broussais, 102 rue Didot</s1><s2>75014 Paris</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></fA14><fA14 i1="02"><s1>Department of Biostatistics and Medical Informatics, Hopital Saint-Louis AP-HP, Université Paris 7, Inserm U717</s1><s2>Paris</s2><s3>FRA</s3><sZ>2 aut.</sZ></fA14><fA14 i1="03"><s1>Department of Dermatology 2, Hôpital Saint Louis AP-HP, 1 Avenue Claude Vellefaux</s1><s2>75475 Paris</s2><s3>FRA</s3><sZ>4 aut.</sZ></fA14><fA20><s1>285-290</s1></fA20><fA21><s1>2007</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20699</s2><s5>354000149916580050</s5></fA43><fA44><s0>0000</s0><s1>© 2007 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>28 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>07-0325056</s0></fA47><fA60><s1>P</s1><s3>C</s3></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Breast cancer research and treatment</s0></fA64><fA66 i1="01"><s0>NLD</s0></fA66><fC01 i1="01" l="ENG"><s0>Background Treatment of lymphedema is based on intensive decongestive physiotherapy followed by a long-term maintenance treatment. We analyzed the factors influencing lymphedema volume during maintenance treatment. Method Prospective cohort of 537 patients with secondary arm lymphedema were recruited in a single lymphology unit and followed for 12 months. Lymphedema volume was recorded prior to and at the end of intensive treatment, and at month 6 and month 12 follow-up visits. Multivariate models were fitted to analyze the respective role of the three components of complete decongestive therapy, i.e. manual lymph drainage, low stretch bandage, and elastic sleeve, on lymphedema volume during the 1-year maintenance phase therapy. Results Mean volume of lymphedema was 1,054 ± 633 ml prior and 647 ± 351 ml after intensive decongestive physiotherapy. During the 1-year maintenance phase therapy, the mean lymphedema volume slightly increased (84 ml-95% confidence interval [CI]: 56-113). Fifty-two percent of patients had their lymphedema volume increased above 10% from their value at the end of the intensive decongestive physiotherapy treatment phase. Non-compliance to low stretch bandage and elastic sleeve were risk factors for an increased lymphedema after 1-year of maintenance treatment (RR: 1.55 [95% CI: 1.3-1.76]; P < 0.0001 and RR: 1.61 (95% CI: 1.25-1.82); P = 0.002, respectively). Non-compliance to MLD was not a risk factor (RR: 0.99 [95% CI: 0.77-1.2]; P = 0.91). Conclusion During maintenance phase after intensive decongestive physiotherapy, compliance to the use of elastic sleeve and low stretch bandage should be required to stabilize lymphedema volume.</s0></fC01><fC02 i1="01" i2="X"><s0>002B20E02</s0></fC02><fC02 i1="02" i2="X"><s0>002B12B04</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Long terme</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Long term</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Largo plazo</s0><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Traitement</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Treatment</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Tratamiento</s0><s5>02</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Conduite à tenir</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Clinical management</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Actitud médica</s0><s5>03</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Lymphoedème</s0><s5>04</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Lymphedema</s0><s5>04</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Linfedema</s0><s5>04</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Physiothérapie</s0><s5>05</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Physiotherapy</s0><s5>05</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Fisioterapia</s0><s5>05</s5></fC03><fC03 i1="06" i2="X" l="FRE"><s0>Observance</s0><s5>06</s5></fC03><fC03 i1="06" i2="X" l="ENG"><s0>Compliance</s0><s5>06</s5></fC03><fC03 i1="06" i2="X" l="SPA"><s0>Observancia</s0><s5>06</s5></fC03><fC03 i1="07" i2="X" l="FRE"><s0>Cancer du sein</s0><s4>CD</s4><s5>96</s5></fC03><fC03 i1="07" i2="X" l="ENG"><s0>Breast cancer</s0><s4>CD</s4><s5>96</s5></fC03><fC03 i1="07" i2="X" l="SPA"><s0>Cáncer de pecho</s0><s4>CD</s4><s5>96</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Tumeur maligne</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Malignant tumor</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Tumor maligno</s0><s5>37</s5></fC07><fC07 i1="02" i2="X" l="FRE"><s0>Glande mammaire pathologie</s0><s2>NM</s2><s5>38</s5></fC07><fC07 i1="02" i2="X" l="ENG"><s0>Mammary gland diseases</s0><s2>NM</s2><s5>38</s5></fC07><fC07 i1="02" i2="X" l="SPA"><s0>Glándula mamaria patología</s0><s2>NM</s2><s5>38</s5></fC07><fC07 i1="03" i2="X" l="FRE"><s0>Appareil circulatoire pathologie</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="ENG"><s0>Cardiovascular disease</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="SPA"><s0>Aparato circulatorio patología</s0><s5>39</s5></fC07><fC07 i1="04" i2="X" l="FRE"><s0>Lymphatique pathologie</s0><s5>40</s5></fC07><fC07 i1="04" i2="X" l="ENG"><s0>Lymphatic vessel disease</s0><s5>40</s5></fC07><fC07 i1="04" i2="X" l="SPA"><s0>Linfático patología</s0><s5>40</s5></fC07><fN21><s1>211</s1></fN21><fN44 i1="01"><s1>OTO</s1></fN44><fN82><s1>OTO</s1></fN82></pA></standard><server><NO>PASCAL 07-0325056 INIST</NO><ET>Long-term management of breast cancer-related lymphedema after intensive decongestive physiotherapy</ET><AU>VIGNES (Stéphane); PORCHER (Raphael); ARRAULT (Maria); DUPUY (Alain)</AU><AF>Department of Lymphology, Hôpital Cognacq-Jay, Site Broussais, 102 rue Didot/75014 Paris/France (1 aut., 3 aut.); Department of Biostatistics and Medical Informatics, Hopital Saint-Louis AP-HP, Université Paris 7, Inserm U717/Paris/France (2 aut.); Department of Dermatology 2, Hôpital Saint Louis AP-HP, 1 Avenue Claude Vellefaux/75475 Paris/France (4 aut.)</AF><DT>Publication en série; Compte-rendu; Niveau analytique</DT><SO>Breast cancer research and treatment; ISSN 0167-6806; Coden BCTRD6; Pays-Bas; Da. 2007; Vol. 101; No. 3; Pp. 285-290; Bibl. 28 ref.</SO><LA>Anglais</LA><EA>Background Treatment of lymphedema is based on intensive decongestive physiotherapy followed by a long-term maintenance treatment. We analyzed the factors influencing lymphedema volume during maintenance treatment. Method Prospective cohort of 537 patients with secondary arm lymphedema were recruited in a single lymphology unit and followed for 12 months. Lymphedema volume was recorded prior to and at the end of intensive treatment, and at month 6 and month 12 follow-up visits. Multivariate models were fitted to analyze the respective role of the three components of complete decongestive therapy, i.e. manual lymph drainage, low stretch bandage, and elastic sleeve, on lymphedema volume during the 1-year maintenance phase therapy. Results Mean volume of lymphedema was 1,054 ± 633 ml prior and 647 ± 351 ml after intensive decongestive physiotherapy. During the 1-year maintenance phase therapy, the mean lymphedema volume slightly increased (84 ml-95% confidence interval [CI]: 56-113). Fifty-two percent of patients had their lymphedema volume increased above 10% from their value at the end of the intensive decongestive physiotherapy treatment phase. Non-compliance to low stretch bandage and elastic sleeve were risk factors for an increased lymphedema after 1-year of maintenance treatment (RR: 1.55 [95% CI: 1.3-1.76]; P < 0.0001 and RR: 1.61 (95% CI: 1.25-1.82); P = 0.002, respectively). Non-compliance to MLD was not a risk factor (RR: 0.99 [95% CI: 0.77-1.2]; P = 0.91). Conclusion During maintenance phase after intensive decongestive physiotherapy, compliance to the use of elastic sleeve and low stretch bandage should be required to stabilize lymphedema volume.</EA><CC>002B20E02; 002B12B04</CC><FD>Long terme; Traitement; Conduite à tenir; Lymphoedème; Physiothérapie; Observance; Cancer du sein</FD><FG>Tumeur maligne; Glande mammaire pathologie; Appareil circulatoire pathologie; Lymphatique pathologie</FG><ED>Long term; Treatment; Clinical management; Lymphedema; Physiotherapy; Compliance; Breast cancer</ED><EG>Malignant tumor; Mammary gland diseases; Cardiovascular disease; Lymphatic vessel disease</EG><SD>Largo plazo; Tratamiento; Actitud médica; Linfedema; Fisioterapia; Observancia; Cáncer de pecho</SD><LO>INIST-20699.354000149916580050</LO><ID>07-0325056</ID></server></inist></record>Pour manipuler ce document sous Unix (Dilib)
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