Risk Factors for Arm Lymphedema in a Cohort of Breast Cancer Patients Followed up for 10 Years.
Identifieur interne : 000887 ( PubMed/Curation ); précédent : 000886; suivant : 000888Risk Factors for Arm Lymphedema in a Cohort of Breast Cancer Patients Followed up for 10 Years.
Auteurs : René Aloisio Da Costa Vieira [Brésil] ; Allini Mafra Da Costa [Brésil] ; Josue Lopes De Souza [Brésil] ; Rafael Richieri Coelho [Brésil] ; Cleyton Zanardo De Oliveira [Brésil] ; Almir José Sarri [Brésil] ; Renato José Affonso Junior [Brésil] ; Gustavo Zucca-Matthes [Brésil]Source :
- Breast care (Basel, Switzerland) [ 1661-3791 ] ; 2016.
Abstract
The etiology of lymphedema is multifactorial, and definition criteria of lymphedema, its limitation, and follow-up must be considered in studies related to risk factors. The aim of this study is to evaluate risk factors related to arm lymphedema in a cohort study with a long follow-up.
DOI: 10.1159/000442489
PubMed: 27051396
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Risk Factors for Arm Lymphedema in a Cohort of Breast Cancer Patients Followed up for 10 Years.</title><author><name sortKey="Vieira, Rene Aloisio Da Costa" sort="Vieira, Rene Aloisio Da Costa" uniqKey="Vieira R" first="René Aloisio Da Costa" last="Vieira">René Aloisio Da Costa Vieira</name><affiliation wicri:level="1"><nlm:affiliation>Mastology and Breast Reconstruction Department, Barretos Cancer Hospital, Pio XII Foundation, Barretos, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Mastology and Breast Reconstruction Department, Barretos Cancer Hospital, Pio XII Foundation, Barretos</wicri:regionArea></affiliation></author><author><name sortKey="Da Costa, Allini Mafra" sort="Da Costa, Allini Mafra" uniqKey="Da Costa A" first="Allini Mafra" last="Da Costa">Allini Mafra Da Costa</name><affiliation wicri:level="1"><nlm:affiliation>Hospital-based Cancer Registry, Barretos Cancer Hospital, 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Physiotherapy, Barretos Cancer Hospital, Pio XII Foundation, Barretos, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Physiotherapy, Barretos Cancer Hospital, Pio XII Foundation, Barretos</wicri:regionArea></affiliation></author><author><name sortKey="De Oliveira, Cleyton Zanardo" sort="De Oliveira, Cleyton Zanardo" uniqKey="De Oliveira C" first="Cleyton Zanardo" last="De Oliveira">Cleyton Zanardo De Oliveira</name><affiliation wicri:level="1"><nlm:affiliation>Epidemiology and Biostatistics Nucleus, Barretos Cancer Hospital, Pio XII Foundation, Barretos, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Epidemiology and Biostatistics Nucleus, Barretos Cancer Hospital, Pio XII Foundation, Barretos</wicri:regionArea></affiliation></author><author><name sortKey="Sarri, Almir Jose" sort="Sarri, Almir Jose" uniqKey="Sarri A" first="Almir José" last="Sarri">Almir José Sarri</name><affiliation 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Zucca-Matthes</name><affiliation wicri:level="1"><nlm:affiliation>Mastology and Breast Reconstruction Department, Barretos Cancer Hospital, Pio XII Foundation, Barretos, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Mastology and Breast Reconstruction Department, Barretos Cancer Hospital, Pio XII Foundation, Barretos</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:27051396</idno><idno type="pmid">27051396</idno><idno type="doi">10.1159/000442489</idno><idno type="wicri:Area/PubMed/Corpus">000887</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000887</idno><idno type="wicri:Area/PubMed/Curation">000887</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000887</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Risk Factors for Arm Lymphedema in a Cohort of Breast Cancer Patients Followed up for 10 Years.</title><author><name sortKey="Vieira, Rene Aloisio Da Costa" sort="Vieira, Rene Aloisio Da Costa" uniqKey="Vieira R" first="René Aloisio Da Costa" last="Vieira">René Aloisio Da Costa Vieira</name><affiliation wicri:level="1"><nlm:affiliation>Mastology and Breast Reconstruction Department, Barretos Cancer Hospital, Pio XII Foundation, Barretos, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Mastology and Breast Reconstruction Department, Barretos Cancer Hospital, Pio XII Foundation, Barretos</wicri:regionArea></affiliation></author><author><name sortKey="Da Costa, Allini Mafra" sort="Da Costa, Allini Mafra" uniqKey="Da Costa A" first="Allini Mafra" last="Da Costa">Allini Mafra Da Costa</name><affiliation wicri:level="1"><nlm:affiliation>Hospital-based Cancer Registry, Barretos Cancer Hospital, Pio XII Foundation, Barretos, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Hospital-based Cancer Registry, Barretos Cancer Hospital, Pio XII Foundation, Barretos</wicri:regionArea></affiliation></author><author><name sortKey="De Souza, Josue Lopes" sort="De Souza, Josue Lopes" uniqKey="De Souza J" first="Josue Lopes" last="De Souza">Josue Lopes De Souza</name><affiliation wicri:level="1"><nlm:affiliation>Mastology and Breast Reconstruction Department, Barretos Cancer Hospital, Pio XII Foundation, Barretos, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Mastology and Breast Reconstruction Department, Barretos Cancer Hospital, Pio XII Foundation, Barretos</wicri:regionArea></affiliation></author><author><name sortKey="Coelho, Rafael Richieri" sort="Coelho, Rafael Richieri" uniqKey="Coelho R" first="Rafael Richieri" last="Coelho">Rafael Richieri Coelho</name><affiliation wicri:level="1"><nlm:affiliation>Department of Physiotherapy, Barretos Cancer Hospital, Pio XII Foundation, Barretos, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Physiotherapy, Barretos Cancer Hospital, Pio XII Foundation, Barretos</wicri:regionArea></affiliation></author><author><name sortKey="De Oliveira, Cleyton Zanardo" sort="De Oliveira, Cleyton Zanardo" uniqKey="De Oliveira C" first="Cleyton Zanardo" last="De Oliveira">Cleyton Zanardo De Oliveira</name><affiliation wicri:level="1"><nlm:affiliation>Epidemiology and Biostatistics Nucleus, Barretos Cancer Hospital, Pio XII Foundation, Barretos, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Epidemiology and Biostatistics Nucleus, Barretos Cancer Hospital, Pio XII Foundation, Barretos</wicri:regionArea></affiliation></author><author><name sortKey="Sarri, Almir Jose" sort="Sarri, Almir Jose" uniqKey="Sarri A" first="Almir José" last="Sarri">Almir José Sarri</name><affiliation wicri:level="1"><nlm:affiliation>Department of Physiotherapy, Barretos Cancer Hospital, Pio XII Foundation, Barretos, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Physiotherapy, Barretos Cancer Hospital, Pio XII Foundation, Barretos</wicri:regionArea></affiliation></author><author><name sortKey="Junior, Renato Jose Affonso" sort="Junior, Renato Jose Affonso" uniqKey="Junior R" first="Renato José Affonso" last="Junior">Renato José Affonso Junior</name><affiliation wicri:level="1"><nlm:affiliation>Department of Radiotherapy, Barretos Cancer Hospital, Pio XII Foundation, Barretos, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Radiotherapy, Barretos Cancer Hospital, Pio XII Foundation, Barretos</wicri:regionArea></affiliation></author><author><name sortKey="Zucca Matthes, Gustavo" sort="Zucca Matthes, Gustavo" uniqKey="Zucca Matthes G" first="Gustavo" last="Zucca-Matthes">Gustavo Zucca-Matthes</name><affiliation wicri:level="1"><nlm:affiliation>Mastology and Breast Reconstruction Department, Barretos Cancer Hospital, Pio XII Foundation, Barretos, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Mastology and Breast Reconstruction Department, Barretos Cancer Hospital, Pio XII Foundation, Barretos</wicri:regionArea></affiliation></author></analytic><series><title level="j">Breast care (Basel, Switzerland)</title><idno type="ISSN">1661-3791</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">The etiology of lymphedema is multifactorial, and definition criteria of lymphedema, its limitation, and follow-up must be considered in studies related to risk factors. The aim of this study is to evaluate risk factors related to arm lymphedema in a cohort study with a long follow-up.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">27051396</PMID><DateCreated><Year>2016</Year><Month>04</Month><Day>07</Day></DateCreated><DateCompleted><Year>2016</Year><Month>04</Month><Day>07</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1661-3791</ISSN><JournalIssue CitedMedium="Print"><Volume>11</Volume><Issue>1</Issue><PubDate><Year>2016</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Breast care (Basel, Switzerland)</Title><ISOAbbreviation>Breast Care (Basel)</ISOAbbreviation></Journal><ArticleTitle>Risk Factors for Arm Lymphedema in a Cohort of Breast Cancer Patients Followed up for 10 Years.</ArticleTitle><Pagination><MedlinePgn>45-50</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1159/000442489</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The etiology of lymphedema is multifactorial, and definition criteria of lymphedema, its limitation, and follow-up must be considered in studies related to risk factors. The aim of this study is to evaluate risk factors related to arm lymphedema in a cohort study with a long follow-up.</AbstractText><AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">The study was performed in 622 breast cancer patients. The main endpoint reported was the presence of clinical lymphedema reported in medical records. Univariate and multivariate regression analyses were performed to identify factors related to lymphedema.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">66.4% of the patients were submitted to mastectomy, 88.4% to level III axillary lymphadenectomy, 34.9% to radiotherapy in the supraclavicular fossa, and 4.3% to axillary radiotherapy. The mean follow-up was 96.7 months. 45 patients (7.2%) developed lymphedema, of which 82.2% had developed lymphedema at 60 months. Univariate regression analysis showed that supraclavicular radiotherapy, adjuvant/palliative chemotherapy, ≥ 15 lymph nodes dissected, and axillary surgery increase the lymphedema rate by 1.87, 2.28, 2.03, and 6.17, respectively. Adjusted multivariate regression analysis showed that the combination of axillary dissection and number of lymph nodes dissected was the main factor related to lymphedema (p = 0.017).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In the pre-sentinel era, axillary dissection and the number of lymph nodes resected are related to 10-year lymphedema.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Vieira</LastName><ForeName>René Aloisio da Costa</ForeName><Initials>RA</Initials><AffiliationInfo><Affiliation>Mastology and Breast Reconstruction Department, Barretos Cancer Hospital, Pio XII Foundation, Barretos, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>da Costa</LastName><ForeName>Allini Mafra</ForeName><Initials>AM</Initials><AffiliationInfo><Affiliation>Hospital-based Cancer Registry, Barretos Cancer Hospital, Pio XII Foundation, Barretos, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>de Souza</LastName><ForeName>Josue Lopes</ForeName><Initials>JL</Initials><AffiliationInfo><Affiliation>Mastology and Breast Reconstruction Department, Barretos Cancer Hospital, Pio XII Foundation, Barretos, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Coelho</LastName><ForeName>Rafael Richieri</ForeName><Initials>RR</Initials><AffiliationInfo><Affiliation>Department of Physiotherapy, Barretos Cancer Hospital, Pio XII Foundation, Barretos, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>de Oliveira</LastName><ForeName>Cleyton Zanardo</ForeName><Initials>CZ</Initials><AffiliationInfo><Affiliation>Epidemiology and Biostatistics Nucleus, Barretos Cancer Hospital, Pio XII Foundation, Barretos, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sarri</LastName><ForeName>Almir José</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>Department of Physiotherapy, Barretos Cancer Hospital, Pio XII Foundation, Barretos, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Junior</LastName><ForeName>Renato José Affonso</ForeName><Initials>RJ</Initials><AffiliationInfo><Affiliation>Department of Radiotherapy, Barretos Cancer Hospital, Pio XII Foundation, Barretos, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zucca-Matthes</LastName><ForeName>Gustavo</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Mastology and Breast Reconstruction Department, Barretos Cancer Hospital, Pio XII Foundation, Barretos, Brazil.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>12</Month><Day>14</Day></ArticleDate></Article><MedlineJournalInfo><Country>Switzerland</Country><MedlineTA>Breast Care (Basel)</MedlineTA><NlmUniqueID>101254060</NlmUniqueID><ISSNLinking>1661-3791</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Eur J Cancer. 2001 May;37(8):991-9</RefSource><PMID Version="1">11334724</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Clin Oncol. 2012 Oct 20;30(30):3726-33</RefSource><PMID Version="1">23008299</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>CA Cancer J Clin. 2012 Jul-Aug;62(4):220-41</RefSource><PMID Version="1">22700443</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Clin Oncol. 1997 Jun;15(6):2345-50</RefSource><PMID Version="1">9196149</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Breast. 2012 Jun;21(3):361-5</RefSource><PMID Version="1">22460058</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Arch Surg. 2003 May;138(5):482-7; 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