Conservative treatment of postmastectomy lymphedema: a controlled, randomized trial.
Identifieur interne : 005A87 ( PubMed/Corpus ); précédent : 005A86; suivant : 005A88Conservative treatment of postmastectomy lymphedema: a controlled, randomized trial.
Auteurs : G. Bertelli ; M. Venturini ; G. Forno ; F. Macchiavello ; D. DiniSource :
- Annals of oncology : official journal of the European Society for Medical Oncology [ 0923-7534 ] ; 1991.
English descriptors
- KwdEn :
- Aged, Bandages, Breast Neoplasms (surgery), Drainage (methods), Electric Stimulation, Female, Humans, Hydrostatic Pressure, Lymphatic System, Lymphedema (etiology), Lymphedema (prevention & control), Mastectomy (adverse effects), Mastectomy, Modified Radical (adverse effects), Mastectomy, Radical (adverse effects), Mastectomy, Segmental (adverse effects), Middle Aged, Postoperative Care (methods), Time Factors.
- MESH :
- adverse effects : Mastectomy, Mastectomy, Modified Radical, Mastectomy, Radical, Mastectomy, Segmental.
- etiology : Lymphedema.
- methods : Drainage, Postoperative Care.
- prevention & control : Lymphedema.
- surgery : Breast Neoplasms.
- Aged, Bandages, Electric Stimulation, Female, Humans, Hydrostatic Pressure, Lymphatic System, Middle Aged, Time Factors.
Abstract
A controlled, randomized trial was carried out to evaluate the effectiveness of a new conservative treatment for postmastectomy lymphedema. Seventy-four patients were randomized to wear only an elastic sleeve for six months (group A) or to receive additionally an induction treatment with electrically stimulated lymphatic drainage (group B). The evaluation of results was focused not only on the mean variations in limb measurements in the two groups, but also on the frequency of clinically significant reductions of lymphedema (i.e., at least 25% compared to the initial values). A mean reduction of limb girth of about 17% was obtained in both groups, without significant differences between the two treatments. An 'objective response', however, was not achieved by the majority of patients. On the other hand, compliance to therapy was good and a significant result could be obtained simply and economically also in the group of patients treated only with the elastic sleeve.
PubMed: 1793725
Links to Exploration step
pubmed:1793725Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Conservative treatment of postmastectomy lymphedema: a controlled, randomized trial.</title><author><name sortKey="Bertelli, G" sort="Bertelli, G" uniqKey="Bertelli G" first="G" last="Bertelli">G. Bertelli</name><affiliation><nlm:affiliation>National Institute for Cancer Research, Dept. of Rehabilitation, Genova, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Venturini, M" sort="Venturini, M" uniqKey="Venturini M" first="M" last="Venturini">M. Venturini</name></author><author><name sortKey="Forno, G" sort="Forno, G" uniqKey="Forno G" first="G" last="Forno">G. Forno</name></author><author><name sortKey="Macchiavello, F" sort="Macchiavello, F" uniqKey="Macchiavello F" first="F" last="Macchiavello">F. Macchiavello</name></author><author><name sortKey="Dini, D" sort="Dini, D" uniqKey="Dini D" first="D" last="Dini">D. Dini</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1991">1991</date><idno type="RBID">pubmed:1793725</idno><idno type="pmid">1793725</idno><idno type="wicri:Area/PubMed/Corpus">005A87</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">005A87</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Conservative treatment of postmastectomy lymphedema: a controlled, randomized trial.</title><author><name sortKey="Bertelli, G" sort="Bertelli, G" uniqKey="Bertelli G" first="G" last="Bertelli">G. Bertelli</name><affiliation><nlm:affiliation>National Institute for Cancer Research, Dept. of Rehabilitation, Genova, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Venturini, M" sort="Venturini, M" uniqKey="Venturini M" first="M" last="Venturini">M. Venturini</name></author><author><name sortKey="Forno, G" sort="Forno, G" uniqKey="Forno G" first="G" last="Forno">G. Forno</name></author><author><name sortKey="Macchiavello, F" sort="Macchiavello, F" uniqKey="Macchiavello F" first="F" last="Macchiavello">F. Macchiavello</name></author><author><name sortKey="Dini, D" sort="Dini, D" uniqKey="Dini D" first="D" last="Dini">D. Dini</name></author></analytic><series><title level="j">Annals of oncology : official journal of the European Society for Medical Oncology</title><idno type="ISSN">0923-7534</idno><imprint><date when="1991" type="published">1991</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Bandages</term><term>Breast Neoplasms (surgery)</term><term>Drainage (methods)</term><term>Electric Stimulation</term><term>Female</term><term>Humans</term><term>Hydrostatic Pressure</term><term>Lymphatic System</term><term>Lymphedema (etiology)</term><term>Lymphedema (prevention & control)</term><term>Mastectomy (adverse effects)</term><term>Mastectomy, Modified Radical (adverse effects)</term><term>Mastectomy, Radical (adverse effects)</term><term>Mastectomy, Segmental (adverse effects)</term><term>Middle Aged</term><term>Postoperative Care (methods)</term><term>Time Factors</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy</term><term>Mastectomy, Modified Radical</term><term>Mastectomy, Radical</term><term>Mastectomy, Segmental</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Drainage</term><term>Postoperative Care</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Bandages</term><term>Electric Stimulation</term><term>Female</term><term>Humans</term><term>Hydrostatic Pressure</term><term>Lymphatic System</term><term>Middle Aged</term><term>Time Factors</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A controlled, randomized trial was carried out to evaluate the effectiveness of a new conservative treatment for postmastectomy lymphedema. Seventy-four patients were randomized to wear only an elastic sleeve for six months (group A) or to receive additionally an induction treatment with electrically stimulated lymphatic drainage (group B). The evaluation of results was focused not only on the mean variations in limb measurements in the two groups, but also on the frequency of clinically significant reductions of lymphedema (i.e., at least 25% compared to the initial values). A mean reduction of limb girth of about 17% was obtained in both groups, without significant differences between the two treatments. An 'objective response', however, was not achieved by the majority of patients. On the other hand, compliance to therapy was good and a significant result could be obtained simply and economically also in the group of patients treated only with the elastic sleeve.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">1793725</PMID><DateCreated><Year>1992</Year><Month>04</Month><Day>03</Day></DateCreated><DateCompleted><Year>1992</Year><Month>04</Month><Day>03</Day></DateCompleted><DateRevised><Year>2016</Year><Month>10</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0923-7534</ISSN><JournalIssue CitedMedium="Print"><Volume>2</Volume><Issue>8</Issue><PubDate><Year>1991</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Annals of oncology : official journal of the European Society for Medical Oncology</Title><ISOAbbreviation>Ann. Oncol.</ISOAbbreviation></Journal><ArticleTitle>Conservative treatment of postmastectomy lymphedema: a controlled, randomized trial.</ArticleTitle><Pagination><MedlinePgn>575-8</MedlinePgn></Pagination><Abstract><AbstractText>A controlled, randomized trial was carried out to evaluate the effectiveness of a new conservative treatment for postmastectomy lymphedema. Seventy-four patients were randomized to wear only an elastic sleeve for six months (group A) or to receive additionally an induction treatment with electrically stimulated lymphatic drainage (group B). The evaluation of results was focused not only on the mean variations in limb measurements in the two groups, but also on the frequency of clinically significant reductions of lymphedema (i.e., at least 25% compared to the initial values). A mean reduction of limb girth of about 17% was obtained in both groups, without significant differences between the two treatments. An 'objective response', however, was not achieved by the majority of patients. On the other hand, compliance to therapy was good and a significant result could be obtained simply and economically also in the group of patients treated only with the elastic sleeve.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bertelli</LastName><ForeName>G</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>National Institute for Cancer Research, Dept. of Rehabilitation, Genova, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Venturini</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Forno</LastName><ForeName>G</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Macchiavello</LastName><ForeName>F</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Dini</LastName><ForeName>D</ForeName><Initials>D</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Ann Oncol</MedlineTA><NlmUniqueID>9007735</NlmUniqueID><ISSNLinking>0923-7534</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Ann Oncol. 1991 Sep;2(8):532-3</RefSource><PMID Version="1">1793719</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001458" MajorTopicYN="N">Bandages</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004322" MajorTopicYN="N">Drainage</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004558" MajorTopicYN="N">Electric Stimulation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006874" MajorTopicYN="N">Hydrostatic Pressure</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008208" MajorTopicYN="N">Lymphatic System</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008408" MajorTopicYN="N">Mastectomy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015411" MajorTopicYN="N">Mastectomy, Modified Radical</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015409" MajorTopicYN="N">Mastectomy, Radical</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015412" MajorTopicYN="N">Mastectomy, Segmental</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011182" MajorTopicYN="N">Postoperative Care</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1991</Year><Month>9</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1991</Year><Month>9</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1991</Year><Month>9</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">1793725</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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