Association between Lymphedema Self-Care Adherence and Lymphedema Outcomes among Women with Breast Cancer-Related Lymphedema
Identifieur interne : 001489 ( Pmc/Checkpoint ); précédent : 001488; suivant : 001490Association between Lymphedema Self-Care Adherence and Lymphedema Outcomes among Women with Breast Cancer-Related Lymphedema
Auteurs : Justin C. Brown [États-Unis] ; Anagha Kumar [États-Unis] ; Andrea L. Cheville [États-Unis] ; Julia C. Tchou [États-Unis] ; Andrea B. Troxel [États-Unis] ; Susan R. Harris [Canada] ; Kathryn H. Schmitz [États-Unis]Source :
- American journal of physical medicine & rehabilitation / Association of Academic Physiatrists [ 0894-9115 ] ; 2015.
Abstract
To determine if adherence to self-care modalities for breast cancer-related lymphedema (BCRL) predicts BCRL outcomes among 128 breast cancer (BrCa) survivors who participated in the 12-month physical activity and lymphedema (PAL) trial.
This was a prospective cohort study. Adherence to 10 BCRL self-care modalities, as recommended in the clinical practice guidelines for the management of BCRL was assessed by questionnaire at baseline. BCRL outcomes assessed at baseline and 12-months included volumetry, circumferences, bioimpedence spectroscopy, the Norman lymphedema survey, and clinician-defined lymphedema exacerbations requiring treatment. Generalized linear models were used to estimate the relationship between adherence to BCRL self-care modalities and the likelihood of experiencing a BCRL outcome.
Adherence to BCRL self-care activities did not predict experiencing any BCRL outcomes at 12-months. Levels of adherence to BCRL self-care modalities did not predict a ≥5% decrease in interlimb volume (
Our findings suggest levels of BCRL self-care adherence do not predict BCRL outcomes among BrCa survivors with stable lymphedema who were followed for 12-months.
Url:
DOI: 10.1097/PHM.0000000000000178
PubMed: 25171662
PubMed Central: 4344918
Affiliations:
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Brown</name><affiliation wicri:level="2"><nlm:aff id="A1">University of Pennsylvania, Philadelphia, Pennsylvania</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Kumar, Anagha" sort="Kumar, Anagha" uniqKey="Kumar A" first="Anagha" last="Kumar">Anagha Kumar</name><affiliation wicri:level="2"><nlm:aff id="A1">University of Pennsylvania, Philadelphia, Pennsylvania</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Cheville, Andrea L" sort="Cheville, Andrea L" uniqKey="Cheville A" first="Andrea L." last="Cheville">Andrea L. 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Brown</name><affiliation wicri:level="2"><nlm:aff id="A1">University of Pennsylvania, Philadelphia, Pennsylvania</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Kumar, Anagha" sort="Kumar, Anagha" uniqKey="Kumar A" first="Anagha" last="Kumar">Anagha Kumar</name><affiliation wicri:level="2"><nlm:aff id="A1">University of Pennsylvania, Philadelphia, Pennsylvania</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Cheville, Andrea L" sort="Cheville, Andrea L" uniqKey="Cheville A" first="Andrea L." last="Cheville">Andrea L. Cheville</name><affiliation wicri:level="2"><nlm:aff id="A2">Mayo Clinic, Rochester, Minnesota</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Minnesota</region></placeName><wicri:cityArea>Mayo Clinic, Rochester</wicri:cityArea></affiliation></author><author><name sortKey="Tchou, Julia C" sort="Tchou, Julia C" uniqKey="Tchou J" first="Julia C." last="Tchou">Julia C. Tchou</name><affiliation wicri:level="2"><nlm:aff id="A1">University of Pennsylvania, Philadelphia, Pennsylvania</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Troxel, Andrea B" sort="Troxel, Andrea B" uniqKey="Troxel A" first="Andrea B." last="Troxel">Andrea B. Troxel</name><affiliation wicri:level="2"><nlm:aff id="A1">University of Pennsylvania, Philadelphia, Pennsylvania</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Harris, Susan R" sort="Harris, Susan R" uniqKey="Harris S" first="Susan R." last="Harris">Susan R. Harris</name><affiliation wicri:level="1"><nlm:aff id="A3">University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>University of British Columbia, Vancouver, British Columbia</wicri:regionArea><wicri:noRegion>British Columbia</wicri:noRegion></affiliation></author><author><name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H." last="Schmitz">Kathryn H. Schmitz</name><affiliation wicri:level="2"><nlm:aff id="A1">University of Pennsylvania, Philadelphia, Pennsylvania</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation></author></analytic><series><title level="j">American journal of physical medicine & rehabilitation / Association of Academic Physiatrists</title><idno type="ISSN">0894-9115</idno><idno type="eISSN">1537-7385</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title><p id="P1">To determine if adherence to self-care modalities for breast cancer-related lymphedema (BCRL) predicts BCRL outcomes among 128 breast cancer (BrCa) survivors who participated in the 12-month physical activity and lymphedema (PAL) trial.</p></sec><sec id="S2"><title>Design</title><p id="P2">This was a prospective cohort study. Adherence to 10 BCRL self-care modalities, as recommended in the clinical practice guidelines for the management of BCRL was assessed by questionnaire at baseline. BCRL outcomes assessed at baseline and 12-months included volumetry, circumferences, bioimpedence spectroscopy, the Norman lymphedema survey, and clinician-defined lymphedema exacerbations requiring treatment. Generalized linear models were used to estimate the relationship between adherence to BCRL self-care modalities and the likelihood of experiencing a BCRL outcome.</p></sec><sec id="S3"><title>Results</title><p id="P3">Adherence to BCRL self-care activities did not predict experiencing any BCRL outcomes at 12-months. Levels of adherence to BCRL self-care modalities did not predict a ≥5% decrease in interlimb volume (<italic>P</italic><sub>trend</sub>=0.79), ≥5% decrease in the sum of interlimb arm circumferences (<italic>P</italic><sub>trend</sub>=0.47), ≥10% decrease in bioimpedence spectroscopy (<italic>P</italic><sub>trend</sub>=0.83), ≥1 decrease in self-reported lymphedema symptoms (<italic>P</italic><sub>trend</sub>=0.91), or clinician-defined lymphedema exacerbation requiring treatment (<italic>P</italic><sub>trend</sub>=0.84).</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Our findings suggest levels of BCRL self-care adherence do not predict BCRL outcomes among BrCa survivors with stable lymphedema who were followed for 12-months.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8803677</journal-id><journal-id journal-id-type="pubmed-jr-id">1523</journal-id><journal-id journal-id-type="nlm-ta">Am J Phys Med Rehabil</journal-id><journal-id journal-id-type="iso-abbrev">Am J Phys Med Rehabil</journal-id><journal-title-group><journal-title>American journal of physical medicine & rehabilitation / Association of Academic Physiatrists</journal-title></journal-title-group><issn pub-type="ppub">0894-9115</issn><issn pub-type="epub">1537-7385</issn></journal-meta><article-meta><article-id pub-id-type="pmid">25171662</article-id><article-id pub-id-type="pmc">4344918</article-id><article-id pub-id-type="doi">10.1097/PHM.0000000000000178</article-id><article-id pub-id-type="manuscript">NIHMS600184</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Association between Lymphedema Self-Care Adherence and Lymphedema Outcomes among Women with Breast Cancer-Related Lymphedema</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Brown</surname><given-names>Justin C.</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Kumar</surname><given-names>Anagha</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Cheville</surname><given-names>Andrea L.</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Tchou</surname><given-names>Julia C.</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Troxel</surname><given-names>Andrea B.</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Harris</surname><given-names>Susan R.</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Schmitz</surname><given-names>Kathryn H.</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib></contrib-group><aff id="A1"><label>1</label>University of Pennsylvania, Philadelphia, Pennsylvania</aff><aff id="A2"><label>2</label>Mayo Clinic, Rochester, Minnesota</aff><aff id="A3"><label>3</label>University of British Columbia, Vancouver, British Columbia, Canada</aff><author-notes><corresp id="CR1"><underline>Correspondence to:</underline> Kathryn H. Schmitz University of Pennsylvania School of Medicine 423 Guardian Drive 8<sup>th</sup> Floor, Blockley Hall Philadelphia, PA 19104 Phone: 215–898–6604 Fax: 251–573–5311 <email>schmitz@mail.med.upenn.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>10</day><month>6</month><year>2014</year></pub-date><pub-date pub-type="ppub"><month>4</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>4</month><year>2016</year></pub-date><volume>94</volume><issue>4</issue><fpage>288</fpage><lpage>296</lpage><pmc-comment>elocation-id from pubmed: 10.1097/PHM.0000000000000178</pmc-comment>
<abstract><sec id="S1"><title>Objective</title><p id="P1">To determine if adherence to self-care modalities for breast cancer-related lymphedema (BCRL) predicts BCRL outcomes among 128 breast cancer (BrCa) survivors who participated in the 12-month physical activity and lymphedema (PAL) trial.</p></sec><sec id="S2"><title>Design</title><p id="P2">This was a prospective cohort study. Adherence to 10 BCRL self-care modalities, as recommended in the clinical practice guidelines for the management of BCRL was assessed by questionnaire at baseline. BCRL outcomes assessed at baseline and 12-months included volumetry, circumferences, bioimpedence spectroscopy, the Norman lymphedema survey, and clinician-defined lymphedema exacerbations requiring treatment. Generalized linear models were used to estimate the relationship between adherence to BCRL self-care modalities and the likelihood of experiencing a BCRL outcome.</p></sec><sec id="S3"><title>Results</title><p id="P3">Adherence to BCRL self-care activities did not predict experiencing any BCRL outcomes at 12-months. Levels of adherence to BCRL self-care modalities did not predict a ≥5% decrease in interlimb volume (<italic>P</italic><sub>trend</sub>=0.79), ≥5% decrease in the sum of interlimb arm circumferences (<italic>P</italic><sub>trend</sub>=0.47), ≥10% decrease in bioimpedence spectroscopy (<italic>P</italic><sub>trend</sub>=0.83), ≥1 decrease in self-reported lymphedema symptoms (<italic>P</italic><sub>trend</sub>=0.91), or clinician-defined lymphedema exacerbation requiring treatment (<italic>P</italic><sub>trend</sub>=0.84).</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Our findings suggest levels of BCRL self-care adherence do not predict BCRL outcomes among BrCa survivors with stable lymphedema who were followed for 12-months.</p></sec></abstract><kwd-group><kwd>compliance</kwd><kwd>physiotherapy</kwd><kwd>clinical guidelines</kwd><kwd>measurement</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Canada</li><li>États-Unis</li></country><region><li>Minnesota</li><li>Pennsylvanie</li></region></list><tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Brown, Justin C" sort="Brown, Justin C" uniqKey="Brown J" first="Justin C." last="Brown">Justin C. Brown</name></region><name sortKey="Cheville, Andrea L" sort="Cheville, Andrea L" uniqKey="Cheville A" first="Andrea L." last="Cheville">Andrea L. Cheville</name><name sortKey="Kumar, Anagha" sort="Kumar, Anagha" uniqKey="Kumar A" first="Anagha" last="Kumar">Anagha Kumar</name><name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H." last="Schmitz">Kathryn H. Schmitz</name><name sortKey="Tchou, Julia C" sort="Tchou, Julia C" uniqKey="Tchou J" first="Julia C." last="Tchou">Julia C. Tchou</name><name sortKey="Troxel, Andrea B" sort="Troxel, Andrea B" uniqKey="Troxel A" first="Andrea B." last="Troxel">Andrea B. Troxel</name></country><country name="Canada"><noRegion><name sortKey="Harris, Susan R" sort="Harris, Susan R" uniqKey="Harris S" first="Susan R." last="Harris">Susan R. Harris</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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