Lymphedema after surgery for endometrial cancer: prevalence, risk factors, and quality of life.
Identifieur interne : 001447 ( PubMed/Curation ); précédent : 001446; suivant : 001448Lymphedema after surgery for endometrial cancer: prevalence, risk factors, and quality of life.
Auteurs : Kathleen J. Yost [États-Unis] ; Andrea L. Cheville ; Mariam M. Al-Hilli ; Andrea Mariani ; Brigitte A. Barrette ; Michaela E. Mcgree ; Amy L. Weaver ; Sean C. DowdySource :
- Obstetrics and gynecology [ 1873-233X ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Défaillance cardiaque (), Enquêtes et questionnaires, Facteurs de risque, Femelle, Humains, Hystérectomie (effets indésirables), Indice de masse corporelle, Lymphadénectomie (effets indésirables), Lymphoedème (diagnostic), Lymphoedème (épidémiologie), Lymphoedème (étiologie), Membre inférieur, Prévalence, Qualité de vie, Sujet âgé, Tumeurs de l'endomètre (), Tumeurs de l'endomètre (radiothérapie), Études de suivi.
- MESH :
- diagnostic : Lymphoedème.
- effets indésirables : Hystérectomie, Lymphadénectomie.
- radiothérapie : Tumeurs de l'endomètre.
- épidémiologie : Lymphoedème.
- étiologie : Lymphoedème.
- Adulte d'âge moyen, Défaillance cardiaque, Enquêtes et questionnaires, Facteurs de risque, Femelle, Humains, Indice de masse corporelle, Membre inférieur, Prévalence, Qualité de vie, Sujet âgé, Tumeurs de l'endomètre, Études de suivi.
English descriptors
- KwdEn :
- Aged, Body Mass Index, Endometrial Neoplasms (radiotherapy), Endometrial Neoplasms (surgery), Female, Follow-Up Studies, Heart Failure (complications), Humans, Hysterectomy (adverse effects), Lower Extremity, Lymph Node Excision (adverse effects), Lymphedema (diagnosis), Lymphedema (epidemiology), Lymphedema (etiology), Middle Aged, Prevalence, Quality of Life, Risk Factors, Surveys and Questionnaires.
- MESH :
- adverse effects : Hysterectomy, Lymph Node Excision.
- complications : Heart Failure.
- diagnosis : Lymphedema.
- epidemiology : Lymphedema.
- etiology : Lymphedema.
- radiotherapy : Endometrial Neoplasms.
- surgery : Endometrial Neoplasms.
- Aged, Body Mass Index, Female, Follow-Up Studies, Humans, Lower Extremity, Middle Aged, Prevalence, Quality of Life, Risk Factors, Surveys and Questionnaires.
Abstract
To estimate lower extremity lymphedema prevalence in patients surgically treated for endometrial cancer, identify predictors of lymphedema, and evaluate the effects of lymphedema on quality of life.
DOI: 10.1097/AOG.0000000000000372
PubMed: 25004343
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pubmed:25004343Le document en format XML
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Yost</name><affiliation wicri:level="2"><nlm:affiliation>Departments of Gynecologic Surgery, Physical Medicine and Rehabilitation, Gynecology, Biomedical Statistics and Informatics, and Health Sciences Research, Mayo Clinic, Rochester, Minnesota.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Minnesota</region></placeName><wicri:cityArea>Departments of Gynecologic Surgery, Physical Medicine and Rehabilitation, Gynecology, Biomedical Statistics and Informatics, and Health Sciences Research, Mayo Clinic, Rochester</wicri:cityArea></affiliation></author><author><name sortKey="Cheville, Andrea L" sort="Cheville, Andrea L" uniqKey="Cheville A" first="Andrea L" last="Cheville">Andrea L. Cheville</name></author><author><name sortKey="Al Hilli, Mariam M" sort="Al Hilli, Mariam M" uniqKey="Al Hilli M" first="Mariam M" last="Al-Hilli">Mariam M. Al-Hilli</name></author><author><name sortKey="Mariani, Andrea" sort="Mariani, Andrea" uniqKey="Mariani A" first="Andrea" last="Mariani">Andrea Mariani</name></author><author><name sortKey="Barrette, Brigitte A" sort="Barrette, Brigitte A" uniqKey="Barrette B" first="Brigitte A" last="Barrette">Brigitte A. Barrette</name></author><author><name sortKey="Mcgree, Michaela E" sort="Mcgree, Michaela E" uniqKey="Mcgree M" first="Michaela E" last="Mcgree">Michaela E. Mcgree</name></author><author><name sortKey="Weaver, Amy L" sort="Weaver, Amy L" uniqKey="Weaver A" first="Amy L" last="Weaver">Amy L. Weaver</name></author><author><name sortKey="Dowdy, Sean C" sort="Dowdy, Sean C" uniqKey="Dowdy S" first="Sean C" last="Dowdy">Sean C. 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Yost</name><affiliation wicri:level="2"><nlm:affiliation>Departments of Gynecologic Surgery, Physical Medicine and Rehabilitation, Gynecology, Biomedical Statistics and Informatics, and Health Sciences Research, Mayo Clinic, Rochester, Minnesota.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Minnesota</region></placeName><wicri:cityArea>Departments of Gynecologic Surgery, Physical Medicine and Rehabilitation, Gynecology, Biomedical Statistics and Informatics, and Health Sciences Research, Mayo Clinic, Rochester</wicri:cityArea></affiliation></author><author><name sortKey="Cheville, Andrea L" sort="Cheville, Andrea L" uniqKey="Cheville A" first="Andrea L" last="Cheville">Andrea L. Cheville</name></author><author><name sortKey="Al Hilli, Mariam M" sort="Al Hilli, Mariam M" uniqKey="Al Hilli M" first="Mariam M" last="Al-Hilli">Mariam M. Al-Hilli</name></author><author><name sortKey="Mariani, Andrea" sort="Mariani, Andrea" uniqKey="Mariani A" first="Andrea" last="Mariani">Andrea Mariani</name></author><author><name sortKey="Barrette, Brigitte A" sort="Barrette, Brigitte A" uniqKey="Barrette B" first="Brigitte A" last="Barrette">Brigitte A. Barrette</name></author><author><name sortKey="Mcgree, Michaela E" sort="Mcgree, Michaela E" uniqKey="Mcgree M" first="Michaela E" last="Mcgree">Michaela E. Mcgree</name></author><author><name sortKey="Weaver, Amy L" sort="Weaver, Amy L" uniqKey="Weaver A" first="Amy L" last="Weaver">Amy L. Weaver</name></author><author><name sortKey="Dowdy, Sean C" sort="Dowdy, Sean C" uniqKey="Dowdy S" first="Sean C" last="Dowdy">Sean C. Dowdy</name></author></analytic><series><title level="j">Obstetrics and gynecology</title><idno type="eISSN">1873-233X</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Body Mass Index</term><term>Endometrial Neoplasms (radiotherapy)</term><term>Endometrial Neoplasms (surgery)</term><term>Female</term><term>Follow-Up Studies</term><term>Heart Failure (complications)</term><term>Humans</term><term>Hysterectomy (adverse effects)</term><term>Lower Extremity</term><term>Lymph Node Excision (adverse effects)</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (epidemiology)</term><term>Lymphedema (etiology)</term><term>Middle Aged</term><term>Prevalence</term><term>Quality of Life</term><term>Risk Factors</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Défaillance cardiaque ()</term><term>Enquêtes et questionnaires</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Hystérectomie (effets indésirables)</term><term>Indice de masse corporelle</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème (diagnostic)</term><term>Lymphoedème (épidémiologie)</term><term>Lymphoedème (étiologie)</term><term>Membre inférieur</term><term>Prévalence</term><term>Qualité de vie</term><term>Sujet âgé</term><term>Tumeurs de l'endomètre ()</term><term>Tumeurs de l'endomètre (radiothérapie)</term><term>Études de suivi</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Hysterectomy</term><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Heart Failure</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Hystérectomie</term><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Endometrial Neoplasms</term></keywords><keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr"><term>Tumeurs de l'endomètre</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Endometrial Neoplasms</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Body Mass Index</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Lower Extremity</term><term>Middle Aged</term><term>Prevalence</term><term>Quality of Life</term><term>Risk Factors</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Défaillance cardiaque</term><term>Enquêtes et questionnaires</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Indice de masse corporelle</term><term>Membre inférieur</term><term>Prévalence</term><term>Qualité de vie</term><term>Sujet âgé</term><term>Tumeurs de l'endomètre</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To estimate lower extremity lymphedema prevalence in patients surgically treated for endometrial cancer, identify predictors of lymphedema, and evaluate the effects of lymphedema on quality of life.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25004343</PMID><DateCreated><Year>2014</Year><Month>07</Month><Day>23</Day></DateCreated><DateCompleted><Year>2014</Year><Month>10</Month><Day>03</Day></DateCompleted><DateRevised><Year>2016</Year><Month>10</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1873-233X</ISSN><JournalIssue CitedMedium="Internet"><Volume>124</Volume><Issue>2 Pt 1</Issue><PubDate><Year>2014</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Obstetrics and gynecology</Title><ISOAbbreviation>Obstet Gynecol</ISOAbbreviation></Journal><ArticleTitle>Lymphedema after surgery for endometrial cancer: prevalence, risk factors, and quality of life.</ArticleTitle><Pagination><MedlinePgn>307-15</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/AOG.0000000000000372</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To estimate lower extremity lymphedema prevalence in patients surgically treated for endometrial cancer, identify predictors of lymphedema, and evaluate the effects of lymphedema on quality of life.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">One thousand forty-eight consecutive patients who were operated on between 1999 and 2008 at the Mayo Clinic were mailed a survey, which included our validated 13-item lymphedema screening questionnaire and two validated quality-of-life measures. Logistic regression models were fit to identify factors associated with prevalent lymphedema; a multivariable model was obtained using stepwise and backward variable selection methods. The relationship between lymphedema and obesity with each quality-of-life score was evaluated separate multivariable linear models.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">There were 591 responders (56%) after exclusions. Our questionnaire revealed a previous self-reported lymphedema diagnosis in 103 (17%) patients and identified undiagnosed lymphedema in 175 (30%) (overall prevalence 47.0%, median 6.2 years follow-up). Lymphedema prevalence in patients treated with hysterectomy alone compared with lymphadenectomy was 36.1% and 52.3%, respectively (attributable risk 23%). Lymphedema risk was not associated with the number of nodes removed or the extent of lymphadenectomy after adjusting for other factors. On multivariable analysis, higher body mass index, congestive heart failure, performance of lymphadenectomy, and radiation therapy were associated with prevalent lymphedema. Multiple quality-of-life scores were worse in women with lymphedema.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The attributable risk of developing lower extremity lymphedema was 23% for patients with endometrial cancer who underwent lymphadenectomy compared with hysterectomy alone with an overall prevalence of 47%. Lymphedema was associated with reductions in multiple quality-of-life domains.</AbstractText><AbstractText Label="LEVEL OF EVIDENCE" NlmCategory="METHODS">II.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Yost</LastName><ForeName>Kathleen J</ForeName><Initials>KJ</Initials><AffiliationInfo><Affiliation>Departments of Gynecologic Surgery, Physical Medicine and Rehabilitation, Gynecology, Biomedical Statistics and Informatics, and Health Sciences Research, Mayo Clinic, Rochester, Minnesota.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cheville</LastName><ForeName>Andrea L</ForeName><Initials>AL</Initials></Author><Author ValidYN="Y"><LastName>Al-Hilli</LastName><ForeName>Mariam M</ForeName><Initials>MM</Initials></Author><Author ValidYN="Y"><LastName>Mariani</LastName><ForeName>Andrea</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Barrette</LastName><ForeName>Brigitte A</ForeName><Initials>BA</Initials></Author><Author ValidYN="Y"><LastName>McGree</LastName><ForeName>Michaela E</ForeName><Initials>ME</Initials></Author><Author ValidYN="Y"><LastName>Weaver</LastName><ForeName>Amy L</ForeName><Initials>AL</Initials></Author><Author ValidYN="Y"><LastName>Dowdy</LastName><ForeName>Sean C</ForeName><Initials>SC</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>P30 CA015083</GrantID><Acronym>CA</Acronym><Agency>NCI NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>UL1 TR000135</GrantID><Acronym>TR</Acronym><Agency>NCATS NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>P30 CA15083</GrantID><Acronym>CA</Acronym><Agency>NCI NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Obstet Gynecol</MedlineTA><NlmUniqueID>0401101</NlmUniqueID><ISSNLinking>0029-7844</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Gynecol Oncol. 2012 Jun;125(3):531-5</RefSource><PMID Version="1">22366409</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Gynecol Oncol. 2014 Feb;132(2):275-9</RefSource><PMID Version="1">24291694</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Gynecol Oncol. 2012 Oct;127(1):5-10</RefSource><PMID Version="1">22771890</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Gynecol Oncol. 2013 Feb;128(2):294-9</RefSource><PMID Version="1">23085458</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Phys Ther. 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MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006333" MajorTopicYN="N">Heart Failure</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007044" MajorTopicYN="N">Hysterectomy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D035002" MajorTopicYN="N">Lower Extremity</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="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="NLM">NIHMS628227</OtherID><OtherID Source="NLM">PMC4269467</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>7</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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