Risk factors for lymphedema in a prospective breast cancer survivorship study: the Pathways Study.
Identifieur interne : 002846 ( PubMed/Corpus ); précédent : 002845; suivant : 002847Risk factors for lymphedema in a prospective breast cancer survivorship study: the Pathways Study.
Auteurs : Marilyn L. Kwan ; Jeanne Darbinian ; Kathryn H. Schmitz ; Rebecca Citron ; Paula Partee ; Susan E. Kutner ; Lawrence H. KushiSource :
- Archives of surgery (Chicago, Ill. : 1960) [ 1538-3644 ] ; 2010.
English descriptors
- KwdEn :
- Breast Neoplasms (ethnology), Breast Neoplasms (pathology), Breast Neoplasms (surgery), California (epidemiology), Chi-Square Distribution, Demography, Educational Status, Female, Follow-Up Studies, Humans, Incidence, Life Style, Lymphatic Metastasis, Lymphedema (epidemiology), Lymphedema (ethnology), Lymphedema (etiology), Middle Aged, Neoplasm Invasiveness, Obesity (complications), Proportional Hazards Models, Prospective Studies, Risk Factors, Survivors (statistics & numerical data).
- MESH :
- geographic , epidemiology : California.
- complications : Obesity.
- epidemiology : Lymphedema.
- ethnology : Breast Neoplasms, Lymphedema.
- etiology : Lymphedema.
- pathology : Breast Neoplasms.
- statistics & numerical data : Survivors.
- surgery : Breast Neoplasms.
- Chi-Square Distribution, Demography, Educational Status, Female, Follow-Up Studies, Humans, Incidence, Life Style, Lymphatic Metastasis, Middle Aged, Neoplasm Invasiveness, Proportional Hazards Models, Prospective Studies, Risk Factors.
Abstract
To determine the incidence of breast cancer-related lymphedema (BCRL) during the early survivorship period as well as demographic, lifestyle, and clinical factors associated with BCRL development.
DOI: 10.1001/archsurg.2010.231
PubMed: 21079093
Links to Exploration step
pubmed:21079093Le document en format XML
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Schmitz</name></author><author><name sortKey="Citron, Rebecca" sort="Citron, Rebecca" uniqKey="Citron R" first="Rebecca" last="Citron">Rebecca Citron</name></author><author><name sortKey="Partee, Paula" sort="Partee, Paula" uniqKey="Partee P" first="Paula" last="Partee">Paula Partee</name></author><author><name sortKey="Kutner, Susan E" sort="Kutner, Susan E" uniqKey="Kutner S" first="Susan E" last="Kutner">Susan E. Kutner</name></author><author><name sortKey="Kushi, Lawrence H" sort="Kushi, Lawrence H" uniqKey="Kushi L" first="Lawrence H" last="Kushi">Lawrence H. Kushi</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010</date><idno type="RBID">pubmed:21079093</idno><idno type="pmid">21079093</idno><idno type="doi">10.1001/archsurg.2010.231</idno><idno type="wicri:Area/PubMed/Corpus">002846</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002846</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Risk factors for lymphedema in a prospective breast cancer survivorship study: the Pathways Study.</title><author><name sortKey="Kwan, Marilyn L" sort="Kwan, Marilyn L" uniqKey="Kwan M" first="Marilyn L" last="Kwan">Marilyn L. Kwan</name><affiliation><nlm:affiliation>Kaiser Permanente Northern California, Oakland, 94612, USA. Marilyn.L.Kwan@kp.org</nlm:affiliation></affiliation></author><author><name sortKey="Darbinian, Jeanne" sort="Darbinian, Jeanne" uniqKey="Darbinian J" first="Jeanne" last="Darbinian">Jeanne Darbinian</name></author><author><name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H" last="Schmitz">Kathryn H. Schmitz</name></author><author><name sortKey="Citron, Rebecca" sort="Citron, Rebecca" uniqKey="Citron R" first="Rebecca" last="Citron">Rebecca Citron</name></author><author><name sortKey="Partee, Paula" sort="Partee, Paula" uniqKey="Partee P" first="Paula" last="Partee">Paula Partee</name></author><author><name sortKey="Kutner, Susan E" sort="Kutner, Susan E" uniqKey="Kutner S" first="Susan E" last="Kutner">Susan E. Kutner</name></author><author><name sortKey="Kushi, Lawrence H" sort="Kushi, Lawrence H" uniqKey="Kushi L" first="Lawrence H" last="Kushi">Lawrence H. Kushi</name></author></analytic><series><title level="j">Archives of surgery (Chicago, Ill. : 1960)</title><idno type="eISSN">1538-3644</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Breast Neoplasms (ethnology)</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (surgery)</term><term>California (epidemiology)</term><term>Chi-Square Distribution</term><term>Demography</term><term>Educational Status</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Incidence</term><term>Life Style</term><term>Lymphatic Metastasis</term><term>Lymphedema (epidemiology)</term><term>Lymphedema (ethnology)</term><term>Lymphedema (etiology)</term><term>Middle Aged</term><term>Neoplasm Invasiveness</term><term>Obesity (complications)</term><term>Proportional Hazards Models</term><term>Prospective Studies</term><term>Risk Factors</term><term>Survivors (statistics & numerical data)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>California</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Obesity</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="ethnology" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Survivors</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Chi-Square Distribution</term><term>Demography</term><term>Educational Status</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Incidence</term><term>Life Style</term><term>Lymphatic Metastasis</term><term>Middle Aged</term><term>Neoplasm Invasiveness</term><term>Proportional Hazards Models</term><term>Prospective Studies</term><term>Risk Factors</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To determine the incidence of breast cancer-related lymphedema (BCRL) during the early survivorship period as well as demographic, lifestyle, and clinical factors associated with BCRL development.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21079093</PMID><DateCreated><Year>2010</Year><Month>11</Month><Day>16</Day></DateCreated><DateCompleted><Year>2010</Year><Month>12</Month><Day>23</Day></DateCompleted><DateRevised><Year>2016</Year><Month>10</Month><Day>25</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1538-3644</ISSN><JournalIssue CitedMedium="Internet"><Volume>145</Volume><Issue>11</Issue><PubDate><Year>2010</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Archives of surgery (Chicago, Ill. : 1960)</Title><ISOAbbreviation>Arch Surg</ISOAbbreviation></Journal><ArticleTitle>Risk factors for lymphedema in a prospective breast cancer survivorship study: the Pathways Study.</ArticleTitle><Pagination><MedlinePgn>1055-63</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1001/archsurg.2010.231</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine the incidence of breast cancer-related lymphedema (BCRL) during the early survivorship period as well as demographic, lifestyle, and clinical factors associated with BCRL development.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">The Pathways Study, a prospective cohort study of breast cancer survivors with a mean follow-up time of 20.9 months.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Kaiser Permanente Northern California medical care program.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">We studied 997 women diagnosed from January 9, 2006, through October 15, 2007, with primary invasive breast cancer and who were at least 21 years of age at diagnosis, had no history of any cancer, and spoke English, Spanish, Cantonese, or Mandarin.</AbstractText><AbstractText Label="MAIN OUTCOME MEASURE" NlmCategory="METHODS">Clinical indication for BCRL as determined from outpatient or hospitalization diagnostic codes, outpatient procedural codes, and durable medical equipment orders.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A clinical indication for BCRL was found in 133 women (13.3%), with a mean time to diagnosis of 8.3 months (range, 0.7-27.3 months). Being African American (hazard ratio, 1.93; 95% confidence interval, 1.00-3.72) or more educated (P for trend = .03) was associated with an increased risk of BCRL. Removal of at least 1 lymph node (hazard ratio, 1.04; 95% confidence interval, 1.02-1.07) was associated with an increased risk, yet no significant association was observed for type of lymph node surgery. Being obese at breast cancer diagnosis was suggestive of an elevated risk (hazard ratio, 1.43; 95% confidence interval, 0.88-2.31).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In a large cohort study, BCRL occurs among a substantial proportion of early breast cancer survivors. Our findings agree with those of previous studies on the increased risk of BCRL with removal of lymph nodes and being obese, but they point to a differential risk according to race or ethnicity.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kwan</LastName><ForeName>Marilyn L</ForeName><Initials>ML</Initials><AffiliationInfo><Affiliation>Kaiser Permanente Northern California, Oakland, 94612, USA. Marilyn.L.Kwan@kp.org</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Darbinian</LastName><ForeName>Jeanne</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Schmitz</LastName><ForeName>Kathryn H</ForeName><Initials>KH</Initials></Author><Author ValidYN="Y"><LastName>Citron</LastName><ForeName>Rebecca</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Partee</LastName><ForeName>Paula</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Kutner</LastName><ForeName>Susan E</ForeName><Initials>SE</Initials></Author><Author ValidYN="Y"><LastName>Kushi</LastName><ForeName>Lawrence H</ForeName><Initials>LH</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>R01 CA105274</GrantID><Acronym>CA</Acronym><Agency>NCI NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Arch Surg</MedlineTA><NlmUniqueID>9716528</NlmUniqueID><ISSNLinking>0004-0010</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J Clin Oncol. 2003 Feb 1;21(3):463-6</RefSource><PMID Version="1">12560436</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Breast Cancer Res Treat. 2003 May;79(1):47-57</RefSource><PMID Version="1">12779081</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int J Clin Oncol. 2003 Jun;8(3):139-50</RefSource><PMID Version="1">12851837</PMID></CommentsCorrections><CommentsCorrections 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