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Trends in risk reduction practices for the prevention of lymphedema in the first 12 months after breast cancer surgery.

Identifieur interne : 001804 ( PubMed/Checkpoint ); précédent : 001803; suivant : 001805

Trends in risk reduction practices for the prevention of lymphedema in the first 12 months after breast cancer surgery.

Auteurs : Sarah A. Mclaughlin [États-Unis] ; Sanjay Bagaria ; Tammeza Gibson ; Michelle Arnold ; Nancy Diehl ; Julia Crook ; Alexander Parker ; Justin Nguyen

Source :

RBID : pubmed:23266421

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English descriptors

Abstract

Lymphedema is a feared complication of breast cancer surgery. We evaluated the trends in lymphedema development, patient worry, and risk reduction behaviors.

DOI: 10.1016/j.jamcollsurg.2012.11.004
PubMed: 23266421


Affiliations:


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pubmed:23266421

Le document en format XML

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<name sortKey="Bagaria, Sanjay" sort="Bagaria, Sanjay" uniqKey="Bagaria S" first="Sanjay" last="Bagaria">Sanjay Bagaria</name>
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<name sortKey="Gibson, Tammeza" sort="Gibson, Tammeza" uniqKey="Gibson T" first="Tammeza" last="Gibson">Tammeza Gibson</name>
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<name sortKey="Arnold, Michelle" sort="Arnold, Michelle" uniqKey="Arnold M" first="Michelle" last="Arnold">Michelle Arnold</name>
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<name sortKey="Diehl, Nancy" sort="Diehl, Nancy" uniqKey="Diehl N" first="Nancy" last="Diehl">Nancy Diehl</name>
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<name sortKey="Crook, Julia" sort="Crook, Julia" uniqKey="Crook J" first="Julia" last="Crook">Julia Crook</name>
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<name sortKey="Parker, Alexander" sort="Parker, Alexander" uniqKey="Parker A" first="Alexander" last="Parker">Alexander Parker</name>
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<term>Breast Neoplasms (surgery)</term>
<term>Disease Progression</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision</term>
<term>Lymphedema (epidemiology)</term>
<term>Lymphedema (prevention & control)</term>
<term>Middle Aged</term>
<term>Postoperative Complications (epidemiology)</term>
<term>Postoperative Complications (prevention & control)</term>
<term>Risk Factors</term>
<term>Risk Reduction Behavior</term>
<term>Sentinel Lymph Node Biopsy</term>
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<term>Adulte d'âge moyen</term>
<term>Aisselle ()</term>
<term>Biopsie de noeud lymphatique sentinelle</term>
<term>Complications postopératoires ()</term>
<term>Complications postopératoires (épidémiologie)</term>
<term>Comportement de réduction des risques</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphadénectomie</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (épidémiologie)</term>
<term>Sujet âgé</term>
<term>Tumeurs du sein ()</term>
<term>Évolution de la maladie</term>
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<term>Lymphedema</term>
<term>Postoperative Complications</term>
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<term>Lymphedema</term>
<term>Postoperative Complications</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Axilla</term>
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Complications postopératoires</term>
<term>Lymphoedème</term>
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<term>Aged</term>
<term>Disease Progression</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision</term>
<term>Middle Aged</term>
<term>Risk Factors</term>
<term>Risk Reduction Behavior</term>
<term>Sentinel Lymph Node Biopsy</term>
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<term>Aisselle</term>
<term>Biopsie de noeud lymphatique sentinelle</term>
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<term>Lymphadénectomie</term>
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<div type="abstract" xml:lang="en">Lymphedema is a feared complication of breast cancer surgery. We evaluated the trends in lymphedema development, patient worry, and risk reduction behaviors.</div>
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<Month>02</Month>
<Day>18</Day>
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<DateCompleted>
<Year>2013</Year>
<Month>04</Month>
<Day>18</Day>
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<Year>2013</Year>
<Month>08</Month>
<Day>15</Day>
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<Volume>216</Volume>
<Issue>3</Issue>
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<Year>2013</Year>
<Month>Mar</Month>
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<Title>Journal of the American College of Surgeons</Title>
<ISOAbbreviation>J. Am. Coll. Surg.</ISOAbbreviation>
</Journal>
<ArticleTitle>Trends in risk reduction practices for the prevention of lymphedema in the first 12 months after breast cancer surgery.</ArticleTitle>
<Pagination>
<MedlinePgn>380-9; quiz 511-3</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jamcollsurg.2012.11.004</ELocationID>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lymphedema is a feared complication of breast cancer surgery. We evaluated the trends in lymphedema development, patient worry, and risk reduction behaviors.</AbstractText>
<AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">We prospectively enrolled 120 women undergoing sentinel node biopsy (SLNB) or axillary node dissection (ALND) for breast cancer and assessed lymphedema by upper extremity volume preoperatively and at 6 and 12 months postoperatively. We defined lymphedema as a >10% volume change from baseline relative to the contralateral upper extremity. Patients completed a validated instrument evaluating lymphedema worry and risk reducing behaviors. Associations were determined by Fisher's exact and signed rank tests.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">At 6 months, lymphedema was similar between ALND and SLNB patients (p = 0.22), but was higher in ALND women at 12 months (19% vs 3%, p = 0.005). A clear relationship exists between relative change in upper extremity volume at 6 and 12 months (Kendall tau coefficient 0.504, p < 0.001). Among the women with 0 to 9% volume change at 6 months, 22% had progressive swelling, and 18% resolved their volume changes at 12 months. Overall, 75% of ALND and 50% of SLNB patients had persistent worry about lymphedema at follow-up, and no difference existed in the number of risk reducing behaviors practiced among the 2 groups (p > 0.34).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Upper extremity volumes fluctuate, and there is a period of latency before development of lymphedema. Despite the low risk of lymphedema after SLNB, most women worry about lymphedema and practice risk reducing behaviors. Additional study into early upper extremity volume changes is warranted to allay the fears of most women and better predict which women will progress to lymphedema.</AbstractText>
<CopyrightInformation>Copyright © 2013 American College of Surgeons. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
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<CommentsCorrections RefType="CommentIn">
<RefSource>J Am Coll Surg. 2013 Jul;217(1):169-70</RefSource>
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