A randomized controlled trial comparing two types of pneumatic compression for breast cancer-related lymphedema treatment in the home
Identifieur interne : 000E73 ( Pmc/Curation ); précédent : 000E72; suivant : 000E74A randomized controlled trial comparing two types of pneumatic compression for breast cancer-related lymphedema treatment in the home
Auteurs : Caroline E. Fife [États-Unis] ; Suzanne Davey [États-Unis] ; Erik A. Maus [États-Unis] ; Renie Guilliod [États-Unis] ; Harvey N. Mayrovitz [États-Unis]Source :
- Supportive Care in Cancer [ 0941-4355 ] ; 2012.
Abstract
Pneumatic compression devices (PCDs) are used in the home setting as adjunctive treatment for lymphedema after acute treatment in a clinical setting. PCDs range in complexity from simple to technologically advanced. The objective of this prospective, randomized study was to determine whether an advanced PCD (APCD) provides better outcomes as measured by arm edema and tissue water reductions compared to a standard PCD (SPCD) in patients with arm lymphedema after breast cancer treatment.
Subjects were randomized to an APCD (Flexitouch system, HCPCS E0652) or SPCD (Bio Compression 2004, HCPCS E0651) used for home treatment 1 h/day for 12 weeks. Pressure settings were 30 mmHg for the SPCD and upper extremity treatment program (UE01) with standard pressure for the APCD. Thirty-six subjects (18 per group) with unilateral upper extremity lymphedema with at least 5% arm edema volume at the time of enrollment, completed treatments over the 12-week period. Arm volumes were determined from arm girth measurements and suitable model calculations, and tissue water was determined based on measurements of the arm tissue dielectric constant (TDC).
The APCD-treated group experienced an average of 29% reduction in edema compared to a 16% increase in the SPCD group. Mean changes in TDC values were a 5.8% reduction for the APCD group and a 1.9% increase for the SPCD group.
This study suggests that for the home maintenance phase of treatment of arm lymphedema secondary to breast cancer therapy, the adjuvant treatment with an APCD provides better outcomes than with a SPCD.
Url:
DOI: 10.1007/s00520-012-1455-2
PubMed: 22549506
PubMed Central: 3480585
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Fife</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Internal Medicine, Division of Cardiology, University of Texas Health Science Center, Memorial Hermann Center for Wound Care and Lymphedema Management, 6431 Fannin, MSB 1.247, Houston, TX 77030 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Internal Medicine, Division of Cardiology, University of Texas Health Science Center, Memorial Hermann Center for Wound Care and Lymphedema Management, 6431 Fannin, MSB 1.247, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Davey, Suzanne" sort="Davey, Suzanne" uniqKey="Davey S" first="Suzanne" last="Davey">Suzanne Davey</name><affiliation wicri:level="2"><nlm:aff id="Aff2">Healing Hands of Lymphatics, Hallandale Beach, FL USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Healing Hands of Lymphatics, Hallandale Beach</wicri:cityArea></affiliation></author><author><name sortKey="Maus, Erik A" sort="Maus, Erik A" uniqKey="Maus E" first="Erik A." last="Maus">Erik A. Maus</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Internal Medicine, Division of Cardiology, University of Texas Health Science Center, Memorial Hermann Center for Wound Care and Lymphedema Management, 6431 Fannin, MSB 1.247, Houston, TX 77030 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Internal Medicine, Division of Cardiology, University of Texas Health Science Center, Memorial Hermann Center for Wound Care and Lymphedema Management, 6431 Fannin, MSB 1.247, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Guilliod, Renie" sort="Guilliod, Renie" uniqKey="Guilliod R" first="Renie" last="Guilliod">Renie Guilliod</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Internal Medicine, Division of Cardiology, University of Texas Health Science Center, Memorial Hermann Center for Wound Care and Lymphedema Management, 6431 Fannin, MSB 1.247, Houston, TX 77030 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Internal Medicine, Division of Cardiology, University of Texas Health Science Center, Memorial Hermann Center for Wound Care and Lymphedema Management, 6431 Fannin, MSB 1.247, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Mayrovitz, Harvey N" sort="Mayrovitz, Harvey N" uniqKey="Mayrovitz H" first="Harvey N." last="Mayrovitz">Harvey N. Mayrovitz</name><affiliation wicri:level="2"><nlm:aff id="Aff3">College of Medical Sciences, Nova Southeastern University, Ft. Lauderdale, FL USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>College of Medical Sciences, Nova Southeastern University, Ft. 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Fife</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Internal Medicine, Division of Cardiology, University of Texas Health Science Center, Memorial Hermann Center for Wound Care and Lymphedema Management, 6431 Fannin, MSB 1.247, Houston, TX 77030 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Internal Medicine, Division of Cardiology, University of Texas Health Science Center, Memorial Hermann Center for Wound Care and Lymphedema Management, 6431 Fannin, MSB 1.247, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Davey, Suzanne" sort="Davey, Suzanne" uniqKey="Davey S" first="Suzanne" last="Davey">Suzanne Davey</name><affiliation wicri:level="2"><nlm:aff id="Aff2">Healing Hands of Lymphatics, Hallandale Beach, FL USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Healing Hands of Lymphatics, Hallandale Beach</wicri:cityArea></affiliation></author><author><name sortKey="Maus, Erik A" sort="Maus, Erik A" uniqKey="Maus E" first="Erik A." last="Maus">Erik A. Maus</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Internal Medicine, Division of Cardiology, University of Texas Health Science Center, Memorial Hermann Center for Wound Care and Lymphedema Management, 6431 Fannin, MSB 1.247, Houston, TX 77030 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Internal Medicine, Division of Cardiology, University of Texas Health Science Center, Memorial Hermann Center for Wound Care and Lymphedema Management, 6431 Fannin, MSB 1.247, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Guilliod, Renie" sort="Guilliod, Renie" uniqKey="Guilliod R" first="Renie" last="Guilliod">Renie Guilliod</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Internal Medicine, Division of Cardiology, University of Texas Health Science Center, Memorial Hermann Center for Wound Care and Lymphedema Management, 6431 Fannin, MSB 1.247, Houston, TX 77030 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Internal Medicine, Division of Cardiology, University of Texas Health Science Center, Memorial Hermann Center for Wound Care and Lymphedema Management, 6431 Fannin, MSB 1.247, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Mayrovitz, Harvey N" sort="Mayrovitz, Harvey N" uniqKey="Mayrovitz H" first="Harvey N." last="Mayrovitz">Harvey N. Mayrovitz</name><affiliation wicri:level="2"><nlm:aff id="Aff3">College of Medical Sciences, Nova Southeastern University, Ft. Lauderdale, FL USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>College of Medical Sciences, Nova Southeastern University, Ft. Lauderdale</wicri:cityArea></affiliation></author></analytic><series><title level="j">Supportive Care in Cancer</title><idno type="ISSN">0941-4355</idno><idno type="eISSN">1433-7339</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><title>Purpose</title><p>Pneumatic compression devices (PCDs) are used in the home setting as adjunctive treatment for lymphedema after acute treatment in a clinical setting. PCDs range in complexity from simple to technologically advanced. The objective of this prospective, randomized study was to determine whether an advanced PCD (APCD) provides better outcomes as measured by arm edema and tissue water reductions compared to a standard PCD (SPCD) in patients with arm lymphedema after breast cancer treatment.</p></sec><sec><title>Methods</title><p>Subjects were randomized to an APCD (Flexitouch system, HCPCS E0652) or SPCD (Bio Compression 2004, HCPCS E0651) used for home treatment 1 h/day for 12 weeks. Pressure settings were 30 mmHg for the SPCD and upper extremity treatment program (UE01) with standard pressure for the APCD. Thirty-six subjects (18 per group) with unilateral upper extremity lymphedema with at least 5% arm edema volume at the time of enrollment, completed treatments over the 12-week period. Arm volumes were determined from arm girth measurements and suitable model calculations, and tissue water was determined based on measurements of the arm tissue dielectric constant (TDC).</p></sec><sec><title>Results</title><p>The APCD-treated group experienced an average of 29% reduction in edema compared to a 16% increase in the SPCD group. Mean changes in TDC values were a 5.8% reduction for the APCD group and a 1.9% increase for the SPCD group.</p></sec><sec><title>Conclusion</title><p>This study suggests that for the home maintenance phase of treatment of arm lymphedema secondary to breast cancer therapy, the adjuvant treatment with an APCD provides better outcomes than with a SPCD.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Armer, Jm" uniqKey="Armer J">JM Armer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sakorafas, Gh" uniqKey="Sakorafas G">GH Sakorafas</name></author><author><name sortKey="Peros, G" uniqKey="Peros G">G Peros</name></author><author><name sortKey="Cataliotti, L" uniqKey="Cataliotti L">L Cataliotti</name></author><author><name sortKey="Vlastos, G" uniqKey="Vlastos G">G Vlastos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bennett Britton, Tm" uniqKey="Bennett 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<front><journal-meta><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</journal-title></journal-title-group><issn pub-type="ppub">0941-4355</issn><issn pub-type="epub">1433-7339</issn><publisher><publisher-name>Springer-Verlag</publisher-name><publisher-loc>Berlin/Heidelberg</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22549506</article-id><article-id pub-id-type="pmc">3480585</article-id><article-id pub-id-type="publisher-id">1455</article-id><article-id pub-id-type="doi">10.1007/s00520-012-1455-2</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>A randomized controlled trial comparing two types of pneumatic compression for breast cancer-related lymphedema treatment in the home</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Fife</surname><given-names>Caroline E.</given-names></name><address><phone>+1-713-7045900</phone><fax>+1-713-7045793</fax><email>Caroline.E.Fife@uth.tmc.edu</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Davey</surname><given-names>Suzanne</given-names></name><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Maus</surname><given-names>Erik A.</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Guilliod</surname><given-names>Renie</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Mayrovitz</surname><given-names>Harvey N.</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><aff id="Aff1"><label>1</label>Department of Internal Medicine, Division of Cardiology, University of Texas Health Science Center, Memorial Hermann Center for Wound Care and Lymphedema Management, 6431 Fannin, MSB 1.247, Houston, TX 77030 USA</aff><aff id="Aff2"><label>2</label>Healing Hands of Lymphatics, Hallandale Beach, FL USA</aff><aff id="Aff3"><label>3</label>College of Medical Sciences, Nova Southeastern University, Ft. Lauderdale, FL USA</aff></contrib-group><pub-date pub-type="epub"><day>2</day><month>5</month><year>2012</year></pub-date><pub-date pub-type="pmc-release"><day>2</day><month>5</month><year>2012</year></pub-date><pub-date pub-type="ppub"><month>12</month><year>2012</year></pub-date><volume>20</volume><issue>12</issue><fpage>3279</fpage><lpage>3286</lpage><history><date date-type="received"><day>21</day><month>11</month><year>2011</year></date><date date-type="accepted"><day>26</day><month>3</month><year>2012</year></date></history><permissions><copyright-statement>© The Author(s) 2012</copyright-statement></permissions><abstract id="Abs1"><sec><title>Purpose</title><p>Pneumatic compression devices (PCDs) are used in the home setting as adjunctive treatment for lymphedema after acute treatment in a clinical setting. PCDs range in complexity from simple to technologically advanced. The objective of this prospective, randomized study was to determine whether an advanced PCD (APCD) provides better outcomes as measured by arm edema and tissue water reductions compared to a standard PCD (SPCD) in patients with arm lymphedema after breast cancer treatment.</p></sec><sec><title>Methods</title><p>Subjects were randomized to an APCD (Flexitouch system, HCPCS E0652) or SPCD (Bio Compression 2004, HCPCS E0651) used for home treatment 1 h/day for 12 weeks. Pressure settings were 30 mmHg for the SPCD and upper extremity treatment program (UE01) with standard pressure for the APCD. Thirty-six subjects (18 per group) with unilateral upper extremity lymphedema with at least 5% arm edema volume at the time of enrollment, completed treatments over the 12-week period. Arm volumes were determined from arm girth measurements and suitable model calculations, and tissue water was determined based on measurements of the arm tissue dielectric constant (TDC).</p></sec><sec><title>Results</title><p>The APCD-treated group experienced an average of 29% reduction in edema compared to a 16% increase in the SPCD group. Mean changes in TDC values were a 5.8% reduction for the APCD group and a 1.9% increase for the SPCD group.</p></sec><sec><title>Conclusion</title><p>This study suggests that for the home maintenance phase of treatment of arm lymphedema secondary to breast cancer therapy, the adjuvant treatment with an APCD provides better outcomes than with a SPCD.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Lymphedema</kwd><kwd>Pneumatic compression devices</kwd><kwd>Breast cancer</kwd><kwd>Manual lymphatic drainage</kwd><kwd>Flexitouch® system</kwd><kwd>Bio compression 2004 sequential circulator</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© Springer-Verlag Berlin Heidelberg 2012</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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