Breast Cancer-Related Lymphedema Risk is Related to Multidisciplinary Treatment and Not Surgery Alone: Results from a Large Cohort Study.
Identifieur interne : 000450 ( PubMed/Checkpoint ); précédent : 000449; suivant : 000451Breast Cancer-Related Lymphedema Risk is Related to Multidisciplinary Treatment and Not Surgery Alone: Results from a Large Cohort Study.
Auteurs : Toan T. Nguyen [États-Unis] ; Tanya L. Hoskin [États-Unis] ; Elizabeth B. Habermann [États-Unis] ; Andrea L. Cheville [États-Unis] ; Judy C. Boughey [États-Unis]Source :
- Annals of surgical oncology [ 1534-4681 ] ; 2017.
Abstract
Breast cancer-related lymphedema (BCRL) is a significant complication for women undergoing treatment. We assessed BCRL incidence and risk factors in a large population-based cohort.
DOI: 10.1245/s10434-017-5960-x
PubMed: 28766228
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Hoskin</name><affiliation wicri:level="2"><nlm:affiliation>Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Sciences Research, Mayo Clinic, Rochester, MN</wicri:regionArea><placeName><region type="state">Minnesota</region></placeName></affiliation></author><author><name sortKey="Habermann, Elizabeth B" sort="Habermann, Elizabeth B" uniqKey="Habermann E" first="Elizabeth B" last="Habermann">Elizabeth B. Habermann</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Mayo Clinic, Rochester, MN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Mayo Clinic, Rochester, MN</wicri:regionArea><placeName><region type="state">Minnesota</region></placeName></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 wicri:level="2"><nlm:affiliation>Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN</wicri:regionArea><placeName><region type="state">Minnesota</region></placeName></affiliation></author><author><name sortKey="Boughey, Judy C" sort="Boughey, Judy C" uniqKey="Boughey J" first="Judy C" last="Boughey">Judy C. Boughey</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Mayo Clinic, Rochester, MN, USA. boughey.judy@mayo.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Mayo Clinic, Rochester, MN</wicri:regionArea><placeName><region type="state">Minnesota</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28766228</idno><idno type="pmid">28766228</idno><idno type="doi">10.1245/s10434-017-5960-x</idno><idno type="wicri:Area/PubMed/Corpus">000064</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000064</idno><idno type="wicri:Area/PubMed/Curation">000064</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000064</idno><idno type="wicri:Area/PubMed/Checkpoint">000064</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000064</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Breast Cancer-Related Lymphedema Risk is Related to Multidisciplinary Treatment and Not Surgery Alone: Results from a Large Cohort Study.</title><author><name sortKey="Nguyen, Toan T" sort="Nguyen, Toan T" uniqKey="Nguyen T" first="Toan T" last="Nguyen">Toan T. Nguyen</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Mayo Clinic, Rochester, MN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Mayo Clinic, Rochester, MN</wicri:regionArea><placeName><region type="state">Minnesota</region></placeName></affiliation></author><author><name sortKey="Hoskin, Tanya L" sort="Hoskin, Tanya L" uniqKey="Hoskin T" first="Tanya L" last="Hoskin">Tanya L. Hoskin</name><affiliation wicri:level="2"><nlm:affiliation>Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Sciences Research, Mayo Clinic, Rochester, MN</wicri:regionArea><placeName><region type="state">Minnesota</region></placeName></affiliation></author><author><name sortKey="Habermann, Elizabeth B" sort="Habermann, Elizabeth B" uniqKey="Habermann E" first="Elizabeth B" last="Habermann">Elizabeth B. Habermann</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Mayo Clinic, Rochester, MN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Mayo Clinic, Rochester, MN</wicri:regionArea><placeName><region type="state">Minnesota</region></placeName></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 wicri:level="2"><nlm:affiliation>Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN</wicri:regionArea><placeName><region type="state">Minnesota</region></placeName></affiliation></author><author><name sortKey="Boughey, Judy C" sort="Boughey, Judy C" uniqKey="Boughey J" first="Judy C" last="Boughey">Judy C. Boughey</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Mayo Clinic, Rochester, MN, USA. boughey.judy@mayo.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Mayo Clinic, Rochester, MN</wicri:regionArea><placeName><region type="state">Minnesota</region></placeName></affiliation></author></analytic><series><title level="j">Annals of surgical oncology</title><idno type="eISSN">1534-4681</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) is a significant complication for women undergoing treatment. We assessed BCRL incidence and risk factors in a large population-based cohort.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28766228</PMID><DateCreated><Year>2017</Year><Month>08</Month><Day>02</Day></DateCreated><DateRevised><Year>2017</Year><Month>08</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1534-4681</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Aug</Month><Day>01</Day></PubDate></JournalIssue><Title>Annals of surgical oncology</Title><ISOAbbreviation>Ann. Surg. Oncol.</ISOAbbreviation></Journal><ArticleTitle>Breast Cancer-Related Lymphedema Risk is Related to Multidisciplinary Treatment and Not Surgery Alone: Results from a Large Cohort Study.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1245/s10434-017-5960-x</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Breast cancer-related lymphedema (BCRL) is a significant complication for women undergoing treatment. We assessed BCRL incidence and risk factors in a large population-based cohort.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We utilized the Olmsted County Rochester Epidemiology Project Breast Cancer Cohort from 1990-2010 and ascertained BCRL and risk factors. The cumulative incidence estimator was used to estimate the rate of BCRL; competing risks regression was used for multivariable analysis.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 1794 patients with stage 0-3 breast cancer with a median of 10 years follow-up were included. The cumulative incidence of BCRL diagnosis within 5 years was 9.1% [95% confidence interval (CI) 7.8-10.5%]. No BCRL events occurred among patients without axillary surgery. In the axillary surgery subset (n = 1512), the 5-year incidence of BCRL was 5.3% in sentinel lymph node (SLN) surgery and 15.9% in axillary dissection (ALND) patients (p < 0.001). In patients treated with surgery only, BCRL rates were not different between ALND versus SLN (3.5 and 4.1% at 5 years, p = 0.36). Addition of breast or chest wall radiation more than doubled the BCRL rate in ALND patients (3.5 vs. 9.5% at 5 years, p = 0.01). The groups with highest risk (>25% at 5 years) all involved ALND with nodal RT and/or anthracycline/cytoxan + taxane chemotherapy. In multivariable analysis of patients with any axillary surgery factors significantly associated with BCRL were ALND, chemotherapy, radiation, and obesity.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">BCRL is a sequelae of multimodal breast cancer treatment and risk is multifactorial. BCRL rates are higher in patients receiving chemotherapy, radiation, ALND, more advanced disease stage, and higher body mass index.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Nguyen</LastName><ForeName>Toan T</ForeName><Initials>TT</Initials><AffiliationInfo><Affiliation>Department of Surgery, Mayo Clinic, Rochester, MN, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hoskin</LastName><ForeName>Tanya L</ForeName><Initials>TL</Initials><AffiliationInfo><Affiliation>Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>The Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Habermann</LastName><ForeName>Elizabeth B</ForeName><Initials>EB</Initials><AffiliationInfo><Affiliation>Department of Surgery, Mayo Clinic, Rochester, MN, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>The Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cheville</LastName><ForeName>Andrea L</ForeName><Initials>AL</Initials><AffiliationInfo><Affiliation>Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Boughey</LastName><ForeName>Judy C</ForeName><Initials>JC</Initials><AffiliationInfo><Affiliation>Department of Surgery, Mayo Clinic, Rochester, MN, USA. boughey.judy@mayo.edu.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>08</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ann Surg Oncol</MedlineTA><NlmUniqueID>9420840</NlmUniqueID><ISSNLinking>1068-9265</ISSNLinking></MedlineJournalInfo></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>04</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>8</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>8</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>8</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28766228</ArticleId><ArticleId IdType="doi">10.1245/s10434-017-5960-x</ArticleId><ArticleId IdType="pii">10.1245/s10434-017-5960-x</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Minnesota</li></region></list><tree><country name="États-Unis"><region name="Minnesota"><name sortKey="Nguyen, Toan T" sort="Nguyen, Toan T" uniqKey="Nguyen T" first="Toan T" last="Nguyen">Toan T. Nguyen</name></region><name sortKey="Boughey, Judy C" sort="Boughey, Judy C" uniqKey="Boughey J" first="Judy C" last="Boughey">Judy C. Boughey</name><name sortKey="Cheville, Andrea L" sort="Cheville, Andrea L" uniqKey="Cheville A" first="Andrea L" last="Cheville">Andrea L. Cheville</name><name sortKey="Habermann, Elizabeth B" sort="Habermann, Elizabeth B" uniqKey="Habermann E" first="Elizabeth B" last="Habermann">Elizabeth B. Habermann</name><name sortKey="Hoskin, Tanya L" sort="Hoskin, Tanya L" uniqKey="Hoskin T" first="Tanya L" last="Hoskin">Tanya L. Hoskin</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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