Complicated breast cancer-related lymphedema: evaluating health care resource utilization and associated costs of management.
Identifieur interne : 000986 ( PubMed/Checkpoint ); précédent : 000985; suivant : 000987Complicated breast cancer-related lymphedema: evaluating health care resource utilization and associated costs of management.
Auteurs : Marten N. Basta [États-Unis] ; Justin P. Fox [États-Unis] ; Suhail K. Kanchwala [États-Unis] ; Liza C. Wu [États-Unis] ; Joseph M. Serletti [États-Unis] ; Stephen J. Kovach [États-Unis] ; Joshua Fosnot [États-Unis] ; John P. Fischer [États-Unis]Source :
- American journal of surgery [ 1879-1883 ] ; 2016.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Aisselle, Analyse multivariée, Bases de données factuelles, Complications postopératoires (), Complications postopératoires (économie), Complications postopératoires (épidémiologie), Femelle, Frais hospitaliers (), Hospitalisation (), Hospitalisation (économie), Humains, Incidence, Jeune adulte, Lymphadénectomie, Lymphoedème (), Lymphoedème (économie), Lymphoedème (épidémiologie), Lymphoedème (étiologie), Mastectomie, Modèles linéaires, Modèles logistiques, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein (), États-Unis d'Amérique, Études rétrospectives.
- MESH :
- économie : Complications postopératoires, Hospitalisation, Lymphoedème.
- épidémiologie : Complications postopératoires, Lymphoedème.
- étiologie : Lymphoedème.
- Adolescent, Adulte, Adulte d'âge moyen, Aisselle, Analyse multivariée, Bases de données factuelles, Complications postopératoires, Femelle, Frais hospitaliers, Hospitalisation, Humains, Incidence, Jeune adulte, Lymphadénectomie, Lymphoedème, Mastectomie, Modèles linéaires, Modèles logistiques, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein, États-Unis d'Amérique, Études rétrospectives.
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Axilla, Breast Neoplasms (surgery), Databases, Factual, Female, Hospital Charges (statistics & numerical data), Hospitalization (economics), Hospitalization (statistics & numerical data), Humans, Incidence, Linear Models, Logistic Models, Lymph Node Excision, Lymphedema (economics), Lymphedema (epidemiology), Lymphedema (etiology), Lymphedema (therapy), Mastectomy, Middle Aged, Multivariate Analysis, Postoperative Complications (economics), Postoperative Complications (epidemiology), Postoperative Complications (therapy), Retrospective Studies, United States, Young Adult.
- MESH :
- geographic : United States.
- economics : Hospitalization, Lymphedema, Postoperative Complications.
- epidemiology : Lymphedema, Postoperative Complications.
- etiology : Lymphedema.
- statistics & numerical data : Hospital Charges, Hospitalization.
- surgery : Breast Neoplasms.
- therapy : Lymphedema, Postoperative Complications.
- Adolescent, Adult, Aged, Aged, 80 and over, Axilla, Databases, Factual, Female, Humans, Incidence, Linear Models, Logistic Models, Lymph Node Excision, Mastectomy, Middle Aged, Multivariate Analysis, Retrospective Studies, Young Adult.
Abstract
Lymphedema can become a disabling condition necessitating inpatient care. This study aimed to estimate complicated lymphedema incidence after breast cancer surgery and calculate associated hospital resource utilization.
DOI: 10.1016/j.amjsurg.2015.06.015
PubMed: 26421413
Affiliations:
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pubmed:26421413Le document en format XML
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<term>Adult</term>
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<term>Axilla</term>
<term>Breast Neoplasms (surgery)</term>
<term>Databases, Factual</term>
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<term>Hospital Charges (statistics & numerical data)</term>
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<term>Lymphedema (epidemiology)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (therapy)</term>
<term>Mastectomy</term>
<term>Middle Aged</term>
<term>Multivariate Analysis</term>
<term>Postoperative Complications (economics)</term>
<term>Postoperative Complications (epidemiology)</term>
<term>Postoperative Complications (therapy)</term>
<term>Retrospective Studies</term>
<term>United States</term>
<term>Young Adult</term>
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<term>Adulte d'âge moyen</term>
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<term>Analyse multivariée</term>
<term>Bases de données factuelles</term>
<term>Complications postopératoires ()</term>
<term>Complications postopératoires (économie)</term>
<term>Complications postopératoires (épidémiologie)</term>
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<term>Frais hospitaliers ()</term>
<term>Hospitalisation ()</term>
<term>Hospitalisation (économie)</term>
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<term>Mastectomie</term>
<term>Modèles linéaires</term>
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<term>Hospitalization</term>
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<term>Postoperative Complications</term>
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<term>Aged, 80 and over</term>
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<term>Female</term>
<term>Humans</term>
<term>Incidence</term>
<term>Linear Models</term>
<term>Logistic Models</term>
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<term>Middle Aged</term>
<term>Multivariate Analysis</term>
<term>Retrospective Studies</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Analyse multivariée</term>
<term>Bases de données factuelles</term>
<term>Complications postopératoires</term>
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<term>Frais hospitaliers</term>
<term>Hospitalisation</term>
<term>Humains</term>
<term>Incidence</term>
<term>Jeune adulte</term>
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<term>Modèles logistiques</term>
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<term>Sujet âgé de 80 ans ou plus</term>
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<term>États-Unis d'Amérique</term>
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<front><div type="abstract" xml:lang="en">Lymphedema can become a disabling condition necessitating inpatient care. This study aimed to estimate complicated lymphedema incidence after breast cancer surgery and calculate associated hospital resource utilization.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26421413</PMID>
<DateCreated><Year>2015</Year>
<Month>12</Month>
<Day>17</Day>
</DateCreated>
<DateCompleted><Year>2016</Year>
<Month>04</Month>
<Day>18</Day>
</DateCompleted>
<DateRevised><Year>2015</Year>
<Month>12</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-1883</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>211</Volume>
<Issue>1</Issue>
<PubDate><Year>2016</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>American journal of surgery</Title>
<ISOAbbreviation>Am. J. Surg.</ISOAbbreviation>
</Journal>
<ArticleTitle>Complicated breast cancer-related lymphedema: evaluating health care resource utilization and associated costs of management.</ArticleTitle>
<Pagination><MedlinePgn>133-41</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.amjsurg.2015.06.015</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0002-9610(15)00428-6</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lymphedema can become a disabling condition necessitating inpatient care. This study aimed to estimate complicated lymphedema incidence after breast cancer surgery and calculate associated hospital resource utilization.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We identified adult women undergoing lumpectomy and/or mastectomy with axillary lymph node surgery between 2006 and 2012 using 5-state inpatient databases. Patients were grouped according to the development of complicated lymphedema. The primary outcomes were all-cause hospitalizations and health care charges within 2 years of surgery. Multivariate regression models were used to compare outcomes.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of 56,075 women included, 2.3% had at least 1 hospital admission for complicated lymphedema within 2 years of surgery. Despite confounder adjustment, women with complicated lymphedema experienced 5 fold more all-cause (incidence rate ratio = 5.02, 95% confidence interval: 4.76 to 5.29) admissions compared with women without lymphedema. This resulted in substantially higher health care charges ($58,088 vs $31,819 per patient, P < .001). Although axillary dissection and certain comorbidities were associated with complicated lymphedema, breast reconstruction appeared unrelated.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Complicated lymphedema develops in a quantifiable number of patients. The health care burden of lymphedema underscored here mandates further investigation into targeted, anticipatory management strategies for breast cancer-related lymphedema.</AbstractText>
<CopyrightInformation>Copyright © 2016 Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Basta</LastName>
<ForeName>Marten N</ForeName>
<Initials>MN</Initials>
<AffiliationInfo><Affiliation>Division of Plastic Surgery, Perelman School of Medicine at the University of Pennsylvania, University of Pennsylvania Health System, 10 Penn Tower, 3400 Civic Center Blvd., Philadelphia, PA 19103.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fox</LastName>
<ForeName>Justin P</ForeName>
<Initials>JP</Initials>
<AffiliationInfo><Affiliation>Division of Plastic Surgery, Perelman School of Medicine at the University of Pennsylvania, University of Pennsylvania Health System, 10 Penn Tower, 3400 Civic Center Blvd., Philadelphia, PA 19103.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kanchwala</LastName>
<ForeName>Suhail K</ForeName>
<Initials>SK</Initials>
<AffiliationInfo><Affiliation>Division of Plastic Surgery, Perelman School of Medicine at the University of Pennsylvania, University of Pennsylvania Health System, 10 Penn Tower, 3400 Civic Center Blvd., Philadelphia, PA 19103.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wu</LastName>
<ForeName>Liza C</ForeName>
<Initials>LC</Initials>
<AffiliationInfo><Affiliation>Division of Plastic Surgery, Perelman School of Medicine at the University of Pennsylvania, University of Pennsylvania Health System, 10 Penn Tower, 3400 Civic Center Blvd., Philadelphia, PA 19103.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Serletti</LastName>
<ForeName>Joseph M</ForeName>
<Initials>JM</Initials>
<AffiliationInfo><Affiliation>Division of Plastic Surgery, Perelman School of Medicine at the University of Pennsylvania, University of Pennsylvania Health System, 10 Penn Tower, 3400 Civic Center Blvd., Philadelphia, PA 19103.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kovach</LastName>
<ForeName>Stephen J</ForeName>
<Initials>SJ</Initials>
<AffiliationInfo><Affiliation>Division of Plastic Surgery, Perelman School of Medicine at the University of Pennsylvania, University of Pennsylvania Health System, 10 Penn Tower, 3400 Civic Center Blvd., Philadelphia, PA 19103.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fosnot</LastName>
<ForeName>Joshua</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Division of Plastic Surgery, Perelman School of Medicine at the University of Pennsylvania, University of Pennsylvania Health System, 10 Penn Tower, 3400 Civic Center Blvd., Philadelphia, PA 19103.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fischer</LastName>
<ForeName>John P</ForeName>
<Initials>JP</Initials>
<AffiliationInfo><Affiliation>Division of Plastic Surgery, Perelman School of Medicine at the University of Pennsylvania, University of Pennsylvania Health System, 10 Penn Tower, 3400 Civic Center Blvd., Philadelphia, PA 19103. Electronic address: john.fischer2@uphs.upenn.edu.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2015</Year>
<Month>08</Month>
<Day>20</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Am J Surg</MedlineTA>
<NlmUniqueID>0370473</NlmUniqueID>
<ISSNLinking>0002-9610</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>AIM</CitationSubset>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016208" MajorTopicYN="N">Databases, Factual</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017722" MajorTopicYN="N">Hospital Charges</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName>
<QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName>
<QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016014" MajorTopicYN="N">Linear Models</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008197" MajorTopicYN="Y">Lymph Node Excision</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008408" MajorTopicYN="Y">Mastectomy</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015999" MajorTopicYN="N">Multivariate Analysis</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011183" MajorTopicYN="Y">Postoperative Complications</DescriptorName>
<QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014481" MajorTopicYN="N" Type="Geographic">United States</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Breast cancer</Keyword>
<Keyword MajorTopicYN="N">Health care economics</Keyword>
<Keyword MajorTopicYN="N">Health care utilization</Keyword>
<Keyword MajorTopicYN="N">Lymphedema</Keyword>
<Keyword MajorTopicYN="N">Operative complications</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year>
<Month>04</Month>
<Day>29</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2015</Year>
<Month>06</Month>
<Day>05</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2015</Year>
<Month>06</Month>
<Day>16</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2015</Year>
<Month>10</Month>
<Day>1</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2015</Year>
<Month>10</Month>
<Day>1</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2016</Year>
<Month>4</Month>
<Day>19</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">26421413</ArticleId>
<ArticleId IdType="pii">S0002-9610(15)00428-6</ArticleId>
<ArticleId IdType="doi">10.1016/j.amjsurg.2015.06.015</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Pennsylvanie</li>
</region>
</list>
<tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Basta, Marten N" sort="Basta, Marten N" uniqKey="Basta M" first="Marten N" last="Basta">Marten N. Basta</name>
</region>
<name sortKey="Fischer, John P" sort="Fischer, John P" uniqKey="Fischer J" first="John P" last="Fischer">John P. Fischer</name>
<name sortKey="Fosnot, Joshua" sort="Fosnot, Joshua" uniqKey="Fosnot J" first="Joshua" last="Fosnot">Joshua Fosnot</name>
<name sortKey="Fox, Justin P" sort="Fox, Justin P" uniqKey="Fox J" first="Justin P" last="Fox">Justin P. Fox</name>
<name sortKey="Kanchwala, Suhail K" sort="Kanchwala, Suhail K" uniqKey="Kanchwala S" first="Suhail K" last="Kanchwala">Suhail K. Kanchwala</name>
<name sortKey="Kovach, Stephen J" sort="Kovach, Stephen J" uniqKey="Kovach S" first="Stephen J" last="Kovach">Stephen J. Kovach</name>
<name sortKey="Serletti, Joseph M" sort="Serletti, Joseph M" uniqKey="Serletti J" first="Joseph M" last="Serletti">Joseph M. Serletti</name>
<name sortKey="Wu, Liza C" sort="Wu, Liza C" uniqKey="Wu L" first="Liza C" last="Wu">Liza C. Wu</name>
</country>
</tree>
</affiliations>
</record>
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