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Bioelectrical impedance for detecting and monitoring patients for the development of upper limb lymphedema in the clinic.

Identifieur interne : 002208 ( PubMed/Curation ); précédent : 002207; suivant : 002209

Bioelectrical impedance for detecting and monitoring patients for the development of upper limb lymphedema in the clinic.

Auteurs : Frank Vicini [États-Unis] ; Chirag Shah ; Maureen Lyden ; Pat Whitworth

Source :

RBID : pubmed:22444720

Descripteurs français

English descriptors

Abstract

Single-frequency bioelectrical impedance (BI) has been used to measure extracellular fluid in the upper limbs. The purpose of the study was to evaluate BI's ability to detect and monitor upper limb changes in based upon the extent of various treatments and to assess its practicality.

DOI: 10.1016/j.clbc.2012.01.004
PubMed: 22444720

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pubmed:22444720

Le document en format XML

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<title xml:lang="en">Bioelectrical impedance for detecting and monitoring patients for the development of upper limb lymphedema in the clinic.</title>
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<name sortKey="Vicini, Frank" sort="Vicini, Frank" uniqKey="Vicini F" first="Frank" last="Vicini">Frank Vicini</name>
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<nlm:affiliation>Michigan HealthCare Professionals/21st Century Oncology, Farmington Hills, MI, USA. favicini@botsford.org</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Michigan HealthCare Professionals/21st Century Oncology, Farmington Hills, MI</wicri:regionArea>
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<name sortKey="Shah, Chirag" sort="Shah, Chirag" uniqKey="Shah C" first="Chirag" last="Shah">Chirag Shah</name>
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<name sortKey="Lyden, Maureen" sort="Lyden, Maureen" uniqKey="Lyden M" first="Maureen" last="Lyden">Maureen Lyden</name>
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<name sortKey="Whitworth, Pat" sort="Whitworth, Pat" uniqKey="Whitworth P" first="Pat" last="Whitworth">Pat Whitworth</name>
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<term>Adult</term>
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<term>Body Composition (physiology)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Electric Impedance</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphedema (diagnosis)</term>
<term>Mastectomy (adverse effects)</term>
<term>Middle Aged</term>
<term>Sensitivity and Specificity</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Bras</term>
<term>Composition corporelle (physiologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Impédance électrique</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème (diagnostic)</term>
<term>Mastectomie (effets indésirables)</term>
<term>Sensibilité et spécificité</term>
<term>Sujet âgé</term>
<term>Tumeurs du sein ()</term>
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<term>Lymph Node Excision</term>
<term>Mastectomy</term>
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<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>Lymphadénectomie</term>
<term>Mastectomie</term>
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<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr">
<term>Composition corporelle</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Body Composition</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Breast Neoplasms</term>
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<term>Adult</term>
<term>Aged</term>
<term>Arm</term>
<term>Electric Impedance</term>
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<term>Humans</term>
<term>Middle Aged</term>
<term>Sensitivity and Specificity</term>
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<div type="abstract" xml:lang="en">Single-frequency bioelectrical impedance (BI) has been used to measure extracellular fluid in the upper limbs. The purpose of the study was to evaluate BI's ability to detect and monitor upper limb changes in based upon the extent of various treatments and to assess its practicality.</div>
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<Year>2012</Year>
<Month>07</Month>
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<Month>Apr</Month>
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<Title>Clinical breast cancer</Title>
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<ArticleTitle>Bioelectrical impedance for detecting and monitoring patients for the development of upper limb lymphedema in the clinic.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Single-frequency bioelectrical impedance (BI) has been used to measure extracellular fluid in the upper limbs. The purpose of the study was to evaluate BI's ability to detect and monitor upper limb changes in based upon the extent of various treatments and to assess its practicality.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Patients with newly diagnosed breast cancer were evaluated at baseline and after procedures that could potentially affect fluid accumulation in the arm and signal the possible development of early lymphedema. The magnitude of the change in lymphedema index ratios (LIR) from these procedures was evaluated to determine the sensitivity of BI.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 64 patients were evaluated. Although no difference in LIRs was noted by the extent of surgical procedure (lumpectomy 2.1 vs. mastectomy 1.1; P = .49), a trend was noted for increased LIRs with more aggressive axillary staging when sentinel lymph node was compared with axillary lymph node dissection (1.3 vs. 3.4; P = .08). A trend for an increased LIR with more aggressive local therapy also was noted when using a cutoff of less than 4 lymph nodes sampled compared with 4 or more nodes sampled (1.2 vs. 2.6; P = .09).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In this limited analysis, L-Dex readings paralleled the extent of surgical interventions and suggest that they can be used to monitor patients for the early onset of edema. Further studies are needed to help validate the extent, degree, and chronologic time frame of these changes to help define recommendations for closer monitoring of patients and possible early intervention.</AbstractText>
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