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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Lifestyle Risk Factors Associated with Arm Swelling among Women with Breast Cancer</title><author><name sortKey="Showalter, Shayna L" sort="Showalter, Shayna L" uniqKey="Showalter S" first="Shayna L." last="Showalter">Shayna L. Showalter</name><affiliation><nlm:aff id="A1">Department of Surgery, University of Pennsylvania, Philadelphia, PA 19104</nlm:aff></affiliation></author><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="A2">Center for Clinical Epidemiology and Biostatistics University of Pennsylvania, Philadelphia, PA 19104</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="A3">Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN 55905</nlm:aff></affiliation></author><author><name sortKey="Fisher, Carla S" sort="Fisher, Carla S" uniqKey="Fisher C" first="Carla S." last="Fisher">Carla S. Fisher</name><affiliation><nlm:aff id="A1">Department of Surgery, University of Pennsylvania, Philadelphia, PA 19104</nlm:aff></affiliation></author><author><name sortKey="Sataloff, Dahlia" sort="Sataloff, Dahlia" uniqKey="Sataloff D" first="Dahlia" last="Sataloff">Dahlia Sataloff</name><affiliation><nlm:aff id="A4">Department of Surgery, Pennsylvania Hospital, Philadelphia, PA 19107</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="A2">Center for Clinical Epidemiology and Biostatistics University of Pennsylvania, Philadelphia, PA 19104</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23054109</idno><idno type="pmc">4122425</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4122425</idno><idno type="RBID">PMC:4122425</idno><idno type="doi">10.1245/s10434-012-2631-9</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">003974</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003974</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Lifestyle Risk Factors Associated with Arm Swelling among Women with Breast Cancer</title><author><name sortKey="Showalter, Shayna L" sort="Showalter, Shayna L" uniqKey="Showalter S" first="Shayna L." last="Showalter">Shayna L. Showalter</name><affiliation><nlm:aff id="A1">Department of Surgery, University of Pennsylvania, Philadelphia, PA 19104</nlm:aff></affiliation></author><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="A2">Center for Clinical Epidemiology and Biostatistics University of Pennsylvania, Philadelphia, PA 19104</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="A3">Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN 55905</nlm:aff></affiliation></author><author><name sortKey="Fisher, Carla S" sort="Fisher, Carla S" uniqKey="Fisher C" first="Carla S." last="Fisher">Carla S. Fisher</name><affiliation><nlm:aff id="A1">Department of Surgery, University of Pennsylvania, Philadelphia, PA 19104</nlm:aff></affiliation></author><author><name sortKey="Sataloff, Dahlia" sort="Sataloff, Dahlia" uniqKey="Sataloff D" first="Dahlia" last="Sataloff">Dahlia Sataloff</name><affiliation><nlm:aff id="A4">Department of Surgery, Pennsylvania Hospital, Philadelphia, PA 19107</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="A2">Center for Clinical Epidemiology and Biostatistics University of Pennsylvania, Philadelphia, PA 19104</nlm:aff></affiliation></author></analytic><series><title level="j">Annals of surgical oncology</title><idno type="ISSN">1068-9265</idno><idno type="eISSN">1534-4681</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">Breast cancer-related lymphedema (BCRL) is a feared complication for breast cancer patients who have undergone axillary surgery. Although clinical risk factors for BCRL are defined; data are sparse regarding common exposures that might induce incident arm swelling. The goal of this study was to quantify the association between common exposures thought to be potential risk factors, and the occurrence of incident arm swelling, among breast cancer survivors with or at-risk for BCRL.</p></sec><sec id="S2"><title>Methods</title><p id="P2">This is a prospective sub-analysis of the PAL trial, a randomized controlled trial of 295 breast cancer survivors. Participants reported their exposure to 30 different potential risk-factors at three month intervals for one year. Incident arm swelling was defined as a ≥5% increase in inter-limb water volume difference between two consecutive time points.</p></sec><sec id="S3"><title>Results</title><p id="P3">Twenty-seven participants (9%) experienced incident arm swelling and 268 patients (91%) did not. Sauna use was the only exposure that was significantly predictive of incident arm swelling (p=0.05). Non-White and non-Black participants had a significantly increased risk for experiencing incident arm swelling (p=0.005) for both comparisons.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">In our patient cohort, many common exposures that have been reported to be risk factors did not prove to have a significant predictive relationship for incident arm swelling. This study supports the recommendation that breast cancer patients who have had axillary surgery should avoid sauna use. The results do not confirm the need for other restrictions that may interfere with the quality of life in women with breast cancer.</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">9420840</journal-id><journal-id journal-id-type="pubmed-jr-id">8578</journal-id><journal-id journal-id-type="nlm-ta">Ann Surg Oncol</journal-id><journal-id journal-id-type="iso-abbrev">Ann. Surg. Oncol.</journal-id><journal-title-group><journal-title>Annals of surgical oncology</journal-title></journal-title-group><issn pub-type="ppub">1068-9265</issn><issn pub-type="epub">1534-4681</issn></journal-meta><article-meta><article-id pub-id-type="pmid">23054109</article-id><article-id pub-id-type="pmc">4122425</article-id><article-id pub-id-type="doi">10.1245/s10434-012-2631-9</article-id><article-id pub-id-type="manuscript">NIHMS602171</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Lifestyle Risk Factors Associated with Arm Swelling among Women with Breast Cancer</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Showalter</surname><given-names>Shayna L.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Brown</surname><given-names>Justin C.</given-names></name><degrees>MA</degrees><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Cheville</surname><given-names>Andrea L.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Fisher</surname><given-names>Carla S.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Sataloff</surname><given-names>Dahlia</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Schmitz</surname><given-names>Kathryn H.</given-names></name><degrees>PhD, MPH</degrees><xref ref-type="aff" rid="A2">2</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Surgery, University of Pennsylvania, Philadelphia, PA 19104</aff><aff id="A2"><label>2</label>Center for Clinical Epidemiology and Biostatistics University of Pennsylvania, Philadelphia, PA 19104</aff><aff id="A3"><label>3</label>Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN 55905</aff><aff id="A4"><label>4</label>Department of Surgery, Pennsylvania Hospital, Philadelphia, PA 19107</aff><author-notes><corresp id="CR1">Corresponding Author: Kathryn H. Schmitz, PhD, MPH 423 Guardian Drive 8<sup>th</sup> Floor Blockley Hall Philadelphia, Pennsylvania 19104 Phone: (215) 898-6604, Fax: (215) 898-7392, <email>schmitz@mail.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>03</day><month>10</month><year>2012</year></pub-date><pub-date pub-type="ppub"><month>3</month><year>2013</year></pub-date><pub-date pub-type="pmc-release"><day>05</day><month>8</month><year>2014</year></pub-date><volume>20</volume><issue>3</issue><fpage>842</fpage><lpage>849</lpage><pmc-comment>elocation-id from pubmed: 10.1245/s10434-012-2631-9</pmc-comment>
<abstract><sec id="S1"><title>Background</title><p id="P1">Breast cancer-related lymphedema (BCRL) is a feared complication for breast cancer patients who have undergone axillary surgery. Although clinical risk factors for BCRL are defined; data are sparse regarding common exposures that might induce incident arm swelling. The goal of this study was to quantify the association between common exposures thought to be potential risk factors, and the occurrence of incident arm swelling, among breast cancer survivors with or at-risk for BCRL.</p></sec><sec id="S2"><title>Methods</title><p id="P2">This is a prospective sub-analysis of the PAL trial, a randomized controlled trial of 295 breast cancer survivors. Participants reported their exposure to 30 different potential risk-factors at three month intervals for one year. Incident arm swelling was defined as a ≥5% increase in inter-limb water volume difference between two consecutive time points.</p></sec><sec id="S3"><title>Results</title><p id="P3">Twenty-seven participants (9%) experienced incident arm swelling and 268 patients (91%) did not. Sauna use was the only exposure that was significantly predictive of incident arm swelling (p=0.05). Non-White and non-Black participants had a significantly increased risk for experiencing incident arm swelling (p=0.005) for both comparisons.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">In our patient cohort, many common exposures that have been reported to be risk factors did not prove to have a significant predictive relationship for incident arm swelling. This study supports the recommendation that breast cancer patients who have had axillary surgery should avoid sauna use. The results do not confirm the need for other restrictions that may interfere with the quality of life in women with breast cancer.</p></sec></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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