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Factors associated with fear of lymphedema after treatment for breast cancer.

Identifieur interne : 001550 ( PubMed/Checkpoint ); précédent : 001549; suivant : 001551

Factors associated with fear of lymphedema after treatment for breast cancer.

Auteurs : Lauren S. Jammallo ; Cynthia L. Miller ; Nora K. Horick ; Melissa N. Skolny ; Jean O'Toole ; Michelle C. Specht ; Alphonse G. Taghian

Source :

RBID : pubmed:25158653

Descripteurs français

English descriptors

Abstract

To identify demographic and treatment characteristics associated with postoperative fear of lymphedema.

DOI: 10.1188/14.ONF.473-483
PubMed: 25158653


Affiliations:


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pubmed:25158653

Le document en format XML

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<term>Breast Neoplasms (psychology)</term>
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<div type="abstract" xml:lang="en">To identify demographic and treatment characteristics associated with postoperative fear of lymphedema.</div>
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<ArticleTitle>Factors associated with fear of lymphedema after treatment for breast cancer.</ArticleTitle>
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<AbstractText Label="PURPOSE/OBJECTIVES" NlmCategory="OBJECTIVE">To identify demographic and treatment characteristics associated with postoperative fear of lymphedema.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Prospective cohort study.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Outpatient breast clinic at a comprehensive cancer center in the northeastern United States.</AbstractText>
<AbstractText Label="SAMPLE" NlmCategory="METHODS">324 patients undergoing treatment for unilateral breast cancer.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Women with breast cancer were prospectively screened for lymphedema (relative volume change of 10% or greater) preoperatively and every three to eight months postoperatively via Perometer arm volume measurements. Fear was simultaneously evaluated via questionnaire. Multivariate linear mixed-effects regression models were used to identify factors associated with mean postoperative fear score and to plot the average fear score over time within axillary surgery type subgroups.</AbstractText>
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<AbstractText Label="FINDINGS" NlmCategory="RESULTS">Higher preoperative fear score (p < 0.0001), younger age at diagnosis (p = 0.0038), and axillary lymph node dissection (ALND) (p < 0.0001) were significantly associated with higher mean postoperative fear score. The average fear score changed nonlinearly over time (p < 0.0001), decreasing from preoperative to 24 months postoperative and leveling thereafter.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Preoperative fear, younger age at diagnosis, and ALND may contribute to postoperative fear of lymphedema.</AbstractText>
<AbstractText Label="IMPLICATIONS FOR NURSING" NlmCategory="CONCLUSIONS">Individualized education that begins preoperatively, continues throughout treatment, and is re-emphasized 24 months postoperatively may help minimize fear of lymphedema.</AbstractText>
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HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Checkpoint/RBID.i   -Sk "pubmed:25158653" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Checkpoint/biblio.hfd   \
       | NlmPubMed2Wicri -a LymphedemaV1 

Wicri

This area was generated with Dilib version V0.6.31.
Data generation: Sat Nov 4 17:40:35 2017. Site generation: Tue Feb 13 16:42:16 2024