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Prevalence and prognostic significance of secondary lymphedema following breast cancer.

Identifieur interne : 002398 ( PubMed/Corpus ); précédent : 002397; suivant : 002399

Prevalence and prognostic significance of secondary lymphedema following breast cancer.

Auteurs : Sandi Hayes ; Tracey Di Sipio ; Sheree Rye ; J Alejandro L Pez ; Christobel Saunders ; Chris Pyke ; John Bashford ; Diana Battistutta ; Beth Newman

Source :

RBID : pubmed:22066743

English descriptors

Abstract

The adverse consequences of lymphedema following breast cancer in relation to physical function and quality of life are clear; however, its potential relationship with survival has not been investigated. Our purpose was to determine the prevalence of lymphedema and associated upper-body symptoms at 6 years following breast cancer and to examine the prognostic significance of lymphedema with respect to overall 6-year survival (OS).

DOI: 10.1089/lrb.2011.0007
PubMed: 22066743

Links to Exploration step

pubmed:22066743

Le document en format XML

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<title xml:lang="en">Prevalence and prognostic significance of secondary lymphedema following breast cancer.</title>
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<name sortKey="Hayes, Sandi" sort="Hayes, Sandi" uniqKey="Hayes S" first="Sandi" last="Hayes">Sandi Hayes</name>
<affiliation>
<nlm:affiliation>Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia. sc.hayes@qut.edu.au</nlm:affiliation>
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<author>
<name sortKey="Di Sipio, Tracey" sort="Di Sipio, Tracey" uniqKey="Di Sipio T" first="Tracey" last="Di Sipio">Tracey Di Sipio</name>
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<author>
<name sortKey="Rye, Sheree" sort="Rye, Sheree" uniqKey="Rye S" first="Sheree" last="Rye">Sheree Rye</name>
</author>
<author>
<name sortKey="L Pez, J Alejandro" sort="L Pez, J Alejandro" uniqKey="L Pez J" first="J Alejandro" last="L Pez">J Alejandro L Pez</name>
</author>
<author>
<name sortKey="Saunders, Christobel" sort="Saunders, Christobel" uniqKey="Saunders C" first="Christobel" last="Saunders">Christobel Saunders</name>
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<name sortKey="Pyke, Chris" sort="Pyke, Chris" uniqKey="Pyke C" first="Chris" last="Pyke">Chris Pyke</name>
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<name sortKey="Bashford, John" sort="Bashford, John" uniqKey="Bashford J" first="John" last="Bashford">John Bashford</name>
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<author>
<name sortKey="Battistutta, Diana" sort="Battistutta, Diana" uniqKey="Battistutta D" first="Diana" last="Battistutta">Diana Battistutta</name>
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<name sortKey="Newman, Beth" sort="Newman, Beth" uniqKey="Newman B" first="Beth" last="Newman">Beth Newman</name>
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<title xml:lang="en">Prevalence and prognostic significance of secondary lymphedema following breast cancer.</title>
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<name sortKey="Hayes, Sandi" sort="Hayes, Sandi" uniqKey="Hayes S" first="Sandi" last="Hayes">Sandi Hayes</name>
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<nlm:affiliation>Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia. sc.hayes@qut.edu.au</nlm:affiliation>
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<name sortKey="Rye, Sheree" sort="Rye, Sheree" uniqKey="Rye S" first="Sheree" last="Rye">Sheree Rye</name>
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<name sortKey="Saunders, Christobel" sort="Saunders, Christobel" uniqKey="Saunders C" first="Christobel" last="Saunders">Christobel Saunders</name>
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<name sortKey="Pyke, Chris" sort="Pyke, Chris" uniqKey="Pyke C" first="Chris" last="Pyke">Chris Pyke</name>
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<name sortKey="Bashford, John" sort="Bashford, John" uniqKey="Bashford J" first="John" last="Bashford">John Bashford</name>
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<name sortKey="Battistutta, Diana" sort="Battistutta, Diana" uniqKey="Battistutta D" first="Diana" last="Battistutta">Diana Battistutta</name>
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<name sortKey="Newman, Beth" sort="Newman, Beth" uniqKey="Newman B" first="Beth" last="Newman">Beth Newman</name>
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<title level="j">Lymphatic research and biology</title>
<idno type="eISSN">1557-8585</idno>
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<date when="2011" type="published">2011</date>
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<term>Adult</term>
<term>Aged</term>
<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (mortality)</term>
<term>Female</term>
<term>Humans</term>
<term>Kaplan-Meier Estimate</term>
<term>Lymphedema (epidemiology)</term>
<term>Lymphedema (etiology)</term>
<term>Middle Aged</term>
<term>Prevalence</term>
<term>Prognosis</term>
<term>Risk Factors</term>
<term>Time Factors</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Breast Neoplasms</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" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Kaplan-Meier Estimate</term>
<term>Middle Aged</term>
<term>Prevalence</term>
<term>Prognosis</term>
<term>Risk Factors</term>
<term>Time Factors</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">The adverse consequences of lymphedema following breast cancer in relation to physical function and quality of life are clear; however, its potential relationship with survival has not been investigated. Our purpose was to determine the prevalence of lymphedema and associated upper-body symptoms at 6 years following breast cancer and to examine the prognostic significance of lymphedema with respect to overall 6-year survival (OS).</div>
</front>
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<pubmed>
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<PMID Version="1">22066743</PMID>
<DateCreated>
<Year>2011</Year>
<Month>11</Month>
<Day>09</Day>
</DateCreated>
<DateCompleted>
<Year>2012</Year>
<Month>03</Month>
<Day>05</Day>
</DateCompleted>
<DateRevised>
<Year>2011</Year>
<Month>11</Month>
<Day>09</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1557-8585</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>9</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2011</Year>
</PubDate>
</JournalIssue>
<Title>Lymphatic research and biology</Title>
<ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation>
</Journal>
<ArticleTitle>Prevalence and prognostic significance of secondary lymphedema following breast cancer.</ArticleTitle>
<Pagination>
<MedlinePgn>135-41</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1089/lrb.2011.0007</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The adverse consequences of lymphedema following breast cancer in relation to physical function and quality of life are clear; however, its potential relationship with survival has not been investigated. Our purpose was to determine the prevalence of lymphedema and associated upper-body symptoms at 6 years following breast cancer and to examine the prognostic significance of lymphedema with respect to overall 6-year survival (OS).</AbstractText>
<AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">A population-based sample of Australian women (n = 287) diagnosed with invasive, unilateral breast cancer was followed for a median of 6.6 years and prospectively assessed for lymphedema (using bioimpedance spectroscopy [BIS], sum of arm circumferences [SOAC], and self-reported arm swelling), a range of upper-body symptoms, and vital status. OS was measured from date of diagnosis to date of death or last follow-up. Kaplan-Meier methods were used to calculate OS and Cox proportional hazards models quantified the risk associated with lymphedema. Approximately 45% of women had reported at least one moderate to extreme symptom at 6.6 years postdiagnosis, while 34% had shown clinical evidence of lymphedema, and 48% reported arm swelling at least once since baseline assessment. A total of 27 (9.4%) women died during the follow-up period, and lymphedema, diagnosed by BIS or SOAC between 6-18 months postdiagnosis, predicted mortality (BIS: HR = 2.5; 95% CI: 0.9, 6.8, p = 0.08; SOAC: 3.0; 95% CI: 1.1, 8.7, p = 0.04). There was no association (HR = 1.2; 95% CI: 0.5, 2.6, p = 0.68) between self-reported arm swelling and OS.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">These findings suggest that lymphedema may influence survival following breast cancer treatment and warrant further investigation in other cancer cohorts and explication of a potential underlying biology.</AbstractText>
</Abstract>
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<Language>eng</Language>
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<DescriptorName UI="D053208" MajorTopicYN="N">Kaplan-Meier Estimate</DescriptorName>
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<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
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