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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Prescription and Adherence to Lymphedema Self-Care Modalities among Women with Breast Cancer-Related Lymphedema</title><author><name sortKey="Brown, Justin C" sort="Brown, Justin C" uniqKey="Brown J" first="Justin C." last="Brown">Justin C. Brown</name><affiliation><nlm:aff id="A1">University of Pennsylvania, Philadelphia, Pennsylvania</nlm:aff></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><nlm:aff id="A2">Mayo Clinic, Rochester, Minnesota</nlm:aff></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><nlm:aff id="A1">University of Pennsylvania, Philadelphia, Pennsylvania</nlm:aff></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><nlm:aff id="A3">University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></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><nlm:aff id="A1">University of Pennsylvania, Philadelphia, Pennsylvania</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24013569</idno><idno type="pmc">4122426</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4122426</idno><idno type="RBID">PMC:4122426</idno><idno type="doi">10.1007/s00520-013-1962-9</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">003944</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003944</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Prescription and Adherence to Lymphedema Self-Care Modalities among Women with Breast Cancer-Related Lymphedema</title><author><name sortKey="Brown, Justin C" sort="Brown, Justin C" uniqKey="Brown J" first="Justin C." last="Brown">Justin C. Brown</name><affiliation><nlm:aff id="A1">University of Pennsylvania, Philadelphia, Pennsylvania</nlm:aff></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><nlm:aff id="A2">Mayo Clinic, Rochester, Minnesota</nlm:aff></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><nlm:aff id="A1">University of Pennsylvania, Philadelphia, Pennsylvania</nlm:aff></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><nlm:aff id="A3">University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff></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><nlm:aff id="A1">University of Pennsylvania, Philadelphia, Pennsylvania</nlm:aff></affiliation></author></analytic><series><title level="j">Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</title><idno type="ISSN">0941-4355</idno><idno type="eISSN">1433-7339</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title><p id="P1">To profile the prescription for and adherence to breast cancer related lymphedema (BCRL) self-care modalities among breast cancer (BrCa) survivors with BCRL in a 12-month randomized weightlifting trial.</p></sec><sec id="S2"><title>Methods</title><p id="P2">We developed a questionnaire that assessed prescription for and adherence to 10 BCRL self-care modalities that included physical therapy exercise, pneumatic compression pump, medication, lymphedema bandaging, arm elevation, self-administered lymphatic drainage, therapist-administered lymphatic drainage, compression garments, skin care, and taping. We measured prescription for and adherence to BCRL self-care modalities at baseline, 3-, 6-, and 12-months. Longitudinal logistic regression was used to estimate the odds ratio (OR) and 95% confidence interval (95% CI) associated with prescription for and adherence to BCRL modalities over time.</p></sec><sec id="S3"><title>Results</title><p id="P3">This study included 141 BrCa survivors with BCRL. Women were prescribed an average of 3.6±2.1 BCRL self-care modalities during the study. The prescription of therapistadministered lymphatic drainage (OR=0.92, 95% CI: 0.88–0.96), pneumatic compression pump use (OR=0.94, 95% CI: 0.89–0.98), and bandaging (OR=0.96, 95% CI: 0.93–0.99) decreased over 12-months of follow-up. No other prescribed BCRL self-care modalities changed during the study. Over 12-months, the average adherence to all BCRL self-care modalities varied with 13%, 24%, 32%, and 31% of women reporting <25%, 25–49%, 50–74%, and ≥75% adherence, respectively. Over 12-months, there was a noticeable change from high to low adherence in self-administered lymphatic drainage, such that there was a 15% increased likelihood of adherence <25% compared to ≥75% (OR=1.15 (95% CI: 1.05–1.26); p=0.002). The adherence patterns of all other modalities did not change over follow-up.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Our findings suggest the prescription of BCRL self-care modalities is variable. The average adherence to BCRL self-care was non-optimal. Future research is necessary to prepare BrCa survivors with the knowledge, skills, abilities, and resources necessary to care for this lifelong condition.</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">9302957</journal-id><journal-id journal-id-type="pubmed-jr-id">8479</journal-id><journal-id journal-id-type="nlm-ta">Support Care Cancer</journal-id><journal-id journal-id-type="iso-abbrev">Support Care Cancer</journal-id><journal-title-group><journal-title>Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</journal-title></journal-title-group><issn pub-type="ppub">0941-4355</issn><issn pub-type="epub">1433-7339</issn></journal-meta><article-meta><article-id pub-id-type="pmid">24013569</article-id><article-id pub-id-type="pmc">4122426</article-id><article-id pub-id-type="doi">10.1007/s00520-013-1962-9</article-id><article-id pub-id-type="manuscript">NIHMS602236</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Prescription and Adherence to Lymphedema Self-Care Modalities 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>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>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="FN1">Correspondence to: 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>12</day><month>6</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>07</day><month>9</month><year>2013</year></pub-date><pub-date pub-type="ppub"><month>1</month><year>2014</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>1</month><year>2015</year></pub-date><volume>22</volume><issue>1</issue><fpage>135</fpage><lpage>143</lpage><pmc-comment>elocation-id from pubmed: 10.1007/s00520-013-1962-9</pmc-comment>
<abstract><sec id="S1"><title>Purpose</title><p id="P1">To profile the prescription for and adherence to breast cancer related lymphedema (BCRL) self-care modalities among breast cancer (BrCa) survivors with BCRL in a 12-month randomized weightlifting trial.</p></sec><sec id="S2"><title>Methods</title><p id="P2">We developed a questionnaire that assessed prescription for and adherence to 10 BCRL self-care modalities that included physical therapy exercise, pneumatic compression pump, medication, lymphedema bandaging, arm elevation, self-administered lymphatic drainage, therapist-administered lymphatic drainage, compression garments, skin care, and taping. We measured prescription for and adherence to BCRL self-care modalities at baseline, 3-, 6-, and 12-months. Longitudinal logistic regression was used to estimate the odds ratio (OR) and 95% confidence interval (95% CI) associated with prescription for and adherence to BCRL modalities over time.</p></sec><sec id="S3"><title>Results</title><p id="P3">This study included 141 BrCa survivors with BCRL. Women were prescribed an average of 3.6±2.1 BCRL self-care modalities during the study. The prescription of therapistadministered lymphatic drainage (OR=0.92, 95% CI: 0.88–0.96), pneumatic compression pump use (OR=0.94, 95% CI: 0.89–0.98), and bandaging (OR=0.96, 95% CI: 0.93–0.99) decreased over 12-months of follow-up. No other prescribed BCRL self-care modalities changed during the study. Over 12-months, the average adherence to all BCRL self-care modalities varied with 13%, 24%, 32%, and 31% of women reporting <25%, 25–49%, 50–74%, and ≥75% adherence, respectively. Over 12-months, there was a noticeable change from high to low adherence in self-administered lymphatic drainage, such that there was a 15% increased likelihood of adherence <25% compared to ≥75% (OR=1.15 (95% CI: 1.05–1.26); p=0.002). The adherence patterns of all other modalities did not change over follow-up.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Our findings suggest the prescription of BCRL self-care modalities is variable. The average adherence to BCRL self-care was non-optimal. Future research is necessary to prepare BrCa survivors with the knowledge, skills, abilities, and resources necessary to care for this lifelong condition.</p></sec></abstract><kwd-group><kwd>compression</kwd><kwd>self-care</kwd><kwd>compliance</kwd><kwd>management</kwd><kwd>quality-of-life</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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