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Differences of symptoms in head and neck cancer patients with and without lymphedema.

Identifieur interne : 000953 ( PubMed/Checkpoint ); précédent : 000952; suivant : 000954

Differences of symptoms in head and neck cancer patients with and without lymphedema.

Auteurs : Jie Deng [États-Unis] ; Barbara A. Murphy [États-Unis] ; Mary S. Dietrich [États-Unis] ; Robert J. Sinard [États-Unis] ; Kyle Mannion [États-Unis] ; Sheila H. Ridner [États-Unis]

Source :

RBID : pubmed:26314703

Descripteurs français

English descriptors

Abstract

Head and neck cancer (HNC) patients are at risk for developing external and internal lymphedema. Currently, no documentation of symptom differences between individuals with and without head and neck lymphedema is available. The purpose of this analysis was to examine symptom differences among HNC patients with and without lymphedema.

DOI: 10.1007/s00520-015-2893-4
PubMed: 26314703


Affiliations:


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pubmed:26314703

Le document en format XML

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<title xml:lang="en">Differences of symptoms in head and neck cancer patients with and without lymphedema.</title>
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<title level="j">Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</title>
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<term>Head and Neck Neoplasms (complications)</term>
<term>Head and Neck Neoplasms (therapy)</term>
<term>Humans</term>
<term>Lymphedema (diagnosis)</term>
<term>Male</term>
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<term>Adulte d'âge moyen</term>
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<term>Humains</term>
<term>Lymphoedème (diagnostic)</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Tumeurs de la tête et du cou ()</term>
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<term>Lymphedema</term>
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<term>Lymphoedème</term>
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<term>Head and Neck Neoplasms</term>
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<term>Aged</term>
<term>Cross-Sectional Studies</term>
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<term>Humans</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
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<term>Tumeurs de la tête et du cou</term>
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<front>
<div type="abstract" xml:lang="en">Head and neck cancer (HNC) patients are at risk for developing external and internal lymphedema. Currently, no documentation of symptom differences between individuals with and without head and neck lymphedema is available. The purpose of this analysis was to examine symptom differences among HNC patients with and without lymphedema.</div>
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<DateCreated>
<Year>2016</Year>
<Month>01</Month>
<Day>28</Day>
</DateCreated>
<DateCompleted>
<Year>2016</Year>
<Month>09</Month>
<Day>21</Day>
</DateCompleted>
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<Year>2016</Year>
<Month>01</Month>
<Day>28</Day>
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<ISSN IssnType="Electronic">1433-7339</ISSN>
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<Volume>24</Volume>
<Issue>3</Issue>
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<Year>2016</Year>
<Month>Mar</Month>
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<Title>Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</Title>
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<ArticleTitle>Differences of symptoms in head and neck cancer patients with and without lymphedema.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Head and neck cancer (HNC) patients are at risk for developing external and internal lymphedema. Currently, no documentation of symptom differences between individuals with and without head and neck lymphedema is available. The purpose of this analysis was to examine symptom differences among HNC patients with and without lymphedema.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Data were drawn from three cross-sectional studies of HNC patients >3 months post-cancer treatment (total N = 163; 128 patients with lymphedema, 35 without lymphedema). External lymphedema was evaluated via physical examination; internal lymphedema was identified through endoscopic examination. Participant's head and neck lymphedema status was categorized into two groups: no indication of external or internal lymphedema and at least some indication of external or internal lymphedema. Lymphedema Symptom Intensity and Distress Survey-Head and Neck (LSIDS-H&N) was used to assess symptom burden. Descriptive statistics, McNemar, chi-squared, Wilcoxon signed-ranks, and Mann-Whitney tests were used.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Twenty-three pairs of patients were identified and matched on the age, primary tumor site, tumor stage, and time since end of cancer treatment. Relative to patients without lymphedema, matched patients with lymphedema reported either increased symptom prevalence or severity or distress level for the following symptoms (prevalence differences of at least 15 % between the matched groups and p < 0.05): (1) numbness; (2) tightness; (3) heaviness; (4) warmth; (5) pain without head/neck movement; (6) problems swallowing mashed or pureed foods; (7) trouble breathing; (8) blurred vision; (9) feel worse when flying in an airplane; and (10) swelling.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Findings suggest that HNC-related lymphedema may be associated with substantial symptom burden. Studies with larger sample sizes are needed to replicate the findings.</AbstractText>
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