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Risk factors for self-reported arm lymphedema among female breast cancer survivors: a prospective cohort study.

Identifieur interne : 001366 ( PubMed/Curation ); précédent : 001365; suivant : 001367

Risk factors for self-reported arm lymphedema among female breast cancer survivors: a prospective cohort study.

Auteurs : Kayo Togawa ; Huiyan Ma ; Jane Sullivan-Halley ; Marian L. Neuhouser ; Ikuyo Imayama ; Kathy B. Baumgartner ; Ashley Wilder Smith ; Catherine M. Alfano ; Anne Mctiernan ; Rachel Ballard-Barbash ; Leslie Bernstein

Source :

RBID : pubmed:25145603

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English descriptors

Abstract

Lymphedema is a potentially debilitating condition that occurs among breast cancer survivors. This study examines the incidence of self-reported lymphedema, timing of lymphedema onset, and associations between sociodemographic, clinical and lifestyle factors and lymphedema risk across racial-ethnic groups using data from a multicenter, multiethnic prospective cohort study of breast cancer survivors, the Health, Eating, Activity and Lifestyle Study.

DOI: 10.1186/s13058-014-0414-x
PubMed: 25145603

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pubmed:25145603

Le document en format XML

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<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (therapy)</term>
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<term>Female</term>
<term>Humans</term>
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<term>Lymphedema (epidemiology)</term>
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<term>Self Report</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Jeune adulte</term>
<term>Lymphoedème (épidémiologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Sujet âgé</term>
<term>Survivants</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (anatomopathologie)</term>
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<term>Études prospectives</term>
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<term>Breast Neoplasms</term>
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<term>Breast Neoplasms</term>
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<term>Breast Neoplasms</term>
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<term>Lymphoedème</term>
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<div type="abstract" xml:lang="en">Lymphedema is a potentially debilitating condition that occurs among breast cancer survivors. This study examines the incidence of self-reported lymphedema, timing of lymphedema onset, and associations between sociodemographic, clinical and lifestyle factors and lymphedema risk across racial-ethnic groups using data from a multicenter, multiethnic prospective cohort study of breast cancer survivors, the Health, Eating, Activity and Lifestyle Study.</div>
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<DateCreated>
<Year>2014</Year>
<Month>11</Month>
<Day>04</Day>
</DateCreated>
<DateCompleted>
<Year>2015</Year>
<Month>06</Month>
<Day>22</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>12</Month>
<Day>03</Day>
</DateRevised>
<Article PubModel="Electronic">
<Journal>
<ISSN IssnType="Electronic">1465-542X</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>16</Volume>
<Issue>4</Issue>
<PubDate>
<Year>2014</Year>
<Month>Aug</Month>
<Day>22</Day>
</PubDate>
</JournalIssue>
<Title>Breast cancer research : BCR</Title>
<ISOAbbreviation>Breast Cancer Res.</ISOAbbreviation>
</Journal>
<ArticleTitle>Risk factors for self-reported arm lymphedema among female breast cancer survivors: a prospective cohort study.</ArticleTitle>
<Pagination>
<MedlinePgn>414</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1186/s13058-014-0414-x</ELocationID>
<Abstract>
<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Lymphedema is a potentially debilitating condition that occurs among breast cancer survivors. This study examines the incidence of self-reported lymphedema, timing of lymphedema onset, and associations between sociodemographic, clinical and lifestyle factors and lymphedema risk across racial-ethnic groups using data from a multicenter, multiethnic prospective cohort study of breast cancer survivors, the Health, Eating, Activity and Lifestyle Study.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A total of 666 women diagnosed with breast cancer staged as in situ, localized or regional disease at ages 35 to 64 years were recruited through the Surveillance, Epidemiology, and End Results registries in New Mexico (non-Hispanic white and Hispanic white), Los Angeles County (black), and Western Washington (non-Hispanic white) and followed for a median of 10.2 years. We evaluated sociodemographic factors, breast cancer- and treatment-related factors, comorbidities, body mass index (BMI), hormonal factors, and lifestyle factors in relation to self-reported lymphedema by fitting Cox proportional hazards models, estimating hazard ratios (HR) and 95% confidence intervals (CI).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Over the follow-up period, 190 women (29%) reported lymphedema. The median time from breast cancer diagnosis to onset of lymphedema was 10.5 months (range: 0.5 to 134.9 months). Factors independently associated with lymphedema were total/modified radical mastectomy (versus partial/less than total mastectomy; HR = 1.37, 95% CI: 1.01 to 1.85), chemotherapy (versus no chemotherapy; HR = 1.48, 95% CI: 1.09 to 2.02), no lymph nodes removed (versus ≥10 lymph nodes removed; HR = 0.17, 95% CI: 0.08 to 0.33), pre-diagnostic BMI ≥30 kg/m2 (versus BMI <25 kg/m2; HR = 1.59, 95% CI: 1.09 to 2.31), and hypertension (versus no hypertension; HR = 1.49, 95% CI: 1.06 to 2.10). After adjusting for demographics and breast cancer- and treatment-related factors, no significant difference in lymphedema risk was observed across racial/ethnic groups. Analyses stratified by race/ethnicity showed that hypertension and chemotherapy were lymphedema risk factors only for black women.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Breast cancer patients who have undergone extensive surgery or extensive lymph node dissection, or who have a higher BMI should be closely monitored for detection and treatment of lymphedema. Further studies are needed to understand the roles of chemotherapy and hypertension in the development of lymphedema.</AbstractText>
</Abstract>
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<LastName>Togawa</LastName>
<ForeName>Kayo</ForeName>
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<LastName>Ma</LastName>
<ForeName>Huiyan</ForeName>
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<ForeName>Jane</ForeName>
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<ForeName>Marian L</ForeName>
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<LastName>Imayama</LastName>
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<Initials>I</Initials>
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<LastName>Baumgartner</LastName>
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<CommentsCorrections RefType="Cites">
<RefSource>Cancer Epidemiol Biomarkers Prev. 2010 Nov;19(11):2734-46</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>Arch Surg. 2010 Nov;145(11):1055-63</RefSource>
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<RefSource>Breast. 2010 Dec;19(6):506-15</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>Circulation. 2011 Mar 29;123(12):1335-51</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>J Thromb Haemost. 2011 Apr;9(4):767-75</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>Support Care Cancer. 2011 Jun;19(6):853-7</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>Breast Cancer Res Treat. 2011 Dec;130(3):981-91</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>J Clin Oncol. 2002 Oct 15;20(20):4242-8</RefSource>
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<RefSource>Med Sci Sports Exerc. 2000 Sep;32(9 Suppl):S498-504</RefSource>
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</CommentsCorrections>
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<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
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<Year>2014</Year>
<Month>03</Month>
<Day>08</Day>
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<Year>2014</Year>
<Month>07</Month>
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