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Interest of an auto-adjustable nighttime compression sleeve (MOBIDERM® Autofit) in maintenance phase of upper limb lymphedema: the MARILYN pilot RCT.

Identifieur interne : 000314 ( PubMed/Curation ); précédent : 000313; suivant : 000315

Interest of an auto-adjustable nighttime compression sleeve (MOBIDERM® Autofit) in maintenance phase of upper limb lymphedema: the MARILYN pilot RCT.

Auteurs : S. Mestre [France] ; C. Calais [France] ; G. Gaillard [France] ; M. Nou [France] ; M. Pasqualini [France] ; C. Ben Amor [France] ; I. Quere [France]

Source :

RBID : pubmed:28281052

Abstract

Breast cancer-related lymphedema (BCRL) is a debilitating condition. The recommended treatment is based on decongestive lymphedema therapy (DLT) with two separate phases: a short-term intensive phase to reduce lymphedema volume and a long-term maintenance phase to stabilize it. Optimizing compression therapy and compliance during maintenance phase are key factors for long-term control of lymphedema. The primary objective of this pilot prospective open-label randomized study was to assess the benefit of a new auto-adjustable nighttime arm sleeve (MOBIDERM® Autofit) on lymphedema volume during the maintenance phase after the intensive phase.

DOI: 10.1007/s00520-017-3652-5
PubMed: 28281052

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pubmed:28281052

Le document en format XML

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<div type="abstract" xml:lang="en">Breast cancer-related lymphedema (BCRL) is a debilitating condition. The recommended treatment is based on decongestive lymphedema therapy (DLT) with two separate phases: a short-term intensive phase to reduce lymphedema volume and a long-term maintenance phase to stabilize it. Optimizing compression therapy and compliance during maintenance phase are key factors for long-term control of lymphedema. The primary objective of this pilot prospective open-label randomized study was to assess the benefit of a new auto-adjustable nighttime arm sleeve (MOBIDERM® Autofit) on lymphedema volume during the maintenance phase after the intensive phase.</div>
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<Month>03</Month>
<Day>10</Day>
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<Month>07</Month>
<Day>14</Day>
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<ISOAbbreviation>Support Care Cancer</ISOAbbreviation>
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<ArticleTitle>Interest of an auto-adjustable nighttime compression sleeve (MOBIDERM® Autofit) in maintenance phase of upper limb lymphedema: the MARILYN pilot RCT.</ArticleTitle>
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<MedlinePgn>2455-2462</MedlinePgn>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Breast cancer-related lymphedema (BCRL) is a debilitating condition. The recommended treatment is based on decongestive lymphedema therapy (DLT) with two separate phases: a short-term intensive phase to reduce lymphedema volume and a long-term maintenance phase to stabilize it. Optimizing compression therapy and compliance during maintenance phase are key factors for long-term control of lymphedema. The primary objective of this pilot prospective open-label randomized study was to assess the benefit of a new auto-adjustable nighttime arm sleeve (MOBIDERM® Autofit) on lymphedema volume during the maintenance phase after the intensive phase.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Forty women with BRCL were consecutively enrolled and randomized (D0) for 1 month in 1:1 ratio either in night-use group: with MOBIDERM® Autofit (on top of a daytime compression hosiery), or in no night-use group: without MOBIDERM® Autofit (daytime hosiery alone). From Day 31 to Day 90, all patients were fitted with MOBIDERM® Autofit. Primary endpoint was lymphedema volume variation between Day 0 and Day 30. Secondary endpoints were compliance, quality of life (LYMQOL arm questionnaire), functional symptoms (heaviness, limb use limitation, pain), sleep quality, and safety.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In ITT population, between Day 0 and Day 30, mean lymphedema volume increase was higher in no night-use group with 92.9 mL (i.e., 3.2%) than in night-use group with 46.7 mL (i.e., 1.80%), p = 0.757. Between Day 30 and Day 90, all patients fitted with MOBIDERM® Autofit, lymphedema volume remained stable in both groups. The device improved functional symptoms and function domain of the LYMQOL arm questionnaire. MOBIDERM® Autofit was worn overnight almost 85% of the nights. It was well accepted by the patients and no adverse reaction leading to permanent device discontinuation occurred.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our results suggest that MOBIDERM® Autofit offers clinical benefits during maintenance phase of lymphedema treatment and enhances patient's self-management.</AbstractText>
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<Affiliation>Female specificity of the dysfunctions of Vascular Interfaces Laboratory EA2992, Montpellier 1, University, Montpellier and Nimes, France. s-mestre@chu-montpellier.fr.</Affiliation>
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<LastName>Pasqualini</LastName>
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<Initials>M</Initials>
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<Affiliation>THUASNE, Levallois-Perret, France.</Affiliation>
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</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Female specificity of the dysfunctions of Vascular Interfaces Laboratory EA2992, Montpellier 1, University, Montpellier and Nimes, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Clinical Investigation Center, INSERM CIC 1001, Montpellier University Hospital, Montpellier, France.</Affiliation>
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<CommentsCorrectionsList>
<CommentsCorrections RefType="Cites">
<RefSource>Cancer. 1998 Dec 15;83(12 Suppl American):2776-81</RefSource>
<PMID Version="1">9874397</PMID>
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<RefSource>Support Care Cancer. 2011 Jul;19(7):935-40</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>J Vasc Surg. 2009 May;49(5):1256-63</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>J Mal Vasc. 2014 Jul;39(4):256-63</RefSource>
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</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>QJM. 2005 May;98(5):343-8</RefSource>
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</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Arch Phys Med Rehabil. 2001 Dec;82(12):1639-44</RefSource>
<PMID Version="1">11733875</PMID>
</CommentsCorrections>
</CommentsCorrectionsList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Breast cancer</Keyword>
<Keyword MajorTopicYN="N">Compression</Keyword>
<Keyword MajorTopicYN="N">Lymphedema</Keyword>
<Keyword MajorTopicYN="N">Maintenance</Keyword>
<Keyword MajorTopicYN="N">Self-management</Keyword>
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