Comparisons Between Cancer-Related and Noncancer-Related Lymphedema: An Overview of New Patients Referred to a Specialized Hospital-Based Center in Canada.
Identifieur interne : 000420 ( PubMed/Checkpoint ); précédent : 000419; suivant : 000421Comparisons Between Cancer-Related and Noncancer-Related Lymphedema: An Overview of New Patients Referred to a Specialized Hospital-Based Center in Canada.
Auteurs : Shirin M. Shallwani [Canada] ; Pamela Hodgson [Canada] ; Anna Towers [Canada]Source :
- Lymphatic research and biology [ 1557-8585 ] ; 2017.
Abstract
Lymphedema is an irreversible inflammatory condition caused by accumulated lymph fluid and is associated with chronic swelling and increased risk of cellulitis. Our objectives were to: (1) describe the patient population referred to a Canadian lymphedema center and (2) compare lymphedema characteristics between patients with cancer and patients with noncancer diagnoses.
DOI: 10.1089/lrb.2016.0023
PubMed: 28135124
Affiliations:
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<front><div type="abstract" xml:lang="en">Lymphedema is an irreversible inflammatory condition caused by accumulated lymph fluid and is associated with chronic swelling and increased risk of cellulitis. Our objectives were to: (1) describe the patient population referred to a Canadian lymphedema center and (2) compare lymphedema characteristics between patients with cancer and patients with noncancer diagnoses.</div>
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<Month>Mar</Month>
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<Title>Lymphatic research and biology</Title>
<ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation>
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<ArticleTitle>Comparisons Between Cancer-Related and Noncancer-Related Lymphedema: An Overview of New Patients Referred to a Specialized Hospital-Based Center in Canada.</ArticleTitle>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lymphedema is an irreversible inflammatory condition caused by accumulated lymph fluid and is associated with chronic swelling and increased risk of cellulitis. Our objectives were to: (1) describe the patient population referred to a Canadian lymphedema center and (2) compare lymphedema characteristics between patients with cancer and patients with noncancer diagnoses.</AbstractText>
<AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">A retrospective cohort study was conducted of new patients referred for suspected lymphedema to a hospital-based center over a 2-year period. The mean age of the patients (n = 429) was 61.4 years; 85% were female and 81% had a history of cancer. Lymphedema characteristics were primary (7%) versus secondary (92%); upper body (51%) versus lower body (45%); unilateral (74%) versus bilateral (25%); and history of cellulitis (22%). Patients with noncancer diagnoses (n = 82) were more likely than patients with cancer diagnoses (n = 347) to have a history of cellulitis (44% vs. 17%), to have bilateral (61% vs. 16%) and lower limb (89% vs. 37%) lymphedema, and to experience a long delay between symptom onset and referral (14.0 vs. 3.5 years) (p < 0.001).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Most patients referred to our lymphedema center were female with a history of cancer. However, patients with noncancer diagnoses were more likely to have bilateral lower body lymphedema with an important history of cellulitis; this subgroup is at great risk of missed and delayed diagnoses in the medical setting and of experiencing long-term issues with mobility, recurrent hospitalizations, and poor quality of life.</AbstractText>
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<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Shallwani</LastName>
<ForeName>Shirin M</ForeName>
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<AffiliationInfo><Affiliation>1 Lymphedema Program, McGill University Health Centre , Montréal, Canada .</Affiliation>
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<AffiliationInfo><Affiliation>2 Physiotherapy Department, McGill University Health Centre , Montréal, Canada .</Affiliation>
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<AffiliationInfo><Affiliation>3 School of Rehabilitation Sciences, University of Ottawa , Ottawa, Canada .</Affiliation>
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<AffiliationInfo><Affiliation>1 Lymphedema Program, McGill University Health Centre , Montréal, Canada .</Affiliation>
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<Author ValidYN="Y"><LastName>Towers</LastName>
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<AffiliationInfo><Affiliation>1 Lymphedema Program, McGill University Health Centre , Montréal, Canada .</Affiliation>
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<AffiliationInfo><Affiliation>4 Department of Family Medicine, McGill University , Montréal, Canada .</Affiliation>
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<AffiliationInfo><Affiliation>5 Department of Oncology, McGill University , Montréal, Canada .</Affiliation>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Lymphedema</Keyword>
<Keyword MajorTopicYN="N">cancer</Keyword>
<Keyword MajorTopicYN="N">cellulitis</Keyword>
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