Nomograms for predicting the risk of arm lymphedema after axillary dissection in breast cancer.
Identifieur interne : 002236 ( PubMed/Corpus ); précédent : 002235; suivant : 002237Nomograms for predicting the risk of arm lymphedema after axillary dissection in breast cancer.
Auteurs : José Luiz B. Bevilacqua ; Michael W. Kattan ; Yu Changhong ; Sergio Koifman ; Inês E. Mattos ; Rosalina J. Koifman ; Anke BergmannSource :
- Annals of surgical oncology [ 1534-4681 ] ; 2012.
English descriptors
- KwdEn :
- Arm (pathology), Axilla, Breast Neoplasms (complications), Breast Neoplasms (mortality), Breast Neoplasms (surgery), Female, Follow-Up Studies, Humans, Incidence, Lymph Node Excision, Lymphedema (diagnosis), Lymphedema (epidemiology), Lymphedema (etiology), Middle Aged, Nomograms, Postoperative Complications, Prognosis, Prospective Studies, Risk Factors, Survival Rate.
- MESH :
- complications : Breast Neoplasms.
- diagnosis : Lymphedema.
- epidemiology : Lymphedema.
- etiology : Lymphedema.
- mortality : Breast Neoplasms.
- pathology : Arm.
- surgery : Breast Neoplasms.
- Axilla, Female, Follow-Up Studies, Humans, Incidence, Lymph Node Excision, Middle Aged, Nomograms, Postoperative Complications, Prognosis, Prospective Studies, Risk Factors, Survival Rate.
Abstract
Lymphedema (LE) after axillary lymph node dissection (ALND) is a multifactorial, chronic, and disabling condition that currently affects an estimated 4 million people worldwide. Although several risk factors have been described, it is difficult to estimate the risk in individual patients. We therefore developed nomograms based on a large data set.
DOI: 10.1245/s10434-012-2290-x
PubMed: 22395997
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pubmed:22395997Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Nomograms for predicting the risk of arm lymphedema after axillary dissection in breast cancer.</title><author><name sortKey="Bevilacqua, Jose Luiz B" sort="Bevilacqua, Jose Luiz B" uniqKey="Bevilacqua J" first="José Luiz B" last="Bevilacqua">José Luiz B. Bevilacqua</name><affiliation><nlm:affiliation>Escola Nacional de Saúde Pública/FIOCRUZ, Rio de Janeiro, Brazil. bevilacqua@hsl.org.br</nlm:affiliation></affiliation></author><author><name sortKey="Kattan, Michael W" sort="Kattan, Michael W" uniqKey="Kattan M" first="Michael W" last="Kattan">Michael W. Kattan</name></author><author><name sortKey="Changhong, Yu" sort="Changhong, Yu" uniqKey="Changhong Y" first="Yu" last="Changhong">Yu Changhong</name></author><author><name sortKey="Koifman, Sergio" sort="Koifman, Sergio" uniqKey="Koifman S" first="Sergio" last="Koifman">Sergio Koifman</name></author><author><name sortKey="Mattos, Ines E" sort="Mattos, Ines E" uniqKey="Mattos I" first="Inês E" last="Mattos">Inês E. Mattos</name></author><author><name sortKey="Koifman, Rosalina J" sort="Koifman, Rosalina J" uniqKey="Koifman R" first="Rosalina J" last="Koifman">Rosalina J. Koifman</name></author><author><name sortKey="Bergmann, Anke" sort="Bergmann, Anke" uniqKey="Bergmann A" first="Anke" last="Bergmann">Anke Bergmann</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:22395997</idno><idno type="pmid">22395997</idno><idno type="doi">10.1245/s10434-012-2290-x</idno><idno type="wicri:Area/PubMed/Corpus">002236</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002236</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Nomograms for predicting the risk of arm lymphedema after axillary dissection in breast cancer.</title><author><name sortKey="Bevilacqua, Jose Luiz B" sort="Bevilacqua, Jose Luiz B" uniqKey="Bevilacqua J" first="José Luiz B" last="Bevilacqua">José Luiz B. Bevilacqua</name><affiliation><nlm:affiliation>Escola Nacional de Saúde Pública/FIOCRUZ, Rio de Janeiro, Brazil. bevilacqua@hsl.org.br</nlm:affiliation></affiliation></author><author><name sortKey="Kattan, Michael W" sort="Kattan, Michael W" uniqKey="Kattan M" first="Michael W" last="Kattan">Michael W. Kattan</name></author><author><name sortKey="Changhong, Yu" sort="Changhong, Yu" uniqKey="Changhong Y" first="Yu" last="Changhong">Yu Changhong</name></author><author><name sortKey="Koifman, Sergio" sort="Koifman, Sergio" uniqKey="Koifman S" first="Sergio" last="Koifman">Sergio Koifman</name></author><author><name sortKey="Mattos, Ines E" sort="Mattos, Ines E" uniqKey="Mattos I" first="Inês E" last="Mattos">Inês E. Mattos</name></author><author><name sortKey="Koifman, Rosalina J" sort="Koifman, Rosalina J" uniqKey="Koifman R" first="Rosalina J" last="Koifman">Rosalina J. Koifman</name></author><author><name sortKey="Bergmann, Anke" sort="Bergmann, Anke" uniqKey="Bergmann A" first="Anke" last="Bergmann">Anke Bergmann</name></author></analytic><series><title level="j">Annals of surgical oncology</title><idno type="eISSN">1534-4681</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arm (pathology)</term><term>Axilla</term><term>Breast Neoplasms (complications)</term><term>Breast Neoplasms (mortality)</term><term>Breast Neoplasms (surgery)</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Incidence</term><term>Lymph Node Excision</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (epidemiology)</term><term>Lymphedema (etiology)</term><term>Middle Aged</term><term>Nomograms</term><term>Postoperative Complications</term><term>Prognosis</term><term>Prospective Studies</term><term>Risk Factors</term><term>Survival Rate</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Arm</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Axilla</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Incidence</term><term>Lymph Node Excision</term><term>Middle Aged</term><term>Nomograms</term><term>Postoperative Complications</term><term>Prognosis</term><term>Prospective Studies</term><term>Risk Factors</term><term>Survival Rate</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphedema (LE) after axillary lymph node dissection (ALND) is a multifactorial, chronic, and disabling condition that currently affects an estimated 4 million people worldwide. Although several risk factors have been described, it is difficult to estimate the risk in individual patients. We therefore developed nomograms based on a large data set.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22395997</PMID><DateCreated><Year>2012</Year><Month>07</Month><Day>25</Day></DateCreated><DateCompleted><Year>2013</Year><Month>01</Month><Day>17</Day></DateCompleted><DateRevised><Year>2012</Year><Month>07</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1534-4681</ISSN><JournalIssue CitedMedium="Internet"><Volume>19</Volume><Issue>8</Issue><PubDate><Year>2012</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Annals of surgical oncology</Title><ISOAbbreviation>Ann. Surg. Oncol.</ISOAbbreviation></Journal><ArticleTitle>Nomograms for predicting the risk of arm lymphedema after axillary dissection in breast cancer.</ArticleTitle><Pagination><MedlinePgn>2580-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1245/s10434-012-2290-x</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lymphedema (LE) after axillary lymph node dissection (ALND) is a multifactorial, chronic, and disabling condition that currently affects an estimated 4 million people worldwide. Although several risk factors have been described, it is difficult to estimate the risk in individual patients. We therefore developed nomograms based on a large data set.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Clinicopathologic features were collected from a prospective cohort comprising 1,054 women with unilateral breast cancer undergoing ALND as part of their surgical treatment from August 2001 to November 2002. LE was defined as a volume difference of at least 200 ml between arms at 6 months or more after surgery. The cumulative incidence of LE was ascertained by the Kaplan-Meier method, and Cox proportional hazard models were used to predict the risk of developing LE on the basis of the available data at each time point: model 1, preoperatively; model 2, within 6 months from surgery; and model 3, at 6 months or later after surgery.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The 5 year cumulative incidence of LE was 30.3%. Independent risk factors for LE were age, body mass index, ipsilateral arm chemotherapy infusions, level of ALND, location of radiotherapy field, development of postoperative seroma, infection, and early edema. When applied to the validation set, the concordance indices were 0.706, 0.729, and 0.736 for models 1, 2, and 3, respectively.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The proposed nomograms can help physicians and patients predict the 5 year probability of LE after ALND for breast cancer. Free online versions of the nomograms are available at http://www.lymphedemarisk.com/ .</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bevilacqua</LastName><ForeName>José Luiz B</ForeName><Initials>JL</Initials><AffiliationInfo><Affiliation>Escola Nacional de Saúde Pública/FIOCRUZ, Rio de Janeiro, Brazil. bevilacqua@hsl.org.br</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kattan</LastName><ForeName>Michael W</ForeName><Initials>MW</Initials></Author><Author ValidYN="Y"><LastName>Changhong</LastName><ForeName>Yu</ForeName><Initials>Y</Initials></Author><Author ValidYN="Y"><LastName>Koifman</LastName><ForeName>Sergio</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Mattos</LastName><ForeName>Inês E</ForeName><Initials>IE</Initials></Author><Author ValidYN="Y"><LastName>Koifman</LastName><ForeName>Rosalina J</ForeName><Initials>RJ</Initials></Author><Author ValidYN="Y"><LastName>Bergmann</LastName><ForeName>Anke</ForeName><Initials>A</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2012</Year><Month>03</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ann Surg Oncol</MedlineTA><NlmUniqueID>9420840</NlmUniqueID><ISSNLinking>1068-9265</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001132" MajorTopicYN="N">Arm</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D049451" MajorTopicYN="Y">Nomograms</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="Y">Postoperative Complications</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015996" MajorTopicYN="N">Survival Rate</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2011</Year><Month>09</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>3</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>3</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>1</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22395997</ArticleId><ArticleId IdType="doi">10.1245/s10434-012-2290-x</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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