The impact of immediate breast reconstruction on post-mastectomy lymphedema in patients undergoing modified radical mastectomy.
Identifieur interne : 002126 ( PubMed/Corpus ); précédent : 002125; suivant : 002127The impact of immediate breast reconstruction on post-mastectomy lymphedema in patients undergoing modified radical mastectomy.
Auteurs : Kyeong-Tae Lee ; Goo-Hyun Mun ; So-Young Lim ; Jai-Kyong Pyon ; Kap-Sung Oh ; Sa-Ik BangSource :
- Breast (Edinburgh, Scotland) [ 1532-3080 ] ; 2013.
English descriptors
- KwdEn :
- Adult, Aged, Breast Neoplasms (surgery), Female, Follow-Up Studies, Humans, Incidence, Logistic Models, Lymphedema (epidemiology), Lymphedema (etiology), Lymphedema (prevention & control), Mammaplasty (methods), Mastectomy, Modified Radical, Middle Aged, Multivariate Analysis, Postoperative Complications (epidemiology), Postoperative Complications (etiology), Postoperative Complications (prevention & control), Retrospective Studies, Surgical Flaps, Time Factors, Treatment Outcome.
- MESH :
- epidemiology : Lymphedema, Postoperative Complications.
- etiology : Lymphedema, Postoperative Complications.
- methods : Mammaplasty.
- prevention & control : Lymphedema, Postoperative Complications.
- surgery : Breast Neoplasms.
- Adult, Aged, Female, Follow-Up Studies, Humans, Incidence, Logistic Models, Mastectomy, Modified Radical, Middle Aged, Multivariate Analysis, Retrospective Studies, Surgical Flaps, Time Factors, Treatment Outcome.
Abstract
The aim of this study was to assess the impact of immediate breast reconstruction (IBR) with autologous tissue on the development of post-mastectomy lymphedema in patients undergoing modified radical mastectomy (MRM). A retrospective chart review was performed for early-stage breast cancer patients who underwent MRM between January 2001 and December 2009. Patients were categorized into two groups based on whether or not they underwent IBR. The incidence of lymphedema was assessed and compared. A total of 712 patients underwent MRM, which included 117 patients undergoing IRB. There were no significant differences between two groups except for a lower body mass index in the reconstruction group. Comparing the incidence of lymphedema using multivariate logistic regression analysis, the reconstruction group had a significantly lower incidence of lymphedema (p-value = 0.023). Breast cancer patients who underwent MRM with IBR had a significantly lower incidence of lymphedema than those in the non-reconstruction group.
DOI: 10.1016/j.breast.2012.04.009
PubMed: 22595248
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pubmed:22595248Le document en format XML
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sort="Oh, Kap Sung" uniqKey="Oh K" first="Kap-Sung" last="Oh">Kap-Sung Oh</name></author><author><name sortKey="Bang, Sa Ik" sort="Bang, Sa Ik" uniqKey="Bang S" first="Sa-Ik" last="Bang">Sa-Ik Bang</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:22595248</idno><idno type="pmid">22595248</idno><idno type="doi">10.1016/j.breast.2012.04.009</idno><idno type="wicri:Area/PubMed/Corpus">002126</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002126</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The impact of immediate breast reconstruction on post-mastectomy lymphedema in patients undergoing modified radical mastectomy.</title><author><name sortKey="Lee, Kyeong Tae" sort="Lee, Kyeong Tae" uniqKey="Lee K" first="Kyeong-Tae" last="Lee">Kyeong-Tae Lee</name><affiliation><nlm:affiliation>Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Ilwon-dong 50, Kangnam-ku, Seoul 135-710, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Mun, Goo Hyun" sort="Mun, Goo Hyun" uniqKey="Mun G" first="Goo-Hyun" last="Mun">Goo-Hyun Mun</name></author><author><name sortKey="Lim, So Young" sort="Lim, So Young" uniqKey="Lim S" first="So-Young" last="Lim">So-Young Lim</name></author><author><name sortKey="Pyon, Jai Kyong" sort="Pyon, Jai Kyong" uniqKey="Pyon J" first="Jai-Kyong" last="Pyon">Jai-Kyong Pyon</name></author><author><name sortKey="Oh, Kap Sung" sort="Oh, Kap Sung" uniqKey="Oh K" first="Kap-Sung" last="Oh">Kap-Sung Oh</name></author><author><name sortKey="Bang, Sa Ik" sort="Bang, Sa Ik" uniqKey="Bang S" first="Sa-Ik" last="Bang">Sa-Ik Bang</name></author></analytic><series><title level="j">Breast (Edinburgh, Scotland)</title><idno type="eISSN">1532-3080</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 (surgery)</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Incidence</term><term>Logistic Models</term><term>Lymphedema (epidemiology)</term><term>Lymphedema (etiology)</term><term>Lymphedema (prevention & control)</term><term>Mammaplasty (methods)</term><term>Mastectomy, Modified Radical</term><term>Middle Aged</term><term>Multivariate Analysis</term><term>Postoperative Complications (epidemiology)</term><term>Postoperative Complications (etiology)</term><term>Postoperative Complications (prevention & control)</term><term>Retrospective Studies</term><term>Surgical Flaps</term><term>Time Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Mammaplasty</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Incidence</term><term>Logistic Models</term><term>Mastectomy, Modified Radical</term><term>Middle Aged</term><term>Multivariate Analysis</term><term>Retrospective Studies</term><term>Surgical Flaps</term><term>Time Factors</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this study was to assess the impact of immediate breast reconstruction (IBR) with autologous tissue on the development of post-mastectomy lymphedema in patients undergoing modified radical mastectomy (MRM). A retrospective chart review was performed for early-stage breast cancer patients who underwent MRM between January 2001 and December 2009. Patients were categorized into two groups based on whether or not they underwent IBR. The incidence of lymphedema was assessed and compared. A total of 712 patients underwent MRM, which included 117 patients undergoing IRB. There were no significant differences between two groups except for a lower body mass index in the reconstruction group. Comparing the incidence of lymphedema using multivariate logistic regression analysis, the reconstruction group had a significantly lower incidence of lymphedema (p-value = 0.023). Breast cancer patients who underwent MRM with IBR had a significantly lower incidence of lymphedema than those in the non-reconstruction group.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22595248</PMID><DateCreated><Year>2012</Year><Month>12</Month><Day>31</Day></DateCreated><DateCompleted><Year>2013</Year><Month>05</Month><Day>30</Day></DateCompleted><DateRevised><Year>2012</Year><Month>12</Month><Day>31</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-3080</ISSN><JournalIssue CitedMedium="Internet"><Volume>22</Volume><Issue>1</Issue><PubDate><Year>2013</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Breast (Edinburgh, Scotland)</Title><ISOAbbreviation>Breast</ISOAbbreviation></Journal><ArticleTitle>The impact of immediate breast reconstruction on post-mastectomy lymphedema in patients undergoing modified radical mastectomy.</ArticleTitle><Pagination><MedlinePgn>53-7</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.breast.2012.04.009</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0960-9776(12)00081-1</ELocationID><Abstract><AbstractText>The aim of this study was to assess the impact of immediate breast reconstruction (IBR) with autologous tissue on the development of post-mastectomy lymphedema in patients undergoing modified radical mastectomy (MRM). A retrospective chart review was performed for early-stage breast cancer patients who underwent MRM between January 2001 and December 2009. Patients were categorized into two groups based on whether or not they underwent IBR. The incidence of lymphedema was assessed and compared. A total of 712 patients underwent MRM, which included 117 patients undergoing IRB. There were no significant differences between two groups except for a lower body mass index in the reconstruction group. Comparing the incidence of lymphedema using multivariate logistic regression analysis, the reconstruction group had a significantly lower incidence of lymphedema (p-value = 0.023). Breast cancer patients who underwent MRM with IBR had a significantly lower incidence of lymphedema than those in the non-reconstruction group.</AbstractText><CopyrightInformation>Copyright © 2012 Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>Kyeong-Tae</ForeName><Initials>KT</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Ilwon-dong 50, Kangnam-ku, Seoul 135-710, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mun</LastName><ForeName>Goo-Hyun</ForeName><Initials>GH</Initials></Author><Author ValidYN="Y"><LastName>Lim</LastName><ForeName>So-Young</ForeName><Initials>SY</Initials></Author><Author ValidYN="Y"><LastName>Pyon</LastName><ForeName>Jai-Kyong</ForeName><Initials>JK</Initials></Author><Author ValidYN="Y"><LastName>Oh</LastName><ForeName>Kap-Sung</ForeName><Initials>KS</Initials></Author><Author ValidYN="Y"><LastName>Bang</LastName><ForeName>Sa-Ik</ForeName><Initials>SI</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D023362">Evaluation Studies</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2012</Year><Month>05</Month><Day>16</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Breast</MedlineTA><NlmUniqueID>9213011</NlmUniqueID><ISSNLinking>0960-9776</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><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 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UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015411" MajorTopicYN="Y">Mastectomy, Modified Radical</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015999" MajorTopicYN="N">Multivariate Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013524" MajorTopicYN="N">Surgical Flaps</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2011</Year><Month>11</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2012</Year><Month>02</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2012</Year><Month>04</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>5</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>5</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>6</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId 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