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Complicated breast cancer-related lymphedema: evaluating health care resource utilization and associated costs of management.

Identifieur interne : 000986 ( PubMed/Checkpoint ); précédent : 000985; suivant : 000987

Complicated 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 :

RBID : pubmed:26421413

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English descriptors

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:26421413

Le document en format XML

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<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Axilla</term>
<term>Breast Neoplasms (surgery)</term>
<term>Databases, Factual</term>
<term>Female</term>
<term>Hospital Charges (statistics & numerical data)</term>
<term>Hospitalization (economics)</term>
<term>Hospitalization (statistics & numerical data)</term>
<term>Humans</term>
<term>Incidence</term>
<term>Linear Models</term>
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<term>Lymph Node Excision</term>
<term>Lymphedema (economics)</term>
<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>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adolescent</term>
<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>
<term>Complications postopératoires (économie)</term>
<term>Complications postopératoires (épidémiologie)</term>
<term>Femelle</term>
<term>Frais hospitaliers ()</term>
<term>Hospitalisation ()</term>
<term>Hospitalisation (économie)</term>
<term>Humains</term>
<term>Incidence</term>
<term>Jeune adulte</term>
<term>Lymphadénectomie</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (économie)</term>
<term>Lymphoedème (épidémiologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Mastectomie</term>
<term>Modèles linéaires</term>
<term>Modèles logistiques</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du sein ()</term>
<term>États-Unis d'Amérique</term>
<term>Études rétrospectives</term>
</keywords>
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<term>United States</term>
</keywords>
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<term>Hospitalization</term>
<term>Lymphedema</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Lymphedema</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Hospital Charges</term>
<term>Hospitalization</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Lymphedema</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="économie" xml:lang="fr">
<term>Complications postopératoires</term>
<term>Hospitalisation</term>
<term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Complications postopératoires</term>
<term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Axilla</term>
<term>Databases, Factual</term>
<term>Female</term>
<term>Humans</term>
<term>Incidence</term>
<term>Linear Models</term>
<term>Logistic Models</term>
<term>Lymph Node Excision</term>
<term>Mastectomy</term>
<term>Middle Aged</term>
<term>Multivariate Analysis</term>
<term>Retrospective Studies</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adolescent</term>
<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>
<term>Femelle</term>
<term>Frais hospitaliers</term>
<term>Hospitalisation</term>
<term>Humains</term>
<term>Incidence</term>
<term>Jeune adulte</term>
<term>Lymphadénectomie</term>
<term>Lymphoedème</term>
<term>Mastectomie</term>
<term>Modèles linéaires</term>
<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>
<term>Études rétrospectives</term>
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<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>
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<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>
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<Author ValidYN="Y">
<LastName>Basta</LastName>
<ForeName>Marten N</ForeName>
<Initials>MN</Initials>
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<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>
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<LastName>Fox</LastName>
<ForeName>Justin P</ForeName>
<Initials>JP</Initials>
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<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>
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<LastName>Kanchwala</LastName>
<ForeName>Suhail K</ForeName>
<Initials>SK</Initials>
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<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>
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<ForeName>Liza C</ForeName>
<Initials>LC</Initials>
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<ForeName>Joseph M</ForeName>
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<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>
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