Swelling among women who need education about leg lymphedema (SWELL): A descriptive study of lymphedema in women undergoing surgery for endometrial cancer
Identifieur interne : 003903 ( Pmc/Corpus ); précédent : 003902; suivant : 003904Swelling among women who need education about leg lymphedema (SWELL): A descriptive study of lymphedema in women undergoing surgery for endometrial cancer
Auteurs : Ritu Salani ; Megan M. Preston ; Erinn M. Hade ; Jessica Johns ; Jeffrey M. Fowler ; Electra P. Paskett ; Mira L. KatzSource :
- International journal of gynecological cancer : official journal of the International Gynecological Cancer Society [ 1048-891X ] ; 2014.
Abstract
In addition to hysterectomy and bilateral salpingo-oophorectomy, comprehensive surgical staging for endometrial cancer includes pelvic and para-aortic lymphadenectomy. Clarifying and addressing the morbidity from these surgical procedures is imperative. The goal of this study was to assess the prevalence of lower extremity swelling following surgery for endometrial cancer.
We performed a descriptive, cross-sectional survey study of women who underwent surgery for endometrial cancer at our institution from 2006–2008. Survey information included symptoms, management, and education regarding lymphedema. Demographic information such as race and education was collected in addition to clinical data such as body mass index (BMI) and age.
Of the 482 patients identified, 440 were determined eligible and 305 (69.3%) responded to the survey with information on lower limb swelling (LLS). Of the 108 (35%) responders who reported swelling, only 68 (22%) participants reported a diagnosis of lower limb lymphedema (LLL). The most commonly experienced symptoms among those who reported LLS were tightness, pain/tenderness and heaviness. Among those with a diagnosis of LLL, a majority (60%) stated it affected their daily activities and noted exacerbating factors such as prolonged standing, heat, and walking. The most common therapies utilized to reduce symptoms included leg elevation (96%), compression stockings (65%), diuretics (46%), massage therapy (35%), and bandaging (25%). There was no association between LLS or LLL diagnosis and BMI, age, race, tobacco use. Only 8% of responders reported receiving preoperative education regarding risks for LLS and a desire for more comprehensive education was frequently noted.
The patient-reported incidence of LLS occurred in approximately 35% of survey participants who underwent surgery for endometrial cancer. However, only 22% reported a diagnosis of LLL. Efforts to obtain the true incidence of LLL and to develop effective educational materials and programs to improve the management of lymphedema are warranted.
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DOI: 10.1097/IGC.0000000000000226
PubMed: 25078342
PubMed Central: 4174725
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Swelling among women who need education about leg lymphedema (SWELL): A descriptive study of lymphedema in women undergoing surgery for endometrial cancer</title><author><name sortKey="Salani, Ritu" sort="Salani, Ritu" uniqKey="Salani R" first="Ritu" last="Salani">Ritu Salani</name><affiliation><nlm:aff id="A1">Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The Ohio State University Wexner Medical Center, Columbus, Ohio</nlm:aff></affiliation></author><author><name sortKey="Preston, Megan M" sort="Preston, Megan M" uniqKey="Preston M" first="Megan M." last="Preston">Megan M. Preston</name><affiliation><nlm:aff id="A1">Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The Ohio State University Wexner Medical Center, Columbus, Ohio</nlm:aff></affiliation></author><author><name sortKey="Hade, Erinn M" sort="Hade, Erinn M" uniqKey="Hade E" first="Erinn M." last="Hade">Erinn M. Hade</name><affiliation><nlm:aff id="A2">Center for Biostatistics, The Ohio State University, Columbus, Ohio</nlm:aff></affiliation></author><author><name sortKey="Johns, Jessica" sort="Johns, Jessica" uniqKey="Johns J" first="Jessica" last="Johns">Jessica Johns</name><affiliation><nlm:aff id="A1">Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The Ohio State University Wexner Medical Center, Columbus, Ohio</nlm:aff></affiliation></author><author><name sortKey="Fowler, Jeffrey M" sort="Fowler, Jeffrey M" uniqKey="Fowler J" first="Jeffrey M." last="Fowler">Jeffrey M. Fowler</name><affiliation><nlm:aff id="A1">Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The Ohio State University Wexner Medical Center, Columbus, Ohio</nlm:aff></affiliation></author><author><name sortKey="Paskett, Electra P" sort="Paskett, Electra P" uniqKey="Paskett E" first="Electra P." last="Paskett">Electra P. Paskett</name><affiliation><nlm:aff id="A3">Division of Cancer Prevention and Control, College of Medicine, College of Public Health, Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio</nlm:aff></affiliation></author><author><name sortKey="Katz, Mira L" sort="Katz, Mira L" uniqKey="Katz M" first="Mira L." last="Katz">Mira L. Katz</name><affiliation><nlm:aff id="A3">Division of Cancer Prevention and Control, College of Medicine, College of Public Health, Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25078342</idno><idno type="pmc">4174725</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4174725</idno><idno type="RBID">PMC:4174725</idno><idno type="doi">10.1097/IGC.0000000000000226</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">003903</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003903</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Swelling among women who need education about leg lymphedema (SWELL): A descriptive study of lymphedema in women undergoing surgery for endometrial cancer</title><author><name sortKey="Salani, Ritu" sort="Salani, Ritu" uniqKey="Salani R" first="Ritu" last="Salani">Ritu Salani</name><affiliation><nlm:aff id="A1">Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The Ohio State University Wexner Medical Center, Columbus, Ohio</nlm:aff></affiliation></author><author><name sortKey="Preston, Megan M" sort="Preston, Megan M" uniqKey="Preston M" first="Megan M." last="Preston">Megan M. Preston</name><affiliation><nlm:aff id="A1">Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The Ohio State University Wexner Medical Center, Columbus, Ohio</nlm:aff></affiliation></author><author><name sortKey="Hade, Erinn M" sort="Hade, Erinn M" uniqKey="Hade E" first="Erinn M." last="Hade">Erinn M. Hade</name><affiliation><nlm:aff id="A2">Center for Biostatistics, The Ohio State University, Columbus, Ohio</nlm:aff></affiliation></author><author><name sortKey="Johns, Jessica" sort="Johns, Jessica" uniqKey="Johns J" first="Jessica" last="Johns">Jessica Johns</name><affiliation><nlm:aff id="A1">Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The Ohio State University Wexner Medical Center, Columbus, Ohio</nlm:aff></affiliation></author><author><name sortKey="Fowler, Jeffrey M" sort="Fowler, Jeffrey M" uniqKey="Fowler J" first="Jeffrey M." last="Fowler">Jeffrey M. Fowler</name><affiliation><nlm:aff id="A1">Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The Ohio State University Wexner Medical Center, Columbus, Ohio</nlm:aff></affiliation></author><author><name sortKey="Paskett, Electra P" sort="Paskett, Electra P" uniqKey="Paskett E" first="Electra P." last="Paskett">Electra P. Paskett</name><affiliation><nlm:aff id="A3">Division of Cancer Prevention and Control, College of Medicine, College of Public Health, Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio</nlm:aff></affiliation></author><author><name sortKey="Katz, Mira L" sort="Katz, Mira L" uniqKey="Katz M" first="Mira L." last="Katz">Mira L. Katz</name><affiliation><nlm:aff id="A3">Division of Cancer Prevention and Control, College of Medicine, College of Public Health, Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio</nlm:aff></affiliation></author></analytic><series><title level="j">International journal of gynecological cancer : official journal of the International Gynecological Cancer Society</title><idno type="ISSN">1048-891X</idno><idno type="eISSN">1525-1438</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title><p id="P1">In addition to hysterectomy and bilateral salpingo-oophorectomy, comprehensive surgical staging for endometrial cancer includes pelvic and para-aortic lymphadenectomy. Clarifying and addressing the morbidity from these surgical procedures is imperative. The goal of this study was to assess the prevalence of lower extremity swelling following surgery for endometrial cancer.</p></sec><sec id="S2"><title>Methods/materials</title><p id="P2">We performed a descriptive, cross-sectional survey study of women who underwent surgery for endometrial cancer at our institution from 2006–2008. Survey information included symptoms, management, and education regarding lymphedema. Demographic information such as race and education was collected in addition to clinical data such as body mass index (BMI) and age.</p></sec><sec id="S3"><title>Results</title><p id="P3">Of the 482 patients identified, 440 were determined eligible and 305 (69.3%) responded to the survey with information on lower limb swelling (LLS). Of the 108 (35%) responders who reported swelling, only 68 (22%) participants reported a diagnosis of lower limb lymphedema (LLL). The most commonly experienced symptoms among those who reported LLS were tightness, pain/tenderness and heaviness. Among those with a diagnosis of LLL, a majority (60%) stated it affected their daily activities and noted exacerbating factors such as prolonged standing, heat, and walking. The most common therapies utilized to reduce symptoms included leg elevation (96%), compression stockings (65%), diuretics (46%), massage therapy (35%), and bandaging (25%). There was no association between LLS or LLL diagnosis and BMI, age, race, tobacco use. Only 8% of responders reported receiving preoperative education regarding risks for LLS and a desire for more comprehensive education was frequently noted.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">The patient-reported incidence of LLS occurred in approximately 35% of survey participants who underwent surgery for endometrial cancer. However, only 22% reported a diagnosis of LLL. Efforts to obtain the true incidence of LLL and to develop effective educational materials and programs to improve the management of lymphedema are warranted.</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">9111626</journal-id><journal-id journal-id-type="pubmed-jr-id">22047</journal-id><journal-id journal-id-type="nlm-ta">Int J Gynecol Cancer</journal-id><journal-id journal-id-type="iso-abbrev">Int. J. Gynecol. Cancer</journal-id><journal-title-group><journal-title>International journal of gynecological cancer : official journal of the International Gynecological Cancer Society</journal-title></journal-title-group><issn pub-type="ppub">1048-891X</issn><issn pub-type="epub">1525-1438</issn></journal-meta><article-meta><article-id pub-id-type="pmid">25078342</article-id><article-id pub-id-type="pmc">4174725</article-id><article-id pub-id-type="doi">10.1097/IGC.0000000000000226</article-id><article-id pub-id-type="manuscript">NIHMS609962</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Swelling among women who need education about leg lymphedema (SWELL): A descriptive study of lymphedema in women undergoing surgery for endometrial cancer</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Salani</surname><given-names>Ritu</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Preston</surname><given-names>Megan M.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Hade</surname><given-names>Erinn M.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Johns</surname><given-names>Jessica</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Fowler</surname><given-names>Jeffrey M.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Paskett</surname><given-names>Electra P.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Katz</surname><given-names>Mira L.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A3">3</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The Ohio State University Wexner Medical Center, Columbus, Ohio</aff><aff id="A2"><label>2</label>Center for Biostatistics, The Ohio State University, Columbus, Ohio</aff><aff id="A3"><label>3</label>Division of Cancer Prevention and Control, College of Medicine, College of Public Health, Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio</aff><author-notes><corresp id="FN1">Corresponding author: Ritu Salani M.D., M.B.A., Division of Gynecologic Oncology, Department of Obstetrics & Gynecology, The Ohio State University, 320 W 10<sup>th</sup> Avenue, M210 Starling Loving, Columbus, Ohio 43210, Phone: 614-293-7642, Fax: 614-366-7942, <email>ritu.salani@osumc.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>2</day><month>7</month><year>2014</year></pub-date><pub-date pub-type="ppub"><month>10</month><year>2014</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>10</month><year>2015</year></pub-date><volume>24</volume><issue>8</issue><fpage>1507</fpage><lpage>1512</lpage><pmc-comment>elocation-id from pubmed: 10.1097/IGC.0000000000000226</pmc-comment>
<abstract><sec id="S1"><title>Objectives</title><p id="P1">In addition to hysterectomy and bilateral salpingo-oophorectomy, comprehensive surgical staging for endometrial cancer includes pelvic and para-aortic lymphadenectomy. Clarifying and addressing the morbidity from these surgical procedures is imperative. The goal of this study was to assess the prevalence of lower extremity swelling following surgery for endometrial cancer.</p></sec><sec id="S2"><title>Methods/materials</title><p id="P2">We performed a descriptive, cross-sectional survey study of women who underwent surgery for endometrial cancer at our institution from 2006–2008. Survey information included symptoms, management, and education regarding lymphedema. Demographic information such as race and education was collected in addition to clinical data such as body mass index (BMI) and age.</p></sec><sec id="S3"><title>Results</title><p id="P3">Of the 482 patients identified, 440 were determined eligible and 305 (69.3%) responded to the survey with information on lower limb swelling (LLS). Of the 108 (35%) responders who reported swelling, only 68 (22%) participants reported a diagnosis of lower limb lymphedema (LLL). The most commonly experienced symptoms among those who reported LLS were tightness, pain/tenderness and heaviness. Among those with a diagnosis of LLL, a majority (60%) stated it affected their daily activities and noted exacerbating factors such as prolonged standing, heat, and walking. The most common therapies utilized to reduce symptoms included leg elevation (96%), compression stockings (65%), diuretics (46%), massage therapy (35%), and bandaging (25%). There was no association between LLS or LLL diagnosis and BMI, age, race, tobacco use. Only 8% of responders reported receiving preoperative education regarding risks for LLS and a desire for more comprehensive education was frequently noted.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">The patient-reported incidence of LLS occurred in approximately 35% of survey participants who underwent surgery for endometrial cancer. However, only 22% reported a diagnosis of LLL. Efforts to obtain the true incidence of LLL and to develop effective educational materials and programs to improve the management of lymphedema are warranted.</p></sec></abstract><kwd-group><kwd>lower limb lymphedema</kwd><kwd>endometrial cancer</kwd><kwd>lower limb swelling</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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