Preventing early postoperative arm swelling and lymphedema manifestation by compression sleeves after axillary lymph node interventions in breast cancer patients: A randomized controlled trial.
Identifieur interne : 000167 ( PubMed/Checkpoint ); précédent : 000166; suivant : 000168Preventing early postoperative arm swelling and lymphedema manifestation by compression sleeves after axillary lymph node interventions in breast cancer patients: A randomized controlled trial.
Auteurs : Katarzyna Ochalek [Pologne] ; Tomasz Gradalski [Pologne] ; Hugo Partsch [Autriche]Source :
- Journal of pain and symptom management [ 1873-6513 ] ; 2017.
Abstract
Breast cancer related lymphedema (BCRL) remains one of the major long-term complications after surgery. Many reports showed the effectiveness of compression in BCRL treatment but randomized controlled trials evaluating compression garments for postoperative prevention are lacking.
DOI: 10.1016/j.jpainsymman.2017.04.014
PubMed: 28797867
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Jana Pawla II 78, 31-571 Krakow, Poland,; St. Lazarus Hospice , Fatimska 17, 31-831, Krakow</wicri:regionArea><wicri:noRegion>Krakow</wicri:noRegion></affiliation></author><author><name sortKey="Gradalski, Tomasz" sort="Gradalski, Tomasz" uniqKey="Gradalski T" first="Tomasz" last="Gradalski">Tomasz Gradalski</name><affiliation wicri:level="1"><nlm:affiliation>St. Lazarus Hospice , Fatimska 17, 31-831, Krakow, Poland,. 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Jana Pawla II 78, 31-571 Krakow, Poland,; St. Lazarus Hospice , Fatimska 17, 31-831, Krakow, Poland.</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Clinical Rehabilitation, Faculty of Motor Rehabilitation, University of Physical Education, Al. Jana Pawla II 78, 31-571 Krakow, Poland,; St. Lazarus Hospice , Fatimska 17, 31-831, Krakow</wicri:regionArea><wicri:noRegion>Krakow</wicri:noRegion></affiliation></author><author><name sortKey="Gradalski, Tomasz" sort="Gradalski, Tomasz" uniqKey="Gradalski T" first="Tomasz" last="Gradalski">Tomasz Gradalski</name><affiliation wicri:level="1"><nlm:affiliation>St. Lazarus Hospice , Fatimska 17, 31-831, Krakow, Poland,. Electronic address: tomgr@mp.pl.</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>St. Lazarus Hospice , Fatimska 17, 31-831, Krakow, Poland</wicri:regionArea><wicri:noRegion>Poland</wicri:noRegion></affiliation></author><author><name sortKey="Partsch, Hugo" sort="Partsch, Hugo" uniqKey="Partsch H" first="Hugo" last="Partsch">Hugo Partsch</name><affiliation wicri:level="1"><nlm:affiliation>Medical University of Vienna, Baumeistergasse 85, A 1160 Vienna, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Medical University of Vienna, Baumeistergasse 85, A 1160 Vienna</wicri:regionArea><wicri:noRegion>A 1160 Vienna</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of pain and symptom management</title><idno type="eISSN">1873-6513</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Breast cancer related lymphedema (BCRL) remains one of the major long-term complications after surgery. Many reports showed the effectiveness of compression in BCRL treatment but randomized controlled trials evaluating compression garments for postoperative prevention are lacking.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28797867</PMID><DateCreated><Year>2017</Year><Month>08</Month><Day>11</Day></DateCreated><DateRevised><Year>2017</Year><Month>08</Month><Day>11</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-6513</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Aug</Month><Day>07</Day></PubDate></JournalIssue><Title>Journal of pain and symptom management</Title><ISOAbbreviation>J Pain Symptom Manage</ISOAbbreviation></Journal><ArticleTitle>Preventing early postoperative arm swelling and lymphedema manifestation by compression sleeves after axillary lymph node interventions in breast cancer patients: A randomized controlled trial.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">S0885-3924(17)30342-1</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jpainsymman.2017.04.014</ELocationID><Abstract><AbstractText Label="CONTEXT" NlmCategory="BACKGROUND">Breast cancer related lymphedema (BCRL) remains one of the major long-term complications after surgery. Many reports showed the effectiveness of compression in BCRL treatment but randomized controlled trials evaluating compression garments for postoperative prevention are lacking.</AbstractText><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The aim of the study was to evaluate the potential role of light arm compression sleeves for reducing the incidence of early postoperative swelling and of breast cancer related arm lymphedema.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">45 women were pre-operatively randomly assigned to a group with compression of circular-knit sleeves in compression class 1 (15-21 mmHg) for daily wearing (Compression group, CG; n=23) or to a control group without compression (No compression group, NCG, n=22). Both groups underwent a standardized physical exercise program. Arm volumes were measured before surgery and 1, 3, 6, 9 and 12 months thereafter.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">At one month postoperative swelling was reduced only in CG. After 12 months the average change of excess volumes (edema) reached -67,6 ml in the CG vs +114,5 ml in the NCG (p<0,001). Significantly less edema was seen in the CG after 3, 6, 9 and 12 months. No significant difference between groups in health-related quality of life (measured by EORTC QLQ- C30) was observed.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">15-21 mmHg compression sleeves in combination with physical activity may be a safe and efficient option to prevent postsurgical arm swelling and development of lymphedema.</AbstractText><CopyrightInformation>Copyright © 2017. Published by Elsevier Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ochalek</LastName><ForeName>Katarzyna</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Clinical Rehabilitation, Faculty of Motor Rehabilitation, University of Physical Education, Al. Jana Pawla II 78, 31-571 Krakow, Poland,; St. Lazarus Hospice , Fatimska 17, 31-831, Krakow, Poland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gradalski</LastName><ForeName>Tomasz</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>St. Lazarus Hospice , Fatimska 17, 31-831, Krakow, Poland,. 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