Use of a prospective surveillance model to prevent breast cancer treatment-related lymphedema: a single-center experience.
Identifieur interne : 000610 ( PubMed/Curation ); précédent : 000609; suivant : 000611Use of a prospective surveillance model to prevent breast cancer treatment-related lymphedema: a single-center experience.
Auteurs : Eun Joo Yang [Corée du Sud] ; Soyeon Ahn [Corée du Sud] ; Eun-Kyu Kim [Corée du Sud] ; Eunyoung Kang [Corée du Sud] ; Youngmi Park [Corée du Sud] ; Jae-Young Lim [Corée du Sud] ; Sung-Won Kim [Corée du Sud]Source :
- Breast cancer research and treatment [ 1573-7217 ] ; 2016.
Abstract
Breast cancer patients undergoing axillary lymph node dissection (ALND) are at risk of lymphedema (LE). Successful management of LE relies on early diagnosis using sensitive modalities. In the current study, we explored the effectiveness of a surveillance program for lymphedema management (SLYM) compared to standard care.
DOI: 10.1007/s10549-016-3993-7
PubMed: 27665585
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Ahn</name><affiliation wicri:level="1"><nlm:affiliation>Medical Research Collaborating Center, Seoul National University Bundang Hospital, Seongnam-si, Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Medical Research Collaborating Center, Seoul National University Bundang Hospital, Seongnam-si</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Eun Kyu" sort="Kim, Eun Kyu" uniqKey="Kim E" first="Eun-Kyu" last="Kim">Eun-Kyu Kim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam-si, Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam-si</wicri:regionArea></affiliation></author><author><name sortKey="Kang, Eunyoung" sort="Kang, Eunyoung" uniqKey="Kang E" first="Eunyoung" last="Kang">Eunyoung Kang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam-si, Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam-si</wicri:regionArea></affiliation></author><author><name sortKey="Park, Youngmi" sort="Park, Youngmi" uniqKey="Park Y" first="Youngmi" last="Park">Youngmi Park</name><affiliation wicri:level="1"><nlm:affiliation>Medical Research Collaborating Center, Seoul National University Bundang Hospital, Seongnam-si, Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Medical Research Collaborating Center, Seoul National University Bundang Hospital, Seongnam-si</wicri:regionArea></affiliation></author><author><name sortKey="Lim, Jae Young" sort="Lim, Jae Young" uniqKey="Lim J" first="Jae-Young" last="Lim">Jae-Young Lim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 300 Gumi-dong Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707, Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 300 Gumi-dong Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Sung Won" sort="Kim, Sung Won" uniqKey="Kim S" first="Sung-Won" last="Kim">Sung-Won Kim</name><affiliation wicri:level="1"><nlm:affiliation>Daerim St. Mary's Hospital, Seoul, Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Daerim St. Mary's Hospital, 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College of Medicine, Seoul National University Bundang Hospital, 300 Gumi-dong Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707, Korea. graceloves@gmail.com.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 300 Gumi-dong Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707</wicri:regionArea></affiliation></author><author><name sortKey="Ahn, Soyeon" sort="Ahn, Soyeon" uniqKey="Ahn S" first="Soyeon" last="Ahn">Soyeon Ahn</name><affiliation wicri:level="1"><nlm:affiliation>Medical Research Collaborating Center, Seoul National University Bundang Hospital, Seongnam-si, Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Medical Research Collaborating Center, Seoul National University Bundang Hospital, Seongnam-si</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Eun Kyu" sort="Kim, Eun Kyu" uniqKey="Kim E" first="Eun-Kyu" last="Kim">Eun-Kyu Kim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam-si, Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam-si</wicri:regionArea></affiliation></author><author><name sortKey="Kang, Eunyoung" sort="Kang, Eunyoung" uniqKey="Kang E" first="Eunyoung" last="Kang">Eunyoung Kang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam-si, Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam-si</wicri:regionArea></affiliation></author><author><name sortKey="Park, Youngmi" sort="Park, Youngmi" uniqKey="Park Y" first="Youngmi" last="Park">Youngmi Park</name><affiliation wicri:level="1"><nlm:affiliation>Medical Research Collaborating Center, Seoul National University Bundang Hospital, Seongnam-si, Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Medical Research Collaborating Center, Seoul National University Bundang Hospital, Seongnam-si</wicri:regionArea></affiliation></author><author><name sortKey="Lim, Jae Young" sort="Lim, Jae Young" uniqKey="Lim J" first="Jae-Young" last="Lim">Jae-Young Lim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 300 Gumi-dong Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707, Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 300 Gumi-dong Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Sung Won" sort="Kim, Sung Won" uniqKey="Kim S" first="Sung-Won" last="Kim">Sung-Won Kim</name><affiliation wicri:level="1"><nlm:affiliation>Daerim St. Mary's Hospital, Seoul, Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Daerim St. Mary's Hospital, Seoul</wicri:regionArea></affiliation></author></analytic><series><title level="j">Breast cancer research and treatment</title><idno type="eISSN">1573-7217</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Breast cancer patients undergoing axillary lymph node dissection (ALND) are at risk of lymphedema (LE). Successful management of LE relies on early diagnosis using sensitive modalities. In the current study, we explored the effectiveness of a surveillance program for lymphedema management (SLYM) compared to standard care.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">27665585</PMID><DateCreated><Year>2016</Year><Month>09</Month><Day>25</Day></DateCreated><DateRevised><Year>2017</Year><Month>02</Month><Day>24</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1573-7217</ISSN><JournalIssue CitedMedium="Internet"><Volume>160</Volume><Issue>2</Issue><PubDate><Year>2016</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Breast cancer research and treatment</Title><ISOAbbreviation>Breast Cancer Res. Treat.</ISOAbbreviation></Journal><ArticleTitle>Use of a prospective surveillance model to prevent breast cancer treatment-related lymphedema: a single-center experience.</ArticleTitle><Pagination><MedlinePgn>269-276</MedlinePgn></Pagination><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Breast cancer patients undergoing axillary lymph node dissection (ALND) are at risk of lymphedema (LE). Successful management of LE relies on early diagnosis using sensitive modalities. In the current study, we explored the effectiveness of a surveillance program for lymphedema management (SLYM) compared to standard care.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Breast cancer patients who underwent ALND in Seoul National University Bundang Hospital from January 2008 to December 2015 were included in this prospective study. The SLYM commenced in May 2011. The LE outcomes of patients treated prior to initiation of the SLYM were compared with those of patients after SLYM implementation.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 707 patients were included, 390 in the SLYM group and 317 in the historical control (HC) group. A total of 203 patients (28.7 %) had episodes of all-stage LE during follow-up. Of these, 126 (19.7 %) were in the surveillance group and 77 (24.3 %) in the HC group. The overall 5-year cumulative incidence of LE (greater than stage 3) was 25 (95 % CI 15.4-34.6) (6.4 %) in the SLYM group and 48 (95 % CI, 15.4-34.6) (15.1 %) in the HC group. In the SLYM group, poor compliance had a significant impact on LE incidence (OR = 2.98, P = 0.002). Low level of self-monitoring and insight scores were significantly related to LE incidence (OR = 1.31, P = 0.025) after adjusting for age, body mass index, the type of surgery chosen, radiation therapy, and chemotherapy. With a cut-off of 29.5 days from operation to the first visit to the LE clinic, the sensitivity was 60 % and the specificity 61 % in terms of predicting a LE event.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Surveillance improves LE prevention compared to clinical evaluation. The first visit to the LE clinic should be made within 1 month after surgery. In the first year, visits should be made at intervals of less than 3 months.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Yang</LastName><ForeName>Eun Joo</ForeName><Initials>EJ</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 300 Gumi-dong Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707, Korea. graceloves@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ahn</LastName><ForeName>Soyeon</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Medical Research Collaborating Center, Seoul National University Bundang Hospital, Seongnam-si, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Eun-Kyu</ForeName><Initials>EK</Initials><AffiliationInfo><Affiliation>Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam-si, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kang</LastName><ForeName>Eunyoung</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam-si, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Park</LastName><ForeName>Youngmi</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Medical Research Collaborating Center, Seoul National University Bundang Hospital, Seongnam-si, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lim</LastName><ForeName>Jae-Young</ForeName><Initials>JY</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 300 Gumi-dong Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Sung-Won</ForeName><Initials>SW</Initials><AffiliationInfo><Affiliation>Daerim St. Mary's Hospital, Seoul, Korea.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>09</Month><Day>24</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Breast Cancer Res Treat</MedlineTA><NlmUniqueID>8111104</NlmUniqueID><ISSNLinking>0167-6806</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Ann Surg Oncol. 2010 Jul;17(7):1847-53</RefSource><PMID Version="1">20140528</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cancer. 2012 Apr 15;118(8 Suppl):2325-30</RefSource><PMID 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Version="1">10865807</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Pers Med. 2014 Aug 18;4(3):424-47</RefSource><PMID Version="1">25563360</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cancer. 2012 Apr 15;118(8 Suppl):2237-49</RefSource><PMID Version="1">22488698</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cancer. 2014 Oct 15;120(20):3228-36</RefSource><PMID Version="1">24988944</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Cancer Epidemiol Biomarkers Prev. 2010 Nov;19(11):2734-46</RefSource><PMID Version="1">20978176</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int J Radiat Oncol Biol Phys. 2013 Jul 1;86(3):498-503</RefSource><PMID Version="1">23541809</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>CA Cancer J Clin. 2011 Jan-Feb;61(1):50-62</RefSource><PMID Version="1">21205833</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Soc Sci Med. 2008 Mar;66(5):1228-39</RefSource><PMID Version="1">18155338</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Breast cancer</Keyword><Keyword MajorTopicYN="N">Compliance</Keyword><Keyword MajorTopicYN="N">Lymphedema</Keyword><Keyword MajorTopicYN="N">Surveillance</Keyword></KeywordList><CoiStatement>All the other authors declare that they have no conflict of interest. Ethical approval All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent Informed consent was not obtained from all individual participants included in the study.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>09</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>09</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>9</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>9</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>9</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27665585</ArticleId><ArticleId IdType="doi">10.1007/s10549-016-3993-7</ArticleId><ArticleId IdType="pii">10.1007/s10549-016-3993-7</ArticleId><ArticleId IdType="pmc">PMC5065580</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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