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Assessment of external lymphedema in patients with head and neck cancer: a comparison of four scales.

Identifieur interne : 001C52 ( PubMed/Checkpoint ); précédent : 001C51; suivant : 001C53

Assessment of external lymphedema in patients with head and neck cancer: a comparison of four scales.

Auteurs : Jie Deng ; Sheila H. Ridner ; Mary S. Dietrich ; Nancy Wells ; Barbara A. Murphy

Source :

RBID : pubmed:23989023

Descripteurs français

English descriptors

Abstract

To compare available grading and staging scales that measure external lymphedema in patients with head and neck cancer (HNC) and to assess problems and gaps related to these tools.

DOI: 10.1188/13.ONF.501-506
PubMed: 23989023


Affiliations:


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pubmed:23989023

Le document en format XML

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<title xml:lang="en">Assessment of external lymphedema in patients with head and neck cancer: a comparison of four scales.</title>
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<name sortKey="Deng, Jie" sort="Deng, Jie" uniqKey="Deng J" first="Jie" last="Deng">Jie Deng</name>
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<nlm:affiliation>School of Nursing, Vanderbilt University.</nlm:affiliation>
<wicri:noCountry code="subField">Vanderbilt University</wicri:noCountry>
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<author>
<name sortKey="Ridner, Sheila H" sort="Ridner, Sheila H" uniqKey="Ridner S" first="Sheila H" last="Ridner">Sheila H. Ridner</name>
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<name sortKey="Dietrich, Mary S" sort="Dietrich, Mary S" uniqKey="Dietrich M" first="Mary S" last="Dietrich">Mary S. Dietrich</name>
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<name sortKey="Wells, Nancy" sort="Wells, Nancy" uniqKey="Wells N" first="Nancy" last="Wells">Nancy Wells</name>
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<name sortKey="Murphy, Barbara A" sort="Murphy, Barbara A" uniqKey="Murphy B" first="Barbara A" last="Murphy">Barbara A. Murphy</name>
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<title xml:lang="en">Assessment of external lymphedema in patients with head and neck cancer: a comparison of four scales.</title>
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<wicri:noCountry code="subField">Vanderbilt University</wicri:noCountry>
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<name sortKey="Ridner, Sheila H" sort="Ridner, Sheila H" uniqKey="Ridner S" first="Sheila H" last="Ridner">Sheila H. Ridner</name>
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<name sortKey="Dietrich, Mary S" sort="Dietrich, Mary S" uniqKey="Dietrich M" first="Mary S" last="Dietrich">Mary S. Dietrich</name>
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<name sortKey="Wells, Nancy" sort="Wells, Nancy" uniqKey="Wells N" first="Nancy" last="Wells">Nancy Wells</name>
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<name sortKey="Murphy, Barbara A" sort="Murphy, Barbara A" uniqKey="Murphy B" first="Barbara A" last="Murphy">Barbara A. Murphy</name>
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<term>Aged</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Head and Neck Neoplasms (complications)</term>
<term>Head and Neck Neoplasms (radiotherapy)</term>
<term>Head and Neck Neoplasms (surgery)</term>
<term>Humans</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphatic Irradiation (adverse effects)</term>
<term>Lymphedema (diagnosis)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (nursing)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Nursing Assessment</term>
<term>Physical Examination</term>
<term>Postoperative Complications (diagnosis)</term>
<term>Postoperative Complications (etiology)</term>
<term>Postoperative Complications (nursing)</term>
<term>Prevalence</term>
<term>Severity of Illness Index</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Complications postopératoires (diagnostic)</term>
<term>Complications postopératoires (soins infirmiers)</term>
<term>Complications postopératoires (étiologie)</term>
<term>Examen physique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Irradiation ganglionnaire (effets indésirables)</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème (diagnostic)</term>
<term>Lymphoedème (soins infirmiers)</term>
<term>Lymphoedème (étiologie)</term>
<term>Mâle</term>
<term>Prévalence</term>
<term>Sujet âgé</term>
<term>Tumeurs de la tête et du cou ()</term>
<term>Tumeurs de la tête et du cou (radiothérapie)</term>
<term>Études transversales</term>
<term>Évaluation des besoins en soins infirmiers</term>
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<term>Lymph Node Excision</term>
<term>Lymphatic Irradiation</term>
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<term>Head and Neck Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Lymphedema</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Complications postopératoires</term>
<term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Irradiation ganglionnaire</term>
<term>Lymphadénectomie</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="nursing" xml:lang="en">
<term>Lymphedema</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en">
<term>Head and Neck Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr">
<term>Tumeurs de la tête et du cou</term>
</keywords>
<keywords scheme="MESH" qualifier="soins infirmiers" xml:lang="fr">
<term>Complications postopératoires</term>
<term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Head and Neck 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>Aged</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Nursing Assessment</term>
<term>Physical Examination</term>
<term>Prevalence</term>
<term>Severity of Illness Index</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Examen physique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Mâle</term>
<term>Prévalence</term>
<term>Sujet âgé</term>
<term>Tumeurs de la tête et du cou</term>
<term>Études transversales</term>
<term>Évaluation des besoins en soins infirmiers</term>
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<front>
<div type="abstract" xml:lang="en">To compare available grading and staging scales that measure external lymphedema in patients with head and neck cancer (HNC) and to assess problems and gaps related to these tools.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">23989023</PMID>
<DateCreated>
<Year>2013</Year>
<Month>08</Month>
<Day>30</Day>
</DateCreated>
<DateCompleted>
<Year>2014</Year>
<Month>10</Month>
<Day>02</Day>
</DateCompleted>
<DateRevised>
<Year>2013</Year>
<Month>08</Month>
<Day>30</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1538-0688</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>40</Volume>
<Issue>5</Issue>
<PubDate>
<Year>2013</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Oncology nursing forum</Title>
<ISOAbbreviation>Oncol Nurs Forum</ISOAbbreviation>
</Journal>
<ArticleTitle>Assessment of external lymphedema in patients with head and neck cancer: a comparison of four scales.</ArticleTitle>
<Pagination>
<MedlinePgn>501-6</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1188/13.ONF.501-506</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE/OBJECTIVES" NlmCategory="OBJECTIVE">To compare available grading and staging scales that measure external lymphedema in patients with head and neck cancer (HNC) and to assess problems and gaps related to these tools.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Cross-sectional.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">A comprehensive cancer center in Tennessee.</AbstractText>
<AbstractText Label="SAMPLE" NlmCategory="METHODS">103 participants post-HNC treatment.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Four scales were used to evaluate study participant external lymphedema status, including the Common Terminology Criteria for Adverse Events (CTCAE) Lymphedema Scale (version 3.0), American Cancer Society Lymphedema Scale, Stages of Lymphedema (Földi's Scale), and the CTCAE Fibrosis Scale (version 3.0).</AbstractText>
<AbstractText Label="MAIN RESEARCH VARIABLES" NlmCategory="METHODS">Occurrence rate, severity of lymphedema, and components and descriptors of each scale.</AbstractText>
<AbstractText Label="FINDINGS" NlmCategory="RESULTS">The prevalence and severity of external lymphedema differed based on the tools. Each tool had an identified limitation. Current theory postulates a continuum between lymphedema and fibrosis, but only the Földi's Scale adequately reflected that concept.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">None of the available scales clearly captured all the important characteristics of external lymphedema in patients with HNC. A need exists to develop a clearly defined and validated scale of external lymphedema in the HNC population.</AbstractText>
<AbstractText Label="IMPLICATIONS FOR NURSING" NlmCategory="CONCLUSIONS">Oncology nurses should take an active role in addressing issues related to lymphedema assessment in patients post-HNC treatment; however, new assessment tools need to be developed for clinical use.</AbstractText>
<AbstractText Label="KNOWLEDGE TRANSLATION" NlmCategory="CONCLUSIONS">Early identification and accurate documentation of head and neck lymphedema are critically important to prevent lymphedema progress. However, existing grading criteria failed to capture important characteristics of external head and neck lymphedema. More research efforts need to be made to address this under-recognized issue.</AbstractText>
</Abstract>
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<LastName>Deng</LastName>
<ForeName>Jie</ForeName>
<Initials>J</Initials>
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<Affiliation>School of Nursing, Vanderbilt University.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Ridner</LastName>
<ForeName>Sheila H</ForeName>
<Initials>SH</Initials>
</Author>
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<LastName>Dietrich</LastName>
<ForeName>Mary S</ForeName>
<Initials>MS</Initials>
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<ForeName>Nancy</ForeName>
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<ForeName>Barbara A</ForeName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<DescriptorName UI="D015182" MajorTopicYN="N">Lymphatic Irradiation</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
</MeshHeading>
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<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
<QualifierName UI="Q000451" MajorTopicYN="N">nursing</QualifierName>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D010808" MajorTopicYN="N">Physical Examination</DescriptorName>
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<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
<QualifierName UI="Q000451" MajorTopicYN="N">nursing</QualifierName>
</MeshHeading>
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<DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012720" MajorTopicYN="Y">Severity of Illness Index</DescriptorName>
</MeshHeading>
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<Day>31</Day>
<Hour>6</Hour>
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<ArticleId IdType="pubmed">23989023</ArticleId>
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<ArticleId IdType="doi">10.1188/13.ONF.501-506</ArticleId>
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<affiliations>
<list></list>
<tree>
<noCountry>
<name sortKey="Deng, Jie" sort="Deng, Jie" uniqKey="Deng J" first="Jie" last="Deng">Jie Deng</name>
<name sortKey="Dietrich, Mary S" sort="Dietrich, Mary S" uniqKey="Dietrich M" first="Mary S" last="Dietrich">Mary S. Dietrich</name>
<name sortKey="Murphy, Barbara A" sort="Murphy, Barbara A" uniqKey="Murphy B" first="Barbara A" last="Murphy">Barbara A. Murphy</name>
<name sortKey="Ridner, Sheila H" sort="Ridner, Sheila H" uniqKey="Ridner S" first="Sheila H" last="Ridner">Sheila H. Ridner</name>
<name sortKey="Wells, Nancy" sort="Wells, Nancy" uniqKey="Wells N" first="Nancy" last="Wells">Nancy Wells</name>
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