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A comparison of the effectiveness of complex decongestive physiotherapy and stellate ganglion block with triamcinolone administration in breast cancer-related lymphedema patients.

Identifieur interne : 001092 ( PubMed/Corpus ); précédent : 001091; suivant : 001093

A comparison of the effectiveness of complex decongestive physiotherapy and stellate ganglion block with triamcinolone administration in breast cancer-related lymphedema patients.

Auteurs : Jeong-Gil Kim ; Soon Ook Bae ; Kwan Sik Seo

Source :

RBID : pubmed:25577504

English descriptors

Abstract

This study aims to investigate the comparison of effectiveness between stellate ganglion block (SGB) and complex decongestive physiotherapy (CDT) in breast cancer-related lymphedema (BCRL) patients.

DOI: 10.1007/s00520-014-2593-5
PubMed: 25577504

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pubmed:25577504

Le document en format XML

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<title xml:lang="en">A comparison of the effectiveness of complex decongestive physiotherapy and stellate ganglion block with triamcinolone administration in breast cancer-related lymphedema patients.</title>
<author>
<name sortKey="Kim, Jeong Gil" sort="Kim, Jeong Gil" uniqKey="Kim J" first="Jeong-Gil" last="Kim">Jeong-Gil Kim</name>
<affiliation>
<nlm:affiliation>Department of Rehabilitation Medicine, College of Medicine, Seoul National University, 101 Daehak-ro Jongno-gu, Seoul, 110-744, South Korea.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Bae, Soon Ook" sort="Bae, Soon Ook" uniqKey="Bae S" first="Soon Ook" last="Bae">Soon Ook Bae</name>
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<name sortKey="Seo, Kwan Sik" sort="Seo, Kwan Sik" uniqKey="Seo K" first="Kwan Sik" last="Seo">Kwan Sik Seo</name>
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<title xml:lang="en">A comparison of the effectiveness of complex decongestive physiotherapy and stellate ganglion block with triamcinolone administration in breast cancer-related lymphedema patients.</title>
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<name sortKey="Kim, Jeong Gil" sort="Kim, Jeong Gil" uniqKey="Kim J" first="Jeong-Gil" last="Kim">Jeong-Gil Kim</name>
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<nlm:affiliation>Department of Rehabilitation Medicine, College of Medicine, Seoul National University, 101 Daehak-ro Jongno-gu, Seoul, 110-744, South Korea.</nlm:affiliation>
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<name sortKey="Bae, Soon Ook" sort="Bae, Soon Ook" uniqKey="Bae S" first="Soon Ook" last="Bae">Soon Ook Bae</name>
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<name sortKey="Seo, Kwan Sik" sort="Seo, Kwan Sik" uniqKey="Seo K" first="Kwan Sik" last="Seo">Kwan Sik Seo</name>
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<title level="j">Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</title>
<idno type="eISSN">1433-7339</idno>
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<date when="2015" type="published">2015</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Arm (pathology)</term>
<term>Autonomic Nerve Block (methods)</term>
<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (physiopathology)</term>
<term>Breast Neoplasms (therapy)</term>
<term>Cohort Studies</term>
<term>Drainage</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (physiopathology)</term>
<term>Lymphedema (therapy)</term>
<term>Middle Aged</term>
<term>Physical Therapy Modalities</term>
<term>Retrospective Studies</term>
<term>Stellate Ganglion</term>
<term>Treatment Outcome</term>
<term>Triamcinolone (administration & dosage)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en">
<term>Triamcinolone</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Autonomic Nerve Block</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Arm</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Breast Neoplasms</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Breast Neoplasms</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Cohort Studies</term>
<term>Drainage</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision</term>
<term>Middle Aged</term>
<term>Physical Therapy Modalities</term>
<term>Retrospective Studies</term>
<term>Stellate Ganglion</term>
<term>Treatment Outcome</term>
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<front>
<div type="abstract" xml:lang="en">This study aims to investigate the comparison of effectiveness between stellate ganglion block (SGB) and complex decongestive physiotherapy (CDT) in breast cancer-related lymphedema (BCRL) patients.</div>
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<DateCreated>
<Year>2015</Year>
<Month>06</Month>
<Day>27</Day>
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<DateCompleted>
<Year>2015</Year>
<Month>10</Month>
<Day>26</Day>
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<DateRevised>
<Year>2015</Year>
<Month>06</Month>
<Day>27</Day>
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<ISSN IssnType="Electronic">1433-7339</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>23</Volume>
<Issue>8</Issue>
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<Year>2015</Year>
<Month>Aug</Month>
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</JournalIssue>
<Title>Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</Title>
<ISOAbbreviation>Support Care Cancer</ISOAbbreviation>
</Journal>
<ArticleTitle>A comparison of the effectiveness of complex decongestive physiotherapy and stellate ganglion block with triamcinolone administration in breast cancer-related lymphedema patients.</ArticleTitle>
<Pagination>
<MedlinePgn>2305-10</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00520-014-2593-5</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">This study aims to investigate the comparison of effectiveness between stellate ganglion block (SGB) and complex decongestive physiotherapy (CDT) in breast cancer-related lymphedema (BCRL) patients.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The study is a retrospective matched cohort study. A total of 60 subjects who had secondary lymphedema after breast cancer treatments were included in this study. Thirty subjects who had SGB were matched with other 30 subjects treated with CDT, which is the standard therapy for BCRL. The groups were matched for age, duration of lymphedema, type of surgery, and history of lymph node dissection. SGB subjects received SGB three times, once every 2 weeks and CDT subjects were treated for 2 weeks. The circumferences of the forearm and upper arm were used as the outcome variable. These parameters were measured with baseline value before each treatment and repeated the evaluation after the treatments. We investigated the difference of circumferences within each treatment and compared the clinical effect between treatments.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Sixty subjects (mean age 58.2 ± 8.7) were treated with CDT and SGB each. There was no significant difference in demographic data including cancer treatment. The mean circumferences of the forearm and upper arm after CDT significantly reduced; forearm from 24.91 to 23.87 cm and upper arm from 30.52 to 29.58 cm (p < 0.001). And the clinical effect of SGB was also significant; forearm from 24.90 to 23.64 cm and upper arm from 30.96 to 29.16 cm (p < 0.001). The differences of the forearm between CDT and SGB was not significant, but the circumference of the upper arm was more reduced after SGB treatment (1.81 ± 1.21 cm) than CDT (0.94 cm ± 0.78 cm) (p < 0.01).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">SGB is an effective treatment which can reduce the circumference of arm in breast cancer-related lymphedema patients and could be an alternative treatment for lymphedema.</AbstractText>
</Abstract>
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<LastName>Kim</LastName>
<ForeName>Jeong-Gil</ForeName>
<Initials>JG</Initials>
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<Affiliation>Department of Rehabilitation Medicine, College of Medicine, Seoul National University, 101 Daehak-ro Jongno-gu, Seoul, 110-744, South Korea.</Affiliation>
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<Language>eng</Language>
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<Year>2015</Year>
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<Country>Germany</Country>
<MedlineTA>Support Care Cancer</MedlineTA>
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<RegistryNumber>1ZK20VI6TY</RegistryNumber>
<NameOfSubstance UI="D014221">Triamcinolone</NameOfSubstance>
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<DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName>
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<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
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<DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
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<Year>2014</Year>
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