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 : 000315Interest 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 :
- Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer [ 1433-7339 ] ; 2017.
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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<author><name sortKey="Nou, M" sort="Nou, M" uniqKey="Nou M" first="M" last="Nou">M. Nou</name>
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<series><title level="j">Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</title>
<idno type="eISSN">1433-7339</idno>
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<front><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>
</front>
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<pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28281052</PMID>
<DateCreated><Year>2017</Year>
<Month>03</Month>
<Day>10</Day>
</DateCreated>
<DateRevised><Year>2017</Year>
<Month>07</Month>
<Day>14</Day>
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<Issue>8</Issue>
<PubDate><Year>2017</Year>
<Month>Aug</Month>
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</JournalIssue>
<Title>Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</Title>
<ISOAbbreviation>Support Care Cancer</ISOAbbreviation>
</Journal>
<ArticleTitle>Interest of an auto-adjustable nighttime compression sleeve (MOBIDERM® Autofit) in maintenance phase of upper limb lymphedema: the MARILYN pilot RCT.</ArticleTitle>
<Pagination><MedlinePgn>2455-2462</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00520-017-3652-5</ELocationID>
<Abstract><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>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mestre</LastName>
<ForeName>S</ForeName>
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<AffiliationInfo><Affiliation>Internal and Vascular Medicine Department, Montpellier University Hospital, Hopital St-Eloi, 80 Ave Augustin Fliche, 34295, Montpellier, Cedex 5, France. s-mestre@chu-montpellier.fr.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Female specificity of the dysfunctions of Vascular Interfaces Laboratory EA2992, Montpellier 1, University, Montpellier and Nimes, France. s-mestre@chu-montpellier.fr.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Calais</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Internal and Vascular Medicine Department, Montpellier University Hospital, Hopital St-Eloi, 80 Ave Augustin Fliche, 34295, Montpellier, Cedex 5, France.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Gaillard</LastName>
<ForeName>G</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Internal and Vascular Medicine Department, Montpellier University Hospital, Hopital St-Eloi, 80 Ave Augustin Fliche, 34295, Montpellier, Cedex 5, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Nou</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Internal and Vascular Medicine Department, Montpellier University Hospital, Hopital St-Eloi, 80 Ave Augustin Fliche, 34295, Montpellier, Cedex 5, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pasqualini</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>THUASNE, Levallois-Perret, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ben Amor</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>THUASNE, Levallois-Perret, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Quere</LastName>
<ForeName>I</ForeName>
<Initials>I</Initials>
<AffiliationInfo><Affiliation>Internal and Vascular Medicine Department, Montpellier University Hospital, Hopital St-Eloi, 80 Ave Augustin Fliche, 34295, Montpellier, Cedex 5, France.</Affiliation>
</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>
</AffiliationInfo>
</Author>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
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<ArticleDate DateType="Electronic"><Year>2017</Year>
<Month>03</Month>
<Day>09</Day>
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<MedlineJournalInfo><Country>Germany</Country>
<MedlineTA>Support Care Cancer</MedlineTA>
<NlmUniqueID>9302957</NlmUniqueID>
<ISSNLinking>0941-4355</ISSNLinking>
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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>
</CommentsCorrections>
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</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Cancer. 2012 Apr 15;118(8 Suppl):2300-11</RefSource>
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<CommentsCorrections RefType="Cites"><RefSource>Support Care Cancer. 2011 Jul;19(7):935-40</RefSource>
<PMID Version="1">20495983</PMID>
</CommentsCorrections>
<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 RefType="Cites"><RefSource>Arch Phys Med Rehabil. 2001 Dec;82(12):1639-44</RefSource>
<PMID Version="1">11733875</PMID>
</CommentsCorrections>
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<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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