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Long-term management of breast cancer-related lymphedema after intensive decongestive physiotherapy.

Identifieur interne : 003947 ( PubMed/Corpus ); précédent : 003946; suivant : 003948

Long-term management of breast cancer-related lymphedema after intensive decongestive physiotherapy.

Auteurs : Stéphane Vignes ; Raphaël Porcher ; Maria Arrault ; Alain Dupuy

Source :

RBID : pubmed:16826318

English descriptors

Abstract

Treatment of lymphedema is based on intensive decongestive physiotherapy followed by a long-term maintenance treatment. We analyzed the factors influencing lymphedema volume during maintenance treatment.

DOI: 10.1007/s10549-006-9297-6
PubMed: 16826318

Links to Exploration step

pubmed:16826318

Le document en format XML

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<title xml:lang="en">Long-term management of breast cancer-related lymphedema after intensive decongestive physiotherapy.</title>
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<name sortKey="Vignes, Stephane" sort="Vignes, Stephane" uniqKey="Vignes S" first="Stéphane" last="Vignes">Stéphane Vignes</name>
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<nlm:affiliation>Department of Lymphology, Hôpital Cognacq-Jay, Site Broussais, 102 rue Didot, 75014 Paris, France. stephane.vignes@hopital-cognacq-jay.fr</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Porcher, Raphael" sort="Porcher, Raphael" uniqKey="Porcher R" first="Raphaël" last="Porcher">Raphaël Porcher</name>
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<author>
<name sortKey="Arrault, Maria" sort="Arrault, Maria" uniqKey="Arrault M" first="Maria" last="Arrault">Maria Arrault</name>
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<author>
<name sortKey="Dupuy, Alain" sort="Dupuy, Alain" uniqKey="Dupuy A" first="Alain" last="Dupuy">Alain Dupuy</name>
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<title xml:lang="en">Long-term management of breast cancer-related lymphedema after intensive decongestive physiotherapy.</title>
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<nlm:affiliation>Department of Lymphology, Hôpital Cognacq-Jay, Site Broussais, 102 rue Didot, 75014 Paris, France. stephane.vignes@hopital-cognacq-jay.fr</nlm:affiliation>
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<title level="j">Breast cancer research and treatment</title>
<idno type="ISSN">0167-6806</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Arm (pathology)</term>
<term>Bandages</term>
<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (therapy)</term>
<term>Cohort Studies</term>
<term>Drainage</term>
<term>Exercise</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Lymph Node Excision</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (rehabilitation)</term>
<term>Lymphedema (therapy)</term>
<term>Massage</term>
<term>Middle Aged</term>
<term>Physical Therapy Modalities</term>
<term>Prognosis</term>
<term>Self Care</term>
<term>Treatment Outcome</term>
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<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="pathology" xml:lang="en">
<term>Arm</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Lymphedema</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>Aged, 80 and over</term>
<term>Bandages</term>
<term>Cohort Studies</term>
<term>Drainage</term>
<term>Exercise</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Lymph Node Excision</term>
<term>Massage</term>
<term>Middle Aged</term>
<term>Physical Therapy Modalities</term>
<term>Prognosis</term>
<term>Self Care</term>
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<div type="abstract" xml:lang="en">Treatment of lymphedema is based on intensive decongestive physiotherapy followed by a long-term maintenance treatment. We analyzed the factors influencing lymphedema volume during maintenance treatment.</div>
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<Year>2007</Year>
<Month>01</Month>
<Day>24</Day>
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<DateCompleted>
<Year>2007</Year>
<Month>09</Month>
<Day>26</Day>
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<Year>2007</Year>
<Month>01</Month>
<Day>24</Day>
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<Volume>101</Volume>
<Issue>3</Issue>
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<Year>2007</Year>
<Month>Mar</Month>
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<Title>Breast cancer research and treatment</Title>
<ISOAbbreviation>Breast Cancer Res. Treat.</ISOAbbreviation>
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<ArticleTitle>Long-term management of breast cancer-related lymphedema after intensive decongestive physiotherapy.</ArticleTitle>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Treatment of lymphedema is based on intensive decongestive physiotherapy followed by a long-term maintenance treatment. We analyzed the factors influencing lymphedema volume during maintenance treatment.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">Prospective cohort of 537 patients with secondary arm lymphedema were recruited in a single lymphology unit and followed for 12 months. Lymphedema volume was recorded prior to and at the end of intensive treatment, and at month 6 and month 12 follow-up visits. Multivariate models were fitted to analyze the respective role of the three components of complete decongestive therapy, i.e. manual lymph drainage, low stretch bandage, and elastic sleeve, on lymphedema volume during the 1-year maintenance phase therapy.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Mean volume of lymphedema was 1,054 +/- 633 ml prior and 647 +/- 351 ml after intensive decongestive physiotherapy. During the 1-year maintenance phase therapy, the mean lymphedema volume slightly increased (84 ml-95% confidence interval [CI]: 56-113). Fifty-two percent of patients had their lymphedema volume increased above 10% from their value at the end of the intensive decongestive physiotherapy treatment phase. Non-compliance to low stretch bandage and elastic sleeve were risk factors for an increased lymphedema after 1-year of maintenance treatment (RR: 1.55 [95% CI: 1.3-1.76]; P < 0.0001 and RR: 1.61 (95% CI: 1.25-1.82); P = 0.002, respectively). Non-compliance to MLD was not a risk factor (RR: 0.99 [95% CI: 0.77-1.2]; P = 0.91).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">During maintenance phase after intensive decongestive physiotherapy, compliance to the use of elastic sleeve and low stretch bandage should be required to stabilize lymphedema volume.</AbstractText>
</Abstract>
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