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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Is Surviving Enough? Coping and Impact on Activities of Daily Living Among Melanoma Patients with Lymphoedema</title><author><name sortKey="Cromwell, Kate D" sort="Cromwell, Kate D" uniqKey="Cromwell K" first="Kate D." last="Cromwell">Kate D. Cromwell</name><affiliation><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff></affiliation></author><author><name sortKey="Chiang, Yi Ju" sort="Chiang, Yi Ju" uniqKey="Chiang Y" first="Yi-Ju" last="Chiang">Yi-Ju Chiang</name><affiliation><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff></affiliation></author><author><name sortKey="Armer, Jane" sort="Armer, Jane" uniqKey="Armer J" first="Jane" last="Armer">Jane Armer</name><affiliation><nlm:aff id="A2">University of Missouri Sinclair School of Nursing, Ellis Fischel Cancer Center, DC 116.05 Suite 408 Columbia, Missouri 65211, United States</nlm:aff></affiliation></author><author><name sortKey="Heppner, Puncky P" sort="Heppner, Puncky P" uniqKey="Heppner P" first="Puncky P." last="Heppner">Puncky P. Heppner</name><affiliation><nlm:aff id="A3">University of Missouri, Department of Educational, School and Counseling Psychology, University of Missouri, 16 Hill Hall, Columbia, Missouri, 65211, United States</nlm:aff></affiliation></author><author><name sortKey="Mungovan, Kristi" sort="Mungovan, Kristi" uniqKey="Mungovan K" first="Kristi" last="Mungovan">Kristi Mungovan</name><affiliation><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff></affiliation></author><author><name sortKey="Ross, Merrick I" sort="Ross, Merrick I" uniqKey="Ross M" first="Merrick I." last="Ross">Merrick I. Ross</name><affiliation><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff></affiliation></author><author><name sortKey="Gershenwald, Jeffrey E" sort="Gershenwald, Jeffrey E" uniqKey="Gershenwald J" first="Jeffrey E." last="Gershenwald">Jeffrey E. Gershenwald</name><affiliation><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff></affiliation></author><author><name sortKey="Lee, Jeffrey E" sort="Lee, Jeffrey E" uniqKey="Lee J" first="Jeffrey E." last="Lee">Jeffrey E. Lee</name><affiliation><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff></affiliation></author><author><name sortKey="Royal, Richard E" sort="Royal, Richard E" uniqKey="Royal R" first="Richard E." last="Royal">Richard E. Royal</name><affiliation><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff></affiliation></author><author><name sortKey="Lucci, Anthony" sort="Lucci, Anthony" uniqKey="Lucci A" first="Anthony" last="Lucci">Anthony Lucci</name><affiliation><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff></affiliation></author><author><name sortKey="Cormier, Janice N" sort="Cormier, Janice N" uniqKey="Cormier J" first="Janice N." last="Cormier">Janice N. Cormier</name><affiliation><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25809989</idno><idno type="pmc">4625843</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4625843</idno><idno type="RBID">PMC:4625843</idno><idno type="doi">10.1111/ecc.12311</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">003939</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003939</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Is Surviving Enough? Coping and Impact on Activities of Daily Living Among Melanoma Patients with Lymphoedema</title><author><name sortKey="Cromwell, Kate D" sort="Cromwell, Kate D" uniqKey="Cromwell K" first="Kate D." last="Cromwell">Kate D. Cromwell</name><affiliation><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff></affiliation></author><author><name sortKey="Chiang, Yi Ju" sort="Chiang, Yi Ju" uniqKey="Chiang Y" first="Yi-Ju" last="Chiang">Yi-Ju Chiang</name><affiliation><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff></affiliation></author><author><name sortKey="Armer, Jane" sort="Armer, Jane" uniqKey="Armer J" first="Jane" last="Armer">Jane Armer</name><affiliation><nlm:aff id="A2">University of Missouri Sinclair School of Nursing, Ellis Fischel Cancer Center, DC 116.05 Suite 408 Columbia, Missouri 65211, United States</nlm:aff></affiliation></author><author><name sortKey="Heppner, Puncky P" sort="Heppner, Puncky P" uniqKey="Heppner P" first="Puncky P." last="Heppner">Puncky P. Heppner</name><affiliation><nlm:aff id="A3">University of Missouri, Department of Educational, School and Counseling Psychology, University of Missouri, 16 Hill Hall, Columbia, Missouri, 65211, United States</nlm:aff></affiliation></author><author><name sortKey="Mungovan, Kristi" sort="Mungovan, Kristi" uniqKey="Mungovan K" first="Kristi" last="Mungovan">Kristi Mungovan</name><affiliation><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff></affiliation></author><author><name sortKey="Ross, Merrick I" sort="Ross, Merrick I" uniqKey="Ross M" first="Merrick I." last="Ross">Merrick I. Ross</name><affiliation><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff></affiliation></author><author><name sortKey="Gershenwald, Jeffrey E" sort="Gershenwald, Jeffrey E" uniqKey="Gershenwald J" first="Jeffrey E." last="Gershenwald">Jeffrey E. Gershenwald</name><affiliation><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff></affiliation></author><author><name sortKey="Lee, Jeffrey E" sort="Lee, Jeffrey E" uniqKey="Lee J" first="Jeffrey E." last="Lee">Jeffrey E. Lee</name><affiliation><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff></affiliation></author><author><name sortKey="Royal, Richard E" sort="Royal, Richard E" uniqKey="Royal R" first="Richard E." last="Royal">Richard E. Royal</name><affiliation><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff></affiliation></author><author><name sortKey="Lucci, Anthony" sort="Lucci, Anthony" uniqKey="Lucci A" first="Anthony" last="Lucci">Anthony Lucci</name><affiliation><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff></affiliation></author><author><name sortKey="Cormier, Janice N" sort="Cormier, Janice N" uniqKey="Cormier J" first="Janice N." last="Cormier">Janice N. Cormier</name><affiliation><nlm:aff id="A1">Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</nlm:aff></affiliation></author></analytic><series><title level="j">European journal of cancer care</title><idno type="ISSN">0961-5423</idno><idno type="eISSN">1365-2354</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">We assessed the impact of lymphoedema (defined as >10% limb volume change) on quality of life (QOL), ability to perform activities of daily living (ADLs), and coping in 277 melanoma patients. Limb volume was measured prospectively, preoperatively, and every 3–6 months for 18 months postoperatively using a perometer. Three questionnaires were administered to measure quality of life, coping and impact on activities of daily living. Statistical analyses were conducted using longitudinal logistic regression models. At 18 months, 31% of patients with upper-extremity nodal basin treatment and 40% of lower extremity nodal basin treatment patients had lymphoedema. Patients with lower-extremity lymphoedema reported lower QOL scores than those with upper-extremity lymphoedema. Over 18 months, both groups with mild and moderate lymphoedema showed improvement in coping (odds ratio [OR]: 7.2, 95% confidence interval [CI]: 3.5–14.5) and performance of ADLs (OR: 6.8, CI: 3.2–14.3). Over the course of 18 months, males were found to have poorer coping scores than females (OR: 2.4, CI: 1.2–5.1). Lymphoedema was associated with improvement in coping over time (p=0.08) and a higher reported interference with ADLs (OR: 2.5, CI: 1.3–5.0), primarily household tasks and sleep. Patient education about lymphoedema at the time of surgical consent may improve self-efficacy and coping ability. Effective management of lymphoedema may improve patient QOL and reduce interference with ADLs.</p></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">9301979</journal-id><journal-id journal-id-type="pubmed-jr-id">20228</journal-id><journal-id journal-id-type="nlm-ta">Eur J Cancer Care (Engl)</journal-id><journal-id journal-id-type="iso-abbrev">Eur J Cancer Care (Engl)</journal-id><journal-title-group><journal-title>European journal of cancer care</journal-title></journal-title-group><issn pub-type="ppub">0961-5423</issn><issn pub-type="epub">1365-2354</issn></journal-meta><article-meta><article-id pub-id-type="pmid">25809989</article-id><article-id pub-id-type="pmc">4625843</article-id><article-id pub-id-type="doi">10.1111/ecc.12311</article-id><article-id pub-id-type="manuscript">NIHMS731154</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Is Surviving Enough? Coping and Impact on Activities of Daily Living Among Melanoma Patients with Lymphoedema</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Cromwell</surname><given-names>Kate D.</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib><contrib contrib-type="author"><name><surname>Chiang</surname><given-names>Yi-Ju</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib><contrib contrib-type="author"><name><surname>Armer</surname><given-names>Jane</given-names></name><xref ref-type="aff" rid="A2">b</xref></contrib><contrib contrib-type="author"><name><surname>Heppner</surname><given-names>Puncky P.</given-names></name><xref ref-type="aff" rid="A3">c</xref></contrib><contrib contrib-type="author"><name><surname>Mungovan</surname><given-names>Kristi</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib><contrib contrib-type="author"><name><surname>Ross</surname><given-names>Merrick I.</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib><contrib contrib-type="author"><name><surname>Gershenwald</surname><given-names>Jeffrey E.</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Jeffrey E.</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib><contrib contrib-type="author"><name><surname>Royal</surname><given-names>Richard E.</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib><contrib contrib-type="author"><name><surname>Lucci</surname><given-names>Anthony</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib><contrib contrib-type="author"><name><surname>Cormier</surname><given-names>Janice N.</given-names></name><xref ref-type="aff" rid="A1">a</xref><xref ref-type="corresp" rid="cor1">*</xref></contrib></contrib-group><aff id="A1"><label>a</label>Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230, United States</aff><aff id="A2"><label>b</label>University of Missouri Sinclair School of Nursing, Ellis Fischel Cancer Center, DC 116.05 Suite 408 Columbia, Missouri 65211, United States</aff><aff id="A3"><label>c</label>University of Missouri, Department of Educational, School and Counseling Psychology, University of Missouri, 16 Hill Hall, Columbia, Missouri, 65211, United States</aff><author-notes><corresp id="cor1"><label>*</label><italic>Corresponding Author:</italic> Department of Surgical Oncology, Unit 1484, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, Texas 77230-1402, United States. Tel: +1 7137927218. Fax: +1 7137454926. <email>jcormier@mdanderson.org</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>23</day><month>10</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>24</day><month>3</month><year>2015</year></pub-date><pub-date pub-type="ppub"><month>9</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>9</month><year>2016</year></pub-date><volume>24</volume><issue>5</issue><fpage>724</fpage><lpage>733</lpage><pmc-comment>elocation-id from pubmed: 10.1111/ecc.12311</pmc-comment>
<abstract><p id="P1">We assessed the impact of lymphoedema (defined as >10% limb volume change) on quality of life (QOL), ability to perform activities of daily living (ADLs), and coping in 277 melanoma patients. Limb volume was measured prospectively, preoperatively, and every 3–6 months for 18 months postoperatively using a perometer. Three questionnaires were administered to measure quality of life, coping and impact on activities of daily living. Statistical analyses were conducted using longitudinal logistic regression models. At 18 months, 31% of patients with upper-extremity nodal basin treatment and 40% of lower extremity nodal basin treatment patients had lymphoedema. Patients with lower-extremity lymphoedema reported lower QOL scores than those with upper-extremity lymphoedema. Over 18 months, both groups with mild and moderate lymphoedema showed improvement in coping (odds ratio [OR]: 7.2, 95% confidence interval [CI]: 3.5–14.5) and performance of ADLs (OR: 6.8, CI: 3.2–14.3). Over the course of 18 months, males were found to have poorer coping scores than females (OR: 2.4, CI: 1.2–5.1). Lymphoedema was associated with improvement in coping over time (p=0.08) and a higher reported interference with ADLs (OR: 2.5, CI: 1.3–5.0), primarily household tasks and sleep. Patient education about lymphoedema at the time of surgical consent may improve self-efficacy and coping ability. Effective management of lymphoedema may improve patient QOL and reduce interference with ADLs.</p></abstract><kwd-group><kwd>melanoma</kwd><kwd>quality of life</kwd><kwd>patient outcome assessment</kwd><kwd>lymphatic disorders</kwd><kwd>coping skills</kwd><kwd>self-efficacy</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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