Radiation therapy targets and the risk of breast cancer-related lymphedema: a systematic review and network meta-analysis.
Identifieur interne : 000443 ( PubMed/Corpus ); précédent : 000442; suivant : 000444Radiation therapy targets and the risk of breast cancer-related lymphedema: a systematic review and network meta-analysis.
Auteurs : Simona F. Shaitelman ; Yi-Ju Chiang ; Kate D. Griffin ; Sarah M. Desnyder ; Benjamin D. Smith ; Mark V. Schaverien ; Wendy A. Woodward ; Janice N. CormierSource :
- Breast cancer research and treatment [ 1573-7217 ] ; 2017.
Abstract
New indications have been found for regional nodal irradiation (RNI) in breast cancer treatment, yet the relationship of RNI and lymphedema risk is uncertain. We sought to determine the association of RNI and lymphedema.
DOI: 10.1007/s10549-016-4089-0
PubMed: 28012086
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Radiation therapy targets and the risk of breast cancer-related lymphedema: a systematic review and network meta-analysis.</title><author><name sortKey="Shaitelman, Simona F" sort="Shaitelman, Simona F" uniqKey="Shaitelman S" first="Simona F" last="Shaitelman">Simona F. Shaitelman</name><affiliation><nlm:affiliation>Department of Radiation Oncology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1202, Houston, TX, 77030, USA. sfshaitelman@mdanderson.org.</nlm:affiliation></affiliation></author><author><name sortKey="Chiang, Yi Ju" sort="Chiang, Yi Ju" uniqKey="Chiang Y" first="Yi-Ju" last="Chiang">Yi-Ju Chiang</name><affiliation><nlm:affiliation>Department of Surgical Oncology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1484, Houston, TX, 77030, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Griffin, Kate D" sort="Griffin, Kate D" uniqKey="Griffin K" first="Kate D" last="Griffin">Kate D. Griffin</name><affiliation><nlm:affiliation>Department of Surgical Oncology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1484, Houston, TX, 77030, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Desnyder, Sarah M" sort="Desnyder, Sarah M" uniqKey="Desnyder S" first="Sarah M" last="Desnyder">Sarah M. Desnyder</name><affiliation><nlm:affiliation>Department of Breast Surgical Oncology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1434, Houston, TX, 77030, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Smith, Benjamin D" sort="Smith, Benjamin D" uniqKey="Smith B" first="Benjamin D" last="Smith">Benjamin D. Smith</name><affiliation><nlm:affiliation>Department of Radiation Oncology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1202, Houston, TX, 77030, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Schaverien, Mark V" sort="Schaverien, Mark V" uniqKey="Schaverien M" first="Mark V" last="Schaverien">Mark V. Schaverien</name><affiliation><nlm:affiliation>Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1488, Houston, TX, 77030, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Woodward, Wendy A" sort="Woodward, Wendy A" uniqKey="Woodward W" first="Wendy A" last="Woodward">Wendy A. Woodward</name><affiliation><nlm:affiliation>Department of Radiation Oncology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1202, Houston, TX, 77030, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Cormier, Janice N" sort="Cormier, Janice N" uniqKey="Cormier J" first="Janice N" last="Cormier">Janice N. Cormier</name><affiliation><nlm:affiliation>Department of Surgical Oncology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1484, Houston, TX, 77030, USA.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28012086</idno><idno type="pmid">28012086</idno><idno type="doi">10.1007/s10549-016-4089-0</idno><idno type="wicri:Area/PubMed/Corpus">000443</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000443</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Radiation therapy targets and the risk of breast cancer-related lymphedema: a systematic review and network meta-analysis.</title><author><name sortKey="Shaitelman, Simona F" sort="Shaitelman, Simona F" uniqKey="Shaitelman S" first="Simona F" last="Shaitelman">Simona F. Shaitelman</name><affiliation><nlm:affiliation>Department of Radiation Oncology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1202, Houston, TX, 77030, USA. sfshaitelman@mdanderson.org.</nlm:affiliation></affiliation></author><author><name sortKey="Chiang, Yi Ju" sort="Chiang, Yi Ju" uniqKey="Chiang Y" first="Yi-Ju" last="Chiang">Yi-Ju Chiang</name><affiliation><nlm:affiliation>Department of Surgical Oncology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1484, Houston, TX, 77030, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Griffin, Kate D" sort="Griffin, Kate D" uniqKey="Griffin K" first="Kate D" last="Griffin">Kate D. Griffin</name><affiliation><nlm:affiliation>Department of Surgical Oncology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1484, Houston, TX, 77030, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Desnyder, Sarah M" sort="Desnyder, Sarah M" uniqKey="Desnyder S" first="Sarah M" last="Desnyder">Sarah M. Desnyder</name><affiliation><nlm:affiliation>Department of Breast Surgical Oncology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1434, Houston, TX, 77030, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Smith, Benjamin D" sort="Smith, Benjamin D" uniqKey="Smith B" first="Benjamin D" last="Smith">Benjamin D. Smith</name><affiliation><nlm:affiliation>Department of Radiation Oncology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1202, Houston, TX, 77030, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Schaverien, Mark V" sort="Schaverien, Mark V" uniqKey="Schaverien M" first="Mark V" last="Schaverien">Mark V. Schaverien</name><affiliation><nlm:affiliation>Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1488, Houston, TX, 77030, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Woodward, Wendy A" sort="Woodward, Wendy A" uniqKey="Woodward W" first="Wendy A" last="Woodward">Wendy A. Woodward</name><affiliation><nlm:affiliation>Department of Radiation Oncology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1202, Houston, TX, 77030, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Cormier, Janice N" sort="Cormier, Janice N" uniqKey="Cormier J" first="Janice N" last="Cormier">Janice N. Cormier</name><affiliation><nlm:affiliation>Department of Surgical Oncology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1484, Houston, TX, 77030, USA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Breast cancer research and treatment</title><idno type="eISSN">1573-7217</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">New indications have been found for regional nodal irradiation (RNI) in breast cancer treatment, yet the relationship of RNI and lymphedema risk is uncertain. We sought to determine the association of RNI and lymphedema.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28012086</PMID><DateCreated><Year>2016</Year><Month>12</Month><Day>24</Day></DateCreated><DateRevised><Year>2017</Year><Month>02</Month><Day>26</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1573-7217</ISSN><JournalIssue CitedMedium="Internet"><Volume>162</Volume><Issue>2</Issue><PubDate><Year>2017</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Breast cancer research and treatment</Title><ISOAbbreviation>Breast Cancer Res. Treat.</ISOAbbreviation></Journal><ArticleTitle>Radiation therapy targets and the risk of breast cancer-related lymphedema: a systematic review and network meta-analysis.</ArticleTitle><Pagination><MedlinePgn>201-215</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s10549-016-4089-0</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">New indications have been found for regional nodal irradiation (RNI) in breast cancer treatment, yet the relationship of RNI and lymphedema risk is uncertain. We sought to determine the association of RNI and lymphedema.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We searched MEDLINE, EMBASE, and Scopus for articles in English on humans published from 1995 to 2015, using search terms breast neoplasm, treatment, and morbidity. Two investigators independently selected articles and extracted information, including manuscripts reporting incidence of lymphedema by radiation targets. Meta-analyses, review papers, case-control studies, matched-pair studies, repetitive datasets, and retrospective studies were excluded. A total of 2399 abstracts were identified and 323 corresponding articles reviewed. Twenty-one studies met inclusion criteria. Data were pooled using a random effects mixed model. Network meta-analyses were performed to determine the association of radiation targets alone and radiation targets plus extent of axillary surgery on incidence of lymphedema.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The addition of RNI to breast/CW irradiation was associated with an increased incidence of lymphedema (OR 2.85; 95% CI 1.24-6.55). In patients treated with sentinel lymph node biopsy or axillary sampling, there was no association of lymphedema with the addition of RNI to breast/CW irradiation (OR 1.58; 95% CI 0.54-4.66; pooled incidence 5.7 and 4.1%, respectively). Among patients treated with axillary lymph node dissection (ALND), treatment with RNI in addition to breast/CW radiation was associated with a significantly higher risk of lymphedema (OR 2.74; 95% CI 1.38-5.44; pooled incidence 18.2 and 9.4%, respectively).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">RNI is associated with a significantly higher risk of lymphedema than irradiation of the breast/CW, particularly after ALND.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Shaitelman</LastName><ForeName>Simona F</ForeName><Initials>SF</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1202, Houston, TX, 77030, USA. sfshaitelman@mdanderson.org.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chiang</LastName><ForeName>Yi-Ju</ForeName><Initials>YJ</Initials><AffiliationInfo><Affiliation>Department of Surgical Oncology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1484, Houston, TX, 77030, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Griffin</LastName><ForeName>Kate D</ForeName><Initials>KD</Initials><AffiliationInfo><Affiliation>Department of Surgical Oncology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1484, Houston, TX, 77030, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>DeSnyder</LastName><ForeName>Sarah M</ForeName><Initials>SM</Initials><AffiliationInfo><Affiliation>Department of Breast Surgical Oncology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1434, Houston, TX, 77030, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Smith</LastName><ForeName>Benjamin D</ForeName><Initials>BD</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1202, Houston, TX, 77030, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schaverien</LastName><ForeName>Mark V</ForeName><Initials>MV</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1488, Houston, TX, 77030, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Woodward</LastName><ForeName>Wendy A</ForeName><Initials>WA</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1202, Houston, TX, 77030, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cormier</LastName><ForeName>Janice N</ForeName><Initials>JN</Initials><AffiliationInfo><Affiliation>Department of Surgical Oncology, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1484, Houston, TX, 77030, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>12</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Breast Cancer Res Treat</MedlineTA><NlmUniqueID>8111104</NlmUniqueID><ISSNLinking>0167-6806</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="ErratumIn"><RefSource>Breast Cancer Res Treat. 2017 Apr;162(2):217</RefSource><PMID Version="1">28185145</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Breast cancer</Keyword><Keyword MajorTopicYN="N">Lymphedema</Keyword><Keyword MajorTopicYN="N">Morbidity</Keyword><Keyword MajorTopicYN="N">Radiation</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>11</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>12</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>12</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>12</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>12</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28012086</ArticleId><ArticleId IdType="doi">10.1007/s10549-016-4089-0</ArticleId><ArticleId IdType="pii">10.1007/s10549-016-4089-0</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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