Precautions for breast cancer-related lymphoedema: risk from air travel, ipsilateral arm blood pressure measurements, skin puncture, extreme temperatures, and cellulitis.
Identifieur interne : 000637 ( PubMed/Curation ); précédent : 000636; suivant : 000638Precautions for breast cancer-related lymphoedema: risk from air travel, ipsilateral arm blood pressure measurements, skin puncture, extreme temperatures, and cellulitis.
Auteurs : Maria S. Asdourian [États-Unis] ; Melissa N. Skolny [États-Unis] ; Cheryl Brunelle [États-Unis] ; Cara E. Seward [États-Unis] ; Laura Salama [États-Unis] ; Alphonse G. Taghian [États-Unis]Source :
- The Lancet. Oncology [ 1474-5488 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
- parasitologie : Cellulite sous-cutanée.
- traumatismes : Peau.
- étiologie : Lymphoedème après cancer du sein.
- Drainage, Facteurs de risque, Femelle, Humains, Lymphoedème après cancer du sein, Ponctions, Pression sanguine, Survivants, Température, Tumeurs du sein, Voyage aérien.
English descriptors
- KwdEn :
- MESH :
- complications : Breast Neoplasms.
- etiology : Breast Cancer Lymphedema.
- injuries : Skin.
- parasitology : Cellulitis.
- prevention & control : Breast Cancer Lymphedema.
- therapy : Breast Neoplasms.
- Air Travel, Blood Pressure, Drainage, Female, Humans, Punctures, Risk Factors, Survivors, Temperature.
Abstract
Precautionary recommendations conveyed to survivors of cancer by health-care practitioners to reduce the risk of breast cancer-related lymphoedema are indispensable aspects of clinical care, yet remain unsubstantiated by high-level scientific evidence. By reviewing the literature, we identified 31 original research articles that examined whether lifestyle-associated risk factors (air travel, ipsilateral arm blood pressure measurements, skin puncture, extreme temperatures, and skin infections-eg, cellulitis) increase the risk of breast cancer-related lymphoedema. Among the few studies that lend support to precautionary guidelines, most provide low-level (levels 3-5) or inconclusive evidence of an association between lymphoedema and these risk factors, and only four level 2 studies show a significant association. Skin infections and previous infection or inflammation on the ipsilateral arm were among the most clearly defined and well established risk factors for lymphoedema. The paucity of high-level evidence and the conflicting nature of the existing literature make it difficult to establish definitive predictive factors for breast cancer-related lymphoedema, which could be a considerable source of patient distress and anxiety. Along with further research into these risk factors, continued discussion regarding modification of the guidelines and adoption of a risk-adjusted approach is needed.
DOI: 10.1016/S1470-2045(16)30204-2
PubMed: 27599144
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Air Travel</term>
<term>Blood Pressure</term>
<term>Breast Cancer Lymphedema (etiology)</term>
<term>Breast Cancer Lymphedema (prevention & control)</term>
<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (therapy)</term>
<term>Cellulitis (parasitology)</term>
<term>Drainage</term>
<term>Female</term>
<term>Humans</term>
<term>Punctures</term>
<term>Risk Factors</term>
<term>Skin (injuries)</term>
<term>Survivors</term>
<term>Temperature</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Cellulite sous-cutanée (parasitologie)</term>
<term>Drainage</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème après cancer du sein ()</term>
<term>Lymphoedème après cancer du sein (étiologie)</term>
<term>Peau (traumatismes)</term>
<term>Ponctions</term>
<term>Pression sanguine</term>
<term>Survivants</term>
<term>Température</term>
<term>Tumeurs du sein ()</term>
<term>Voyage aérien</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Breast Cancer Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="injuries" xml:lang="en"><term>Skin</term>
</keywords>
<keywords scheme="MESH" qualifier="parasitologie" xml:lang="fr"><term>Cellulite sous-cutanée</term>
</keywords>
<keywords scheme="MESH" qualifier="parasitology" xml:lang="en"><term>Cellulitis</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Breast Cancer Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="traumatismes" xml:lang="fr"><term>Peau</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème après cancer du sein</term>
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<term>Humans</term>
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<term>Risk Factors</term>
<term>Survivors</term>
<term>Temperature</term>
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<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème après cancer du sein</term>
<term>Ponctions</term>
<term>Pression sanguine</term>
<term>Survivants</term>
<term>Température</term>
<term>Tumeurs du sein</term>
<term>Voyage aérien</term>
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<front><div type="abstract" xml:lang="en">Precautionary recommendations conveyed to survivors of cancer by health-care practitioners to reduce the risk of breast cancer-related lymphoedema are indispensable aspects of clinical care, yet remain unsubstantiated by high-level scientific evidence. By reviewing the literature, we identified 31 original research articles that examined whether lifestyle-associated risk factors (air travel, ipsilateral arm blood pressure measurements, skin puncture, extreme temperatures, and skin infections-eg, cellulitis) increase the risk of breast cancer-related lymphoedema. Among the few studies that lend support to precautionary guidelines, most provide low-level (levels 3-5) or inconclusive evidence of an association between lymphoedema and these risk factors, and only four level 2 studies show a significant association. Skin infections and previous infection or inflammation on the ipsilateral arm were among the most clearly defined and well established risk factors for lymphoedema. The paucity of high-level evidence and the conflicting nature of the existing literature make it difficult to establish definitive predictive factors for breast cancer-related lymphoedema, which could be a considerable source of patient distress and anxiety. Along with further research into these risk factors, continued discussion regarding modification of the guidelines and adoption of a risk-adjusted approach is needed.</div>
</front>
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<Abstract><AbstractText>Precautionary recommendations conveyed to survivors of cancer by health-care practitioners to reduce the risk of breast cancer-related lymphoedema are indispensable aspects of clinical care, yet remain unsubstantiated by high-level scientific evidence. By reviewing the literature, we identified 31 original research articles that examined whether lifestyle-associated risk factors (air travel, ipsilateral arm blood pressure measurements, skin puncture, extreme temperatures, and skin infections-eg, cellulitis) increase the risk of breast cancer-related lymphoedema. Among the few studies that lend support to precautionary guidelines, most provide low-level (levels 3-5) or inconclusive evidence of an association between lymphoedema and these risk factors, and only four level 2 studies show a significant association. Skin infections and previous infection or inflammation on the ipsilateral arm were among the most clearly defined and well established risk factors for lymphoedema. The paucity of high-level evidence and the conflicting nature of the existing literature make it difficult to establish definitive predictive factors for breast cancer-related lymphoedema, which could be a considerable source of patient distress and anxiety. Along with further research into these risk factors, continued discussion regarding modification of the guidelines and adoption of a risk-adjusted approach is needed.</AbstractText>
<CopyrightInformation>Copyright © 2016 Elsevier Ltd. All rights reserved.</CopyrightInformation>
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