Factors associated with fear of lymphedema after treatment for breast cancer.
Identifieur interne : 001358 ( PubMed/Curation ); précédent : 001357; suivant : 001359Factors associated with fear of lymphedema after treatment for breast cancer.
Auteurs : Lauren S. Jammallo ; Cynthia L. Miller ; Nora K. Horick ; Melissa N. Skolny ; Jean O'Toole ; Michelle C. Specht ; Alphonse G. TaghianSource :
- Oncology nursing forum [ 1538-0688 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Association thérapeutique, Attitude envers la santé, Complications postopératoires (psychologie), Complications postopératoires (étiologie), Enquêtes et questionnaires, Facteurs de l'âge, Femelle, Humains, Lymphadénectomie (effets indésirables), Lymphoedème (psychologie), Lymphoedème (étiologie), Mastectomie, Peur, Qualité de vie, Sujet âgé, Sélection de patients, Tumeurs du sein (), Tumeurs du sein (psychologie), Éducation du patient comme sujet, Études prospectives.
- MESH :
- effets indésirables : Lymphadénectomie.
- psychologie : Complications postopératoires, Lymphoedème, Tumeurs du sein.
- étiologie : Complications postopératoires, Lymphoedème.
- Adulte, Adulte d'âge moyen, Association thérapeutique, Attitude envers la santé, Enquêtes et questionnaires, Facteurs de l'âge, Femelle, Humains, Mastectomie, Peur, Qualité de vie, Sujet âgé, Sélection de patients, Tumeurs du sein, Éducation du patient comme sujet, Études prospectives.
English descriptors
- KwdEn :
- Adult, Age Factors, Aged, Attitude to Health, Breast Neoplasms (complications), Breast Neoplasms (psychology), Breast Neoplasms (surgery), Breast Neoplasms (therapy), Combined Modality Therapy, Fear, Female, Humans, Lymph Node Excision (adverse effects), Lymphedema (etiology), Lymphedema (psychology), Mastectomy, Middle Aged, Patient Education as Topic, Patient Selection, Postoperative Complications (etiology), Postoperative Complications (psychology), Prospective Studies, Quality of Life, Surveys and Questionnaires.
- MESH :
- adverse effects : Lymph Node Excision.
- complications : Breast Neoplasms.
- etiology : Lymphedema, Postoperative Complications.
- psychology : Breast Neoplasms, Lymphedema, Postoperative Complications.
- surgery : Breast Neoplasms.
- therapy : Breast Neoplasms.
- Adult, Age Factors, Aged, Attitude to Health, Combined Modality Therapy, Fear, Female, Humans, Mastectomy, Middle Aged, Patient Education as Topic, Patient Selection, Prospective Studies, Quality of Life, Surveys and Questionnaires.
Abstract
To identify demographic and treatment characteristics associated with postoperative fear of lymphedema.
DOI: 10.1188/14.ONF.473-483
PubMed: 25158653
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Lauren S. Jammallo<affiliation><nlm:affiliation>Department of Radiation Oncology, Massachusetts General Hospital in Boston.</nlm:affiliation>
<wicri:noCountry code="subField">Massachusetts General Hospital in Boston</wicri:noCountry>
</affiliation>
<affiliation><nlm:affiliation>Department of Radiation Oncology, Massachusetts General Hospital in Boston.</nlm:affiliation>
<wicri:noCountry code="subField">Massachusetts General Hospital in Boston</wicri:noCountry>
</affiliation>
<affiliation><nlm:affiliation>Biostatistics Center, Massachusetts General Hospital in Boston.</nlm:affiliation>
<wicri:noCountry code="subField">Massachusetts General Hospital in Boston</wicri:noCountry>
</affiliation>
<affiliation><nlm:affiliation>Department of Radiation Oncology, Massachusetts General Hospital in Boston.</nlm:affiliation>
<wicri:noCountry code="subField">Massachusetts General Hospital in Boston</wicri:noCountry>
</affiliation>
<affiliation><nlm:affiliation>Department of Physical and Occupational Therapy, Massachusetts General Hospital in Boston.</nlm:affiliation>
<wicri:noCountry code="subField">Massachusetts General Hospital in Boston</wicri:noCountry>
</affiliation>
<affiliation><nlm:affiliation>Division of Surgical Oncology, Massachusetts General Hospital in Boston.</nlm:affiliation>
<wicri:noCountry code="subField">Massachusetts General Hospital in Boston</wicri:noCountry>
</affiliation>
<affiliation><nlm:affiliation>Department of Radiation Oncology, Harvard Medical School.</nlm:affiliation>
<wicri:noCountry code="subField">Harvard Medical School</wicri:noCountry>
</affiliation>
Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Attitude to Health</term>
<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (psychology)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Breast Neoplasms (therapy)</term>
<term>Combined Modality Therapy</term>
<term>Fear</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (psychology)</term>
<term>Mastectomy</term>
<term>Middle Aged</term>
<term>Patient Education as Topic</term>
<term>Patient Selection</term>
<term>Postoperative Complications (etiology)</term>
<term>Postoperative Complications (psychology)</term>
<term>Prospective Studies</term>
<term>Quality of Life</term>
<term>Surveys and Questionnaires</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
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<term>Complications postopératoires (psychologie)</term>
<term>Complications postopératoires (étiologie)</term>
<term>Enquêtes et questionnaires</term>
<term>Facteurs de l'âge</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème (psychologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Mastectomie</term>
<term>Peur</term>
<term>Qualité de vie</term>
<term>Sujet âgé</term>
<term>Sélection de patients</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (psychologie)</term>
<term>Éducation du patient comme sujet</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Complications postopératoires</term>
<term>Lymphoedème</term>
<term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Breast Neoplasms</term>
<term>Lymphedema</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Complications postopératoires</term>
<term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Attitude to Health</term>
<term>Combined Modality Therapy</term>
<term>Fear</term>
<term>Female</term>
<term>Humans</term>
<term>Mastectomy</term>
<term>Middle Aged</term>
<term>Patient Education as Topic</term>
<term>Patient Selection</term>
<term>Prospective Studies</term>
<term>Quality of Life</term>
<term>Surveys and Questionnaires</term>
</keywords>
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<term>Adulte d'âge moyen</term>
<term>Association thérapeutique</term>
<term>Attitude envers la santé</term>
<term>Enquêtes et questionnaires</term>
<term>Facteurs de l'âge</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mastectomie</term>
<term>Peur</term>
<term>Qualité de vie</term>
<term>Sujet âgé</term>
<term>Sélection de patients</term>
<term>Tumeurs du sein</term>
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<front><div type="abstract" xml:lang="en">To identify demographic and treatment characteristics associated with postoperative fear of lymphedema.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25158653</PMID>
<DateCreated><Year>2014</Year>
<Month>08</Month>
<Day>27</Day>
</DateCreated>
<DateCompleted><Year>2015</Year>
<Month>05</Month>
<Day>15</Day>
</DateCompleted>
<DateRevised><Year>2015</Year>
<Month>11</Month>
<Day>19</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1538-0688</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>41</Volume>
<Issue>5</Issue>
<PubDate><Year>2014</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Oncology nursing forum</Title>
<ISOAbbreviation>Oncol Nurs Forum</ISOAbbreviation>
</Journal>
<ArticleTitle>Factors associated with fear of lymphedema after treatment for breast cancer.</ArticleTitle>
<Pagination><MedlinePgn>473-83</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1188/14.ONF.473-483</ELocationID>
<Abstract><AbstractText Label="PURPOSE/OBJECTIVES" NlmCategory="OBJECTIVE">To identify demographic and treatment characteristics associated with postoperative fear of lymphedema.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Prospective cohort study.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Outpatient breast clinic at a comprehensive cancer center in the northeastern United States.</AbstractText>
<AbstractText Label="SAMPLE" NlmCategory="METHODS">324 patients undergoing treatment for unilateral breast cancer.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Women with breast cancer were prospectively screened for lymphedema (relative volume change of 10% or greater) preoperatively and every three to eight months postoperatively via Perometer arm volume measurements. Fear was simultaneously evaluated via questionnaire. Multivariate linear mixed-effects regression models were used to identify factors associated with mean postoperative fear score and to plot the average fear score over time within axillary surgery type subgroups.</AbstractText>
<AbstractText Label="MAIN RESEARCH VARIABLES" NlmCategory="METHODS">Postoperative fear of lymphedema.</AbstractText>
<AbstractText Label="FINDINGS" NlmCategory="RESULTS">Higher preoperative fear score (p < 0.0001), younger age at diagnosis (p = 0.0038), and axillary lymph node dissection (ALND) (p < 0.0001) were significantly associated with higher mean postoperative fear score. The average fear score changed nonlinearly over time (p < 0.0001), decreasing from preoperative to 24 months postoperative and leveling thereafter.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Preoperative fear, younger age at diagnosis, and ALND may contribute to postoperative fear of lymphedema.</AbstractText>
<AbstractText Label="IMPLICATIONS FOR NURSING" NlmCategory="CONCLUSIONS">Individualized education that begins preoperatively, continues throughout treatment, and is re-emphasized 24 months postoperatively may help minimize fear of lymphedema.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Jammallo</LastName>
<ForeName>Lauren S</ForeName>
<Initials>LS</Initials>
<AffiliationInfo><Affiliation>Department of Radiation Oncology, Massachusetts General Hospital in Boston.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Miller</LastName>
<ForeName>Cynthia L</ForeName>
<Initials>CL</Initials>
<AffiliationInfo><Affiliation>Department of Radiation Oncology, Massachusetts General Hospital in Boston.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Horick</LastName>
<ForeName>Nora K</ForeName>
<Initials>NK</Initials>
<AffiliationInfo><Affiliation>Biostatistics Center, Massachusetts General Hospital in Boston.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Skolny</LastName>
<ForeName>Melissa N</ForeName>
<Initials>MN</Initials>
<AffiliationInfo><Affiliation>Department of Radiation Oncology, Massachusetts General Hospital in Boston.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>O'Toole</LastName>
<ForeName>Jean</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Physical and Occupational Therapy, Massachusetts General Hospital in Boston.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Specht</LastName>
<ForeName>Michelle C</ForeName>
<Initials>MC</Initials>
<AffiliationInfo><Affiliation>Division of Surgical Oncology, Massachusetts General Hospital in Boston.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Taghian</LastName>
<ForeName>Alphonse G</ForeName>
<Initials>AG</Initials>
<AffiliationInfo><Affiliation>Department of Radiation Oncology, Harvard Medical School.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
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<Acronym>CA</Acronym>
<Agency>NCI NIH HHS</Agency>
<Country>United States</Country>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001294" MajorTopicYN="Y">Attitude to Health</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003131" MajorTopicYN="N">Combined Modality Therapy</DescriptorName>
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<MeshHeading><DescriptorName UI="D005239" MajorTopicYN="Y">Fear</DescriptorName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008408" MajorTopicYN="N">Mastectomy</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D010353" MajorTopicYN="N">Patient Education as Topic</DescriptorName>
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<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Perometer</Keyword>
<Keyword MajorTopicYN="N">breast cancer</Keyword>
<Keyword MajorTopicYN="N">fear</Keyword>
<Keyword MajorTopicYN="N">lymphedema</Keyword>
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