LymphedemaV1, PubMed, Curation, bibRecord, 000089

Risk factors and a prediction model for lower limb lymphedema following lymphadenectomy in gynecologic cancer: a hospital-based retrospective cohort study.

Identifieur interne : 000089 ( PubMed/Curation ); précédent : 000088; suivant : 000090

Risk factors and a prediction model for lower limb lymphedema following lymphadenectomy in gynecologic cancer: a hospital-based retrospective cohort study.

Auteurs : Kenji Kuroda [Japon] ; Yasuhiro Yamamoto [Japon] ; Manami Yanagisawa [Japon] ; Akira Kawata [Japon] ; Naoya Akiba [Japon] ; Kensuke Suzuki [Japon] ; Kazutoshi Naritaka [Japon]

Source :

BMC women's health [ 1472-6874 ] ; 2017.

RBID : pubmed:28743274

Descripteurs français

KwdFr :
- Adulte, Adulte d'âge moyen, Aire sous la courbe, Complications postopératoires (étiologie), Estimation de Kaplan-Meier, Facteurs de risque, Femelle, Humains, Hôpitaux (), Incidence, Lymphadénectomie (), Lymphadénectomie (effets indésirables), Lymphoedème (anatomopathologie), Lymphoedème (épidémiologie), Lymphoedème (étiologie), Membre inférieur (anatomopathologie), Modèles de hasards proportionnels, Modèles théoriques, Noeuds lymphatiques (anatomopathologie), Prévalence, Sujet âgé, Tumeurs de l'appareil génital féminin (), Tumeurs de l'appareil génital féminin (anatomopathologie), Études rétrospectives, Évaluation des risques ().
MESH :
- anatomopathologie : Lymphoedème, Membre inférieur, Noeuds lymphatiques, Tumeurs de l'appareil génital féminin.
- effets indésirables : Lymphadénectomie.
- épidémiologie : Lymphoedème.
- étiologie : Complications postopératoires, Lymphoedème.
- Adulte, Adulte d'âge moyen, Aire sous la courbe, Estimation de Kaplan-Meier, Facteurs de risque, Femelle, Humains, Hôpitaux, Incidence, Lymphadénectomie, Modèles de hasards proportionnels, Modèles théoriques, Prévalence, Sujet âgé, Tumeurs de l'appareil génital féminin, Études rétrospectives, Évaluation des risques.

English descriptors

KwdEn :
- Adult, Aged, Area Under Curve, Female, Genital Neoplasms, Female (pathology), Genital Neoplasms, Female (surgery), Hospitals (statistics & numerical data), Humans, Incidence, Kaplan-Meier Estimate, Lower Extremity (pathology), Lymph Node Excision (adverse effects), Lymph Node Excision (methods), Lymph Nodes (pathology), Lymphedema (epidemiology), Lymphedema (etiology), Lymphedema (pathology), Middle Aged, Models, Theoretical, Postoperative Complications (etiology), Prevalence, Proportional Hazards Models, Retrospective Studies, Risk Assessment (methods), Risk Factors.
MESH :
- adverse effects : Lymph Node Excision.
- epidemiology : Lymphedema.
- etiology : Lymphedema, Postoperative Complications.
- methods : Lymph Node Excision, Risk Assessment.
- pathology : Genital Neoplasms, Female, Lower Extremity, Lymph Nodes, Lymphedema.
- statistics & numerical data : Hospitals.
- surgery : Genital Neoplasms, Female.
- Adult, Aged, Area Under Curve, Female, Humans, Incidence, Kaplan-Meier Estimate, Middle Aged, Models, Theoretical, Prevalence, Proportional Hazards Models, Retrospective Studies, Risk Factors.

Abstract

Lower limb lymphedema (LLL) is a chronic and incapacitating condition afflicting patients who undergo lymphadenectomy for gynecologic cancer. This study aimed to identify risk factors for LLL and to develop a prediction model for its occurrence.

DOI: 10.1186/s12905-017-0403-1
PubMed: 28743274

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Le document en format XML

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<term>Aged</term>
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<term>Female</term>
<term>Genital Neoplasms, Female (pathology)</term>
<term>Genital Neoplasms, Female (surgery)</term>
<term>Hospitals (statistics & numerical data)</term>
<term>Humans</term>
<term>Incidence</term>
<term>Kaplan-Meier Estimate</term>
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<term>Lymph Node Excision (adverse effects)</term>
<term>Lymph Node Excision (methods)</term>
<term>Lymph Nodes (pathology)</term>
<term>Lymphedema (epidemiology)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (pathology)</term>
<term>Middle Aged</term>
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<term>Postoperative Complications (etiology)</term>
<term>Prevalence</term>
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<term>Risk Factors</term>
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<term>Aire sous la courbe</term>
<term>Complications postopératoires (étiologie)</term>
<term>Estimation de Kaplan-Meier</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hôpitaux ()</term>
<term>Incidence</term>
<term>Lymphadénectomie ()</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème (anatomopathologie)</term>
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<term>Noeuds lymphatiques (anatomopathologie)</term>
<term>Prévalence</term>
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<term>Tumeurs de l'appareil génital féminin ()</term>
<term>Tumeurs de l'appareil génital féminin (anatomopathologie)</term>
<term>Études rétrospectives</term>
<term>Évaluation des risques ()</term>
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<term>Noeuds lymphatiques</term>
<term>Tumeurs de l'appareil génital féminin</term>
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<term>Postoperative Complications</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymph Node Excision</term>
<term>Risk Assessment</term>
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<term>Lower Extremity</term>
<term>Lymph Nodes</term>
<term>Lymphedema</term>
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</keywords>
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<term>Adulte d'âge moyen</term>
<term>Aire sous la courbe</term>
<term>Estimation de Kaplan-Meier</term>
<term>Facteurs de risque</term>
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<term>Prévalence</term>
<term>Sujet âgé</term>
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<front><div type="abstract" xml:lang="en">Lower limb lymphedema (LLL) is a chronic and incapacitating condition afflicting patients who undergo lymphadenectomy for gynecologic cancer. This study aimed to identify risk factors for LLL and to develop a prediction model for its occurrence.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28743274</PMID>
<DateCreated><Year>2017</Year>
<Month>07</Month>
<Day>26</Day>
</DateCreated>
<DateCompleted><Year>2017</Year>
<Month>08</Month>
<Day>15</Day>
</DateCompleted>
<DateRevised><Year>2017</Year>
<Month>08</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1472-6874</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>17</Volume>
<Issue>1</Issue>
<PubDate><Year>2017</Year>
<Month>Jul</Month>
<Day>25</Day>
</PubDate>
</JournalIssue>
<Title>BMC women's health</Title>
<ISOAbbreviation>BMC Womens Health</ISOAbbreviation>
</Journal>
<ArticleTitle>Risk factors and a prediction model for lower limb lymphedema following lymphadenectomy in gynecologic cancer: a hospital-based retrospective cohort study.</ArticleTitle>
<Pagination><MedlinePgn>50</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1186/s12905-017-0403-1</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lower limb lymphedema (LLL) is a chronic and incapacitating condition afflicting patients who undergo lymphadenectomy for gynecologic cancer. This study aimed to identify risk factors for LLL and to develop a prediction model for its occurrence.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Pelvic lymphadenectomy (PLA) with or without para-aortic lymphadenectomy (PALA) was performed on 366 patients with gynecologic malignancies at Yaizu City Hospital between April 2002 and July 2014; we retrospectively analyzed 264 eligible patients. The intervals between surgery and diagnosis of LLL were calculated; the prevalence and risk factors were evaluated using the Kaplan-Meier and Cox proportional hazards methods. We developed a prediction model with which patients were scored and classified as low-risk or high-risk.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The cumulative incidence of LLL was 23.1% at 1 year, 32.8% at 3 years, and 47.7% at 10 years post-surgery. LLL developed after a median 13.5 months. Using regression analysis, body mass index (BMI) ≥25 kg/m(2) (hazard ratio [HR], 1.616; 95% confidence interval [CI], 1.030-2.535), PLA + PALA (HR, 2.323; 95% CI, 1.126-4.794), postoperative radiation therapy (HR, 2.469; 95% CI, 1.148-5.310), and lymphocyst formation (HR, 1.718; 95% CI, 1.120-2.635) were found to be independently associated with LLL; age, type of cancer, number of lymph nodes, retroperitoneal suture, chemotherapy, lymph node metastasis, herbal medicine, self-management education, or infection were not associated with LLL. The predictive score was based on the 4 associated variables; patients were classified as high-risk (scores 3-6) and low-risk (scores 0-2). LLL incidence was significantly greater in the high-risk group than in the low-risk group (HR, 2.19; 95% CI, 1.440-3.324). The cumulative incidence at 5 years was 52.1% [95% CI, 42.9-62.1%] for the high-risk group and 28.9% [95% CI, 21.1-38.7%] for the low-risk group. The area under the receiver operator characteristics curve for the prediction model was 0.631 at 1 year, 0.632 at 3 years, 0.640 at 5 years, and 0.637 at 10 years.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">BMI ≥25 kg/m(2), PLA + PALA, lymphocyst formation, and postoperative radiation therapy are significant predictive factors for LLL. Our prediction model may be useful for identifying patients at risk of LLL following lymphadenectomy. Providing an intensive therapeutic strategy for high-risk patients may help reduce the incidence of LLL and conserve the quality of life.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kuroda</LastName>
<ForeName>Kenji</ForeName>
<Initials>K</Initials>
<Identifier Source="ORCID">http://orcid.org/0000-0001-9960-9673</Identifier>
<AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Yaizu City Hospital, 1000, Dobara, Yaizu-shi, 425-8505, Japan. kenji.kuroda@hospital.yaizu.shizuoka.jp.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Yamamoto</LastName>
<ForeName>Yasuhiro</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Yaizu City Hospital, 1000, Dobara, Yaizu-shi, 425-8505, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Yanagisawa</LastName>
<ForeName>Manami</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Yaizu City Hospital, 1000, Dobara, Yaizu-shi, 425-8505, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kawata</LastName>
<ForeName>Akira</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Yaizu City Hospital, 1000, Dobara, Yaizu-shi, 425-8505, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Akiba</LastName>
<ForeName>Naoya</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Yaizu City Hospital, 1000, Dobara, Yaizu-shi, 425-8505, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Suzuki</LastName>
<ForeName>Kensuke</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Yaizu City Hospital, 1000, Dobara, Yaizu-shi, 425-8505, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Naritaka</LastName>
<ForeName>Kazutoshi</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Yaizu City Hospital, 1000, Dobara, Yaizu-shi, 425-8505, Japan.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2017</Year>
<Month>07</Month>
<Day>25</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>BMC Womens Health</MedlineTA>
<NlmUniqueID>101088690</NlmUniqueID>
<ISSNLinking>1472-6874</ISSNLinking>
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<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year>
<Month>05</Month>
<Day>02</Day>
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   |texte=   Risk factors and a prediction model for lower limb lymphedema following lymphadenectomy in gynecologic cancer: a hospital-based retrospective cohort study.
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Risk factors and a prediction model for lower limb lymphedema following lymphadenectomy in gynecologic cancer: a hospital-based retrospective cohort study.

Risk factors and a prediction model for lower limb lymphedema following lymphadenectomy in gynecologic cancer: a hospital-based retrospective cohort study.

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