Randomized trial of decongestive lymphatic therapy for the treatment of lymphedema in women with breast cancer.
Identifieur interne : 001918 ( PubMed/Corpus ); précédent : 001917; suivant : 001919Randomized trial of decongestive lymphatic therapy for the treatment of lymphedema in women with breast cancer.
Auteurs : Ian S. Dayes ; Tim J. Whelan ; Jim A. Julian ; Sameer Parpia ; Kathleen I. Pritchard ; David Paul D'Souza ; Lyn Kligman ; Donna Reise ; Linda Leblanc ; Margaret L. Mcneely ; Lee Manchul ; Jennifer Wiernikowski ; Mark N. LevineSource :
- Journal of clinical oncology : official journal of the American Society of Clinical Oncology [ 1527-7755 ] ; 2013.
English descriptors
- KwdEn :
- MESH :
- complications : Breast Neoplasms.
- etiology : Lymphedema.
- therapy : Breast Neoplasms, Lymphedema.
- Adult, Aged, Clothing, Compression Bandages, Confounding Factors (Epidemiology), Drainage, Female, Humans, Massage, Middle Aged, Quality of Life, Treatment Outcome, Upper Extremity.
Abstract
Because of its morbidity and chronicity, arm lymphedema remains a concerning complication of breast cancer treatment. Although massage-based decongestive therapy is often recommended, randomized trials have not consistently demonstrated benefit over more conservative measures.
DOI: 10.1200/JCO.2012.45.7192
PubMed: 24043733
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pubmed:24043733Le document en format XML
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Pritchard, Odette Sunnybrook Cancer Centre; Lee Manchul, University Health Network, Toronto; David Paul D'Souza and Lyn Kligman, London Regional Cancer Program, London; David Paul D'Souza, University of Western Ontario, London, Ontario; Linda LeBlanc, Dr Leon Richard Oncology Centre, Moncton, New Brunswick; Margaret L. McNeely, University of Alberta; and Margaret L. McNeely, Cross Cancer Institute, Edmonton, Alberta, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Whelan, Tim J" sort="Whelan, Tim J" uniqKey="Whelan T" first="Tim J" last="Whelan">Tim J. Whelan</name></author><author><name sortKey="Julian, Jim A" sort="Julian, Jim A" uniqKey="Julian J" first="Jim A" last="Julian">Jim A. Julian</name></author><author><name sortKey="Parpia, Sameer" sort="Parpia, Sameer" uniqKey="Parpia S" first="Sameer" last="Parpia">Sameer Parpia</name></author><author><name sortKey="Pritchard, Kathleen I" sort="Pritchard, Kathleen I" uniqKey="Pritchard K" first="Kathleen I" last="Pritchard">Kathleen I. Pritchard</name></author><author><name sortKey="D Souza, David Paul" sort="D Souza, David Paul" uniqKey="D Souza D" first="David Paul" last="D'Souza">David Paul D'Souza</name></author><author><name sortKey="Kligman, Lyn" sort="Kligman, Lyn" uniqKey="Kligman L" first="Lyn" last="Kligman">Lyn Kligman</name></author><author><name sortKey="Reise, Donna" sort="Reise, Donna" uniqKey="Reise D" first="Donna" last="Reise">Donna Reise</name></author><author><name sortKey="Leblanc, Linda" sort="Leblanc, Linda" uniqKey="Leblanc L" first="Linda" last="Leblanc">Linda Leblanc</name></author><author><name sortKey="Mcneely, Margaret L" sort="Mcneely, Margaret L" uniqKey="Mcneely M" first="Margaret L" last="Mcneely">Margaret L. Mcneely</name></author><author><name sortKey="Manchul, Lee" sort="Manchul, Lee" uniqKey="Manchul L" first="Lee" last="Manchul">Lee Manchul</name></author><author><name sortKey="Wiernikowski, Jennifer" sort="Wiernikowski, Jennifer" uniqKey="Wiernikowski J" first="Jennifer" last="Wiernikowski">Jennifer Wiernikowski</name></author><author><name sortKey="Levine, Mark N" sort="Levine, Mark N" uniqKey="Levine M" first="Mark N" last="Levine">Mark N. Levine</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:24043733</idno><idno type="pmid">24043733</idno><idno type="doi">10.1200/JCO.2012.45.7192</idno><idno type="wicri:Area/PubMed/Corpus">001918</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001918</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Randomized trial of decongestive lymphatic therapy for the treatment of lymphedema in women with breast cancer.</title><author><name sortKey="Dayes, Ian S" sort="Dayes, Ian S" uniqKey="Dayes I" first="Ian S" last="Dayes">Ian S. Dayes</name><affiliation><nlm:affiliation>Ian S. Dayes, Tim J. Whelan, Jim A. Julian, Sameer Parpia, and Mark N. Levine, McMaster University; Tim J. Whelan, Jim A. Julian, Sameer Parpia, Kathleen I. Pritchard, and Mark N. Levine, Ontario Clinical Oncology Group; Ian S. Dayes, Tim J. Whelan, and Mark N. Levine, Juravinski Cancer Centre; Donna Reise, Talspar Nursing Services; Jennifer Wiernikowski, Hamilton Health Sciences, Hamilton; Kathleen I. Pritchard and Lee Manchul, University of Toronto; Kathleen I. Pritchard, Odette Sunnybrook Cancer Centre; Lee Manchul, University Health Network, Toronto; David Paul D'Souza and Lyn Kligman, London Regional Cancer Program, London; David Paul D'Souza, University of Western Ontario, London, Ontario; Linda LeBlanc, Dr Leon Richard Oncology Centre, Moncton, New Brunswick; Margaret L. McNeely, University of Alberta; and Margaret L. McNeely, Cross Cancer Institute, Edmonton, Alberta, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Whelan, Tim J" sort="Whelan, Tim J" uniqKey="Whelan T" first="Tim J" last="Whelan">Tim J. Whelan</name></author><author><name sortKey="Julian, Jim A" sort="Julian, Jim A" uniqKey="Julian J" first="Jim A" last="Julian">Jim A. Julian</name></author><author><name sortKey="Parpia, Sameer" sort="Parpia, Sameer" uniqKey="Parpia S" first="Sameer" last="Parpia">Sameer Parpia</name></author><author><name sortKey="Pritchard, Kathleen I" sort="Pritchard, Kathleen I" uniqKey="Pritchard K" first="Kathleen I" last="Pritchard">Kathleen I. Pritchard</name></author><author><name sortKey="D Souza, David Paul" sort="D Souza, David Paul" uniqKey="D Souza D" first="David Paul" last="D'Souza">David Paul D'Souza</name></author><author><name sortKey="Kligman, Lyn" sort="Kligman, Lyn" uniqKey="Kligman L" first="Lyn" last="Kligman">Lyn Kligman</name></author><author><name sortKey="Reise, Donna" sort="Reise, Donna" uniqKey="Reise D" first="Donna" last="Reise">Donna Reise</name></author><author><name sortKey="Leblanc, Linda" sort="Leblanc, Linda" uniqKey="Leblanc L" first="Linda" last="Leblanc">Linda Leblanc</name></author><author><name sortKey="Mcneely, Margaret L" sort="Mcneely, Margaret L" uniqKey="Mcneely M" first="Margaret L" last="Mcneely">Margaret L. Mcneely</name></author><author><name sortKey="Manchul, Lee" sort="Manchul, Lee" uniqKey="Manchul L" first="Lee" last="Manchul">Lee Manchul</name></author><author><name sortKey="Wiernikowski, Jennifer" sort="Wiernikowski, Jennifer" uniqKey="Wiernikowski J" first="Jennifer" last="Wiernikowski">Jennifer Wiernikowski</name></author><author><name sortKey="Levine, Mark N" sort="Levine, Mark N" uniqKey="Levine M" first="Mark N" last="Levine">Mark N. Levine</name></author></analytic><series><title level="j">Journal of clinical oncology : official journal of the American Society of Clinical Oncology</title><idno type="eISSN">1527-7755</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Breast Neoplasms (complications)</term><term>Breast Neoplasms (therapy)</term><term>Clothing</term><term>Compression Bandages</term><term>Confounding Factors (Epidemiology)</term><term>Drainage</term><term>Female</term><term>Humans</term><term>Lymphedema (etiology)</term><term>Lymphedema (therapy)</term><term>Massage</term><term>Middle Aged</term><term>Quality of Life</term><term>Treatment Outcome</term><term>Upper Extremity</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="therapy" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Clothing</term><term>Compression Bandages</term><term>Confounding Factors (Epidemiology)</term><term>Drainage</term><term>Female</term><term>Humans</term><term>Massage</term><term>Middle Aged</term><term>Quality of Life</term><term>Treatment Outcome</term><term>Upper Extremity</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Because of its morbidity and chronicity, arm lymphedema remains a concerning complication of breast cancer treatment. Although massage-based decongestive therapy is often recommended, randomized trials have not consistently demonstrated benefit over more conservative measures.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24043733</PMID><DateCreated><Year>2013</Year><Month>10</Month><Day>21</Day></DateCreated><DateCompleted><Year>2013</Year><Month>12</Month><Day>09</Day></DateCompleted><DateRevised><Year>2013</Year><Month>10</Month><Day>21</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1527-7755</ISSN><JournalIssue CitedMedium="Internet"><Volume>31</Volume><Issue>30</Issue><PubDate><Year>2013</Year><Month>Oct</Month><Day>20</Day></PubDate></JournalIssue><Title>Journal of clinical oncology : official journal of the American Society of Clinical Oncology</Title><ISOAbbreviation>J. Clin. Oncol.</ISOAbbreviation></Journal><ArticleTitle>Randomized trial of decongestive lymphatic therapy for the treatment of lymphedema in women with breast cancer.</ArticleTitle><Pagination><MedlinePgn>3758-63</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1200/JCO.2012.45.7192</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Because of its morbidity and chronicity, arm lymphedema remains a concerning complication of breast cancer treatment. Although massage-based decongestive therapy is often recommended, randomized trials have not consistently demonstrated benefit over more conservative measures.</AbstractText><AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">Women previously treated for breast cancer with lymphedema were enrolled from six institutions. Volumes were calculated from circumference measurements. Patients with a minimum of 10% volume difference between their arms were randomly assigned to either compression garments (control) or daily manual lymphatic drainage and bandaging followed by compression garments (experimental). The primary outcome was percent reduction in excess arm volume from baseline to 6 weeks.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 103 women were randomly assigned, and 95 were evaluable. Mean reduction of excess arm volume was 29.0% in the experimental group and 22.6% in the control group (difference, 6.4%; 95% CI, -6.8% to 20.5%; P = .34). Absolute volume loss was 250 mL and 143 mL in the experimental and control groups, respectively (difference, 107 mL; 95% CI, 13 to 203 mL; P = .03). There was no difference between groups in the proportion of patients losing 50% or greater excess arm volume. Quality of life (Short Form-36 Health Survey) and arm function were not different between groups.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This trial was unable to demonstrate a significant improvement in lymphedema with decongestive therapy compared with a more conservative approach. The failure to detect a difference may have been a result of the relatively small size of our trial.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dayes</LastName><ForeName>Ian S</ForeName><Initials>IS</Initials><AffiliationInfo><Affiliation>Ian S. Dayes, Tim J. Whelan, Jim A. Julian, Sameer Parpia, and Mark N. Levine, McMaster University; Tim J. Whelan, Jim A. Julian, Sameer Parpia, Kathleen I. Pritchard, and Mark N. Levine, Ontario Clinical Oncology Group; Ian S. Dayes, Tim J. Whelan, and Mark N. Levine, Juravinski Cancer Centre; Donna Reise, Talspar Nursing Services; Jennifer Wiernikowski, Hamilton Health Sciences, Hamilton; Kathleen I. Pritchard and Lee Manchul, University of Toronto; Kathleen I. Pritchard, Odette Sunnybrook Cancer Centre; Lee Manchul, University Health Network, Toronto; David Paul D'Souza and Lyn Kligman, London Regional Cancer Program, London; David Paul D'Souza, University of Western Ontario, London, Ontario; Linda LeBlanc, Dr Leon Richard Oncology Centre, Moncton, New Brunswick; Margaret L. McNeely, University of Alberta; and Margaret L. McNeely, Cross Cancer Institute, Edmonton, Alberta, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Whelan</LastName><ForeName>Tim J</ForeName><Initials>TJ</Initials></Author><Author ValidYN="Y"><LastName>Julian</LastName><ForeName>Jim A</ForeName><Initials>JA</Initials></Author><Author ValidYN="Y"><LastName>Parpia</LastName><ForeName>Sameer</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Pritchard</LastName><ForeName>Kathleen I</ForeName><Initials>KI</Initials></Author><Author ValidYN="Y"><LastName>D'Souza</LastName><ForeName>David Paul</ForeName><Initials>DP</Initials></Author><Author ValidYN="Y"><LastName>Kligman</LastName><ForeName>Lyn</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Reise</LastName><ForeName>Donna</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>LeBlanc</LastName><ForeName>Linda</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>McNeely</LastName><ForeName>Margaret L</ForeName><Initials>ML</Initials></Author><Author ValidYN="Y"><LastName>Manchul</LastName><ForeName>Lee</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Wiernikowski</LastName><ForeName>Jennifer</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Levine</LastName><ForeName>Mark N</ForeName><Initials>MN</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>09</Month><Day>16</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Clin Oncol</MedlineTA><NlmUniqueID>8309333</NlmUniqueID><ISSNLinking>0732-183X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>J Clin Oncol. 2013 Oct 20;31(30):3737-8</RefSource><PMID Version="1">24043744</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003020" MajorTopicYN="Y">Clothing</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058128" MajorTopicYN="Y">Compression Bandages</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015986" MajorTopicYN="N">Confounding Factors (Epidemiology)</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004322" MajorTopicYN="N">Drainage</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008405" MajorTopicYN="Y">Massage</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D034941" MajorTopicYN="Y">Upper Extremity</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>9</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>9</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>12</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24043733</ArticleId><ArticleId IdType="pii">JCO.2012.45.7192</ArticleId><ArticleId IdType="doi">10.1200/JCO.2012.45.7192</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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