Serveur d'exploration sur le lymphœdème

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Prescription and adherence to lymphedema self-care modalities among women with breast cancer-related lymphedema.

Identifieur interne : 001936 ( PubMed/Corpus ); précédent : 001935; suivant : 001937

Prescription and adherence to lymphedema self-care modalities among women with breast cancer-related lymphedema.

Auteurs : Justin C. Brown ; Andrea L. Cheville ; Julia C. Tchou ; Susan R. Harris ; Kathryn H. Schmitz

Source :

RBID : pubmed:24013569

English descriptors

Abstract

To profile the prescription for and adherence to breast cancer-related lymphedema (BCRL) self-care modalities among breast cancer (BrCa) survivors with BCRL in a 12-month randomized weightlifting trial.

DOI: 10.1007/s00520-013-1962-9
PubMed: 24013569

Links to Exploration step

pubmed:24013569

Le document en format XML

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<title xml:lang="en">Prescription and adherence to lymphedema self-care modalities among women with breast cancer-related lymphedema.</title>
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<name sortKey="Brown, Justin C" sort="Brown, Justin C" uniqKey="Brown J" first="Justin C" last="Brown">Justin C. Brown</name>
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<nlm:affiliation>University of Pennsylvania School of Medicine, 423 Guardian Drive, 8th Floor, Blockley Hall, Philadelphia, PA, 19104, USA.</nlm:affiliation>
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<name sortKey="Cheville, Andrea L" sort="Cheville, Andrea L" uniqKey="Cheville A" first="Andrea L" last="Cheville">Andrea L. Cheville</name>
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<name sortKey="Tchou, Julia C" sort="Tchou, Julia C" uniqKey="Tchou J" first="Julia C" last="Tchou">Julia C. Tchou</name>
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<name sortKey="Harris, Susan R" sort="Harris, Susan R" uniqKey="Harris S" first="Susan R" last="Harris">Susan R. Harris</name>
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<name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H" last="Schmitz">Kathryn H. Schmitz</name>
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<title xml:lang="en">Prescription and adherence to lymphedema self-care modalities among women with breast cancer-related lymphedema.</title>
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<name sortKey="Brown, Justin C" sort="Brown, Justin C" uniqKey="Brown J" first="Justin C" last="Brown">Justin C. Brown</name>
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<nlm:affiliation>University of Pennsylvania School of Medicine, 423 Guardian Drive, 8th Floor, Blockley Hall, Philadelphia, PA, 19104, USA.</nlm:affiliation>
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<name sortKey="Cheville, Andrea L" sort="Cheville, Andrea L" uniqKey="Cheville A" first="Andrea L" last="Cheville">Andrea L. Cheville</name>
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<name sortKey="Harris, Susan R" sort="Harris, Susan R" uniqKey="Harris S" first="Susan R" last="Harris">Susan R. Harris</name>
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<name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H" last="Schmitz">Kathryn H. Schmitz</name>
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<title level="j">Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</title>
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<term>Adult</term>
<term>Aged</term>
<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (therapy)</term>
<term>Exercise Therapy (methods)</term>
<term>Exercise Therapy (standards)</term>
<term>Female</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Longitudinal Studies</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (therapy)</term>
<term>Middle Aged</term>
<term>Patient Compliance</term>
<term>Self Care (methods)</term>
<term>Self Care (standards)</term>
<term>Skin Care (methods)</term>
<term>Skin Care (standards)</term>
<term>Surveys and Questionnaires</term>
<term>Weight Lifting</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>Exercise Therapy</term>
<term>Self Care</term>
<term>Skin Care</term>
</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en">
<term>Exercise Therapy</term>
<term>Self Care</term>
<term>Skin Care</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>Female</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Longitudinal Studies</term>
<term>Middle Aged</term>
<term>Patient Compliance</term>
<term>Surveys and Questionnaires</term>
<term>Weight Lifting</term>
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<front>
<div type="abstract" xml:lang="en">To profile the prescription for and adherence to breast cancer-related lymphedema (BCRL) self-care modalities among breast cancer (BrCa) survivors with BCRL in a 12-month randomized weightlifting trial.</div>
</front>
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<PMID Version="1">24013569</PMID>
<DateCreated>
<Year>2013</Year>
<Month>12</Month>
<Day>02</Day>
</DateCreated>
<DateCompleted>
<Year>2014</Year>
<Month>02</Month>
<Day>24</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>12</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1433-7339</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>22</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2014</Year>
<Month>Jan</Month>
</PubDate>
</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>Prescription and adherence to lymphedema self-care modalities among women with breast cancer-related lymphedema.</ArticleTitle>
<Pagination>
<MedlinePgn>135-43</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00520-013-1962-9</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To profile the prescription for and adherence to breast cancer-related lymphedema (BCRL) self-care modalities among breast cancer (BrCa) survivors with BCRL in a 12-month randomized weightlifting trial.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We developed a questionnaire that assessed prescription for and adherence to 10 BCRL self-care modalities that included physical therapy exercise, pneumatic compression pump, medication, lymphedema bandaging, arm elevation, self-administered lymphatic drainage, therapist-administered lymphatic drainage, compression garments, skin care, and taping. We measured prescription for and adherence to BCRL self-care modalities at baseline, 3, 6, and 12 months. Longitudinal logistic regression was used to estimate the odds ratio (OR) and 95 % confidence interval (95 % CI) associated with prescription for and adherence to BCRL modalities over time.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">This study included 141 BrCa survivors with BCRL. Women were prescribed an average of 3.6 ± 2.1 BCRL self-care modalities during the study. The prescription for therapist-administered lymphatic drainage (OR = 0.92, 95 % CI 0.88-0.96), pneumatic compression pump use (OR = 0.94, 95 % CI 0.89-0.98), and bandaging (OR = 0.96, 95 % CI 0.93-0.99) decreased over 12 months of follow-up. No other prescribed BCRL self-care modalities changed during the study. Over 12 months, the average adherence to all BCRL self-care modalities varied with 13, 24, 32, and 31 % of women reporting <25, 25-49, 50-74, and ≥75 % adherence, respectively. Over 12 months, there was a noticeable change from high to low adherence in self-administered lymphatic drainage, such that there was a 15 % increased likelihood of adherence <25 % compared to ≥75 % (OR = 1.15 (95 % CI 1.05-1.26); p = 0.002). The adherence patterns of all other modalities did not change over follow-up.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our findings suggest the prescription for BCRL self-care modalities is variable. The average adherence to BCRL self-care was non-optimal. Future research is necessary to prepare BrCa survivors with the knowledge, skills, abilities, and resources necessary to care for this lifelong condition.</AbstractText>
</Abstract>
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<LastName>Brown</LastName>
<ForeName>Justin C</ForeName>
<Initials>JC</Initials>
<AffiliationInfo>
<Affiliation>University of Pennsylvania School of Medicine, 423 Guardian Drive, 8th Floor, Blockley Hall, Philadelphia, PA, 19104, USA.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Cheville</LastName>
<ForeName>Andrea L</ForeName>
<Initials>AL</Initials>
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<LastName>Tchou</LastName>
<ForeName>Julia C</ForeName>
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<ForeName>Kathryn H</ForeName>
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<GrantID>R01 CA106851</GrantID>
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<Agency>NCI NIH HHS</Agency>
<Country>United States</Country>
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<Grant>
<GrantID>U54 CA155850</GrantID>
<Acronym>CA</Acronym>
<Agency>NCI NIH HHS</Agency>
<Country>United States</Country>
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