Analysis of factors contributing to severity of breast cancer-related lymphedema.
Identifieur interne : 001087 ( PubMed/Checkpoint ); précédent : 001086; suivant : 001088Analysis of factors contributing to severity of breast cancer-related lymphedema.
Auteurs : Michelle Coriddi [États-Unis] ; Ibrahim Khansa ; Julie Stephens ; Michael Miller ; James Boehmler ; Pankaj TiwariSource :
- Annals of plastic surgery [ 1536-3708 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Aisselle, Analyse multivariée, Chimioradiothérapie adjuvante (effets indésirables), Complications postopératoires (étiologie), Facteurs de risque, Femelle, Humains, Indice de gravité médicale, Lymphadénectomie, Lymphoedème (étiologie), Mastectomie, Modèles linéaires, Sujet âgé, Tumeurs du sein (), Études rétrospectives.
- MESH :
- effets indésirables : Chimioradiothérapie adjuvante.
- étiologie : Complications postopératoires, Lymphoedème.
- Adulte, Adulte d'âge moyen, Aisselle, Analyse multivariée, Facteurs de risque, Femelle, Humains, Indice de gravité médicale, Lymphadénectomie, Mastectomie, Modèles linéaires, Sujet âgé, Tumeurs du sein, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Aged, Axilla, Breast Neoplasms (therapy), Chemoradiotherapy, Adjuvant (adverse effects), Female, Humans, Linear Models, Lymph Node Excision, Lymphedema (etiology), Mastectomy, Middle Aged, Multivariate Analysis, Postoperative Complications (etiology), Retrospective Studies, Risk Factors, Severity of Illness Index.
- MESH :
- adverse effects : Chemoradiotherapy, Adjuvant.
- etiology : Lymphedema, Postoperative Complications.
- therapy : Breast Neoplasms.
- Adult, Aged, Axilla, Female, Humans, Linear Models, Lymph Node Excision, Mastectomy, Middle Aged, Multivariate Analysis, Retrospective Studies, Risk Factors, Severity of Illness Index.
Abstract
Upper extremity lymphedema is a well-described complication of breast cancer treatment. Risk factors for lymphedema development include axillary lymph node dissection (ALND), obesity, increasing age, radiation, and postoperative complications. In this study, we seek to evaluate a cohort of patients who have either self-referred or been referred to the Department of Physical Therapy for lymphedema treatment. Our goal is to evaluate specific risk factors associated with the severity of lymphedema in this patient population.
DOI: 10.1097/SAP.0b013e31828d7285
PubMed: 23759971
Affiliations:
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and †Center for Biostatistics, Ohio State University Wexner Medical Center, Columbus, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>From the *Department of Plastic Surgery, Ohio State University Wexner Medical Center; and †Center for Biostatistics, Ohio State University Wexner Medical Center, Columbus</wicri:cityArea></affiliation></author><author><name sortKey="Khansa, Ibrahim" sort="Khansa, Ibrahim" uniqKey="Khansa I" first="Ibrahim" last="Khansa">Ibrahim Khansa</name></author><author><name sortKey="Stephens, Julie" sort="Stephens, Julie" uniqKey="Stephens J" first="Julie" last="Stephens">Julie Stephens</name></author><author><name sortKey="Miller, Michael" sort="Miller, Michael" uniqKey="Miller M" first="Michael" last="Miller">Michael Miller</name></author><author><name sortKey="Boehmler, James" sort="Boehmler, James" uniqKey="Boehmler J" first="James" last="Boehmler">James Boehmler</name></author><author><name sortKey="Tiwari, Pankaj" sort="Tiwari, Pankaj" uniqKey="Tiwari P" first="Pankaj" last="Tiwari">Pankaj Tiwari</name></author></analytic><series><title level="j">Annals of plastic surgery</title><idno type="eISSN">1536-3708</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Axilla</term><term>Breast Neoplasms (therapy)</term><term>Chemoradiotherapy, Adjuvant (adverse effects)</term><term>Female</term><term>Humans</term><term>Linear Models</term><term>Lymph Node Excision</term><term>Lymphedema (etiology)</term><term>Mastectomy</term><term>Middle Aged</term><term>Multivariate Analysis</term><term>Postoperative Complications (etiology)</term><term>Retrospective Studies</term><term>Risk Factors</term><term>Severity of Illness Index</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Analyse multivariée</term><term>Chimioradiothérapie adjuvante (effets indésirables)</term><term>Complications postopératoires (étiologie)</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Indice de gravité médicale</term><term>Lymphadénectomie</term><term>Lymphoedème (étiologie)</term><term>Mastectomie</term><term>Modèles linéaires</term><term>Sujet âgé</term><term>Tumeurs du sein ()</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Chemoradiotherapy, Adjuvant</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Chimioradiothérapie adjuvante</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Complications postopératoires</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Axilla</term><term>Female</term><term>Humans</term><term>Linear Models</term><term>Lymph Node Excision</term><term>Mastectomy</term><term>Middle Aged</term><term>Multivariate Analysis</term><term>Retrospective Studies</term><term>Risk Factors</term><term>Severity of Illness Index</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Analyse multivariée</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Indice de gravité médicale</term><term>Lymphadénectomie</term><term>Mastectomie</term><term>Modèles linéaires</term><term>Sujet âgé</term><term>Tumeurs du sein</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Upper extremity lymphedema is a well-described complication of breast cancer treatment. Risk factors for lymphedema development include axillary lymph node dissection (ALND), obesity, increasing age, radiation, and postoperative complications. In this study, we seek to evaluate a cohort of patients who have either self-referred or been referred to the Department of Physical Therapy for lymphedema treatment. Our goal is to evaluate specific risk factors associated with the severity of lymphedema in this patient population.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23759971</PMID><DateCreated><Year>2014</Year><Month>12</Month><Day>16</Day></DateCreated><DateCompleted><Year>2015</Year><Month>08</Month><Day>21</Day></DateCompleted><DateRevised><Year>2016</Year><Month>10</Month><Day>25</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1536-3708</ISSN><JournalIssue CitedMedium="Internet"><Volume>74</Volume><Issue>1</Issue><PubDate><Year>2015</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Annals of plastic surgery</Title><ISOAbbreviation>Ann Plast Surg</ISOAbbreviation></Journal><ArticleTitle>Analysis of factors contributing to severity of breast cancer-related lymphedema.</ArticleTitle><Pagination><MedlinePgn>22-5</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/SAP.0b013e31828d7285</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Upper extremity lymphedema is a well-described complication of breast cancer treatment. Risk factors for lymphedema development include axillary lymph node dissection (ALND), obesity, increasing age, radiation, and postoperative complications. In this study, we seek to evaluate a cohort of patients who have either self-referred or been referred to the Department of Physical Therapy for lymphedema treatment. Our goal is to evaluate specific risk factors associated with the severity of lymphedema in this patient population.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">All patients who presented to the Wexner Medical Center at the Ohio State University between January 1, 2009, and December 31, 2010, with a chief complaint of upper extremity lymphedema after breast cancer treatment were reviewed retrospectively. Upper extremity lymphedema index (UELI) was used as a severity indicator and patient factors including demographics and breast cancer treatments were evaluated. Univariate and multivariate statistical analyses were performed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Fifty (4.5%) patients presented for upper extremity lymphedema treatment after breast cancer treatment (total of 1106 patients treated surgically for breast cancer). Greater UELIs were found in patients 50 years and older, those with ALND, radiation, chemotherapy, pathologic stage greater than 3, and an International Society of Lymphology lymphedema stage II (P < 0.05). The multivariate model showed age older than 50 years and pathologic stage greater than 3 were significant predictors of higher UELI (P < 0.05).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In this study, we report that in patients who present for lymphedema treatment, increased UELI is significantly related to ALND, radiation therapy, chemotherapy, age, and pathologic stage. An improved understanding of the patient population referred for lymphedema treatment will allow for the identification of patients who may be candidates for therapeutic intervention.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Coriddi</LastName><ForeName>Michelle</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>From the *Department of Plastic Surgery, Ohio State University Wexner Medical Center; and †Center for Biostatistics, Ohio State University Wexner Medical Center, Columbus, OH.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Khansa</LastName><ForeName>Ibrahim</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Stephens</LastName><ForeName>Julie</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Miller</LastName><ForeName>Michael</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Boehmler</LastName><ForeName>James</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Tiwari</LastName><ForeName>Pankaj</ForeName><Initials>P</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>P30 CA016058</GrantID><Acronym>CA</Acronym><Agency>NCI NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D023362">Evaluation Studies</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ann Plast Surg</MedlineTA><NlmUniqueID>7805336</NlmUniqueID><ISSNLinking>0148-7043</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>N Engl J Med. 2003 Aug 7;349(6):546-53</RefSource><PMID Version="1">12904519</PMID></CommentsCorrections><CommentsCorrections 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10;137(15):685-8</RefSource><PMID Version="1">21420133</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D059186" MajorTopicYN="N">Chemoradiotherapy, Adjuvant</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016014" MajorTopicYN="N">Linear Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="Y">Lymph Node Excision</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</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="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName 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