Prevalence and prognostic significance of secondary lymphedema following breast cancer.
Identifieur interne : 002398 ( PubMed/Curation ); précédent : 002397; suivant : 002399Prevalence and prognostic significance of secondary lymphedema following breast cancer.
Auteurs : Sandi Hayes [Australie] ; Tracey Di Sipio ; Sheree Rye ; J Alejandro L Pez ; Christobel Saunders ; Chris Pyke ; John Bashford ; Diana Battistutta ; Beth NewmanSource :
- Lymphatic research and biology [ 1557-8585 ] ; 2011.
Descripteurs français
- KwdFr :
- MESH :
- mortalité : Tumeurs du sein.
- épidémiologie : Lymphoedème.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Estimation de Kaplan-Meier, Facteurs de risque, Facteurs temps, Femelle, Humains, Pronostic, Prévalence, Sujet âgé, Tumeurs du sein.
English descriptors
- KwdEn :
- MESH :
- complications : Breast Neoplasms.
- epidemiology : Lymphedema.
- etiology : Lymphedema.
- mortality : Breast Neoplasms.
- Adult, Aged, Female, Humans, Kaplan-Meier Estimate, Middle Aged, Prevalence, Prognosis, Risk Factors, Time Factors.
Abstract
The adverse consequences of lymphedema following breast cancer in relation to physical function and quality of life are clear; however, its potential relationship with survival has not been investigated. Our purpose was to determine the prevalence of lymphedema and associated upper-body symptoms at 6 years following breast cancer and to examine the prognostic significance of lymphedema with respect to overall 6-year survival (OS).
DOI: 10.1089/lrb.2011.0007
PubMed: 22066743
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pubmed:22066743Le document en format XML
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<author><name sortKey="Hayes, Sandi" sort="Hayes, Sandi" uniqKey="Hayes S" first="Sandi" last="Hayes">Sandi Hayes</name>
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<term>Breast Neoplasms (mortality)</term>
<term>Female</term>
<term>Humans</term>
<term>Kaplan-Meier Estimate</term>
<term>Lymphedema (epidemiology)</term>
<term>Lymphedema (etiology)</term>
<term>Middle Aged</term>
<term>Prevalence</term>
<term>Prognosis</term>
<term>Risk Factors</term>
<term>Time Factors</term>
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<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème (épidémiologie)</term>
<term>Lymphoedème (étiologie)</term>
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<term>Prévalence</term>
<term>Sujet âgé</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (mortalité)</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Breast Neoplasms</term>
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<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Tumeurs du sein</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Lymphoedème</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
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<term>Aged</term>
<term>Female</term>
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<term>Kaplan-Meier Estimate</term>
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<term>Risk Factors</term>
<term>Time Factors</term>
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<term>Adulte d'âge moyen</term>
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<term>Facteurs temps</term>
<term>Femelle</term>
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<term>Prévalence</term>
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<front><div type="abstract" xml:lang="en">The adverse consequences of lymphedema following breast cancer in relation to physical function and quality of life are clear; however, its potential relationship with survival has not been investigated. Our purpose was to determine the prevalence of lymphedema and associated upper-body symptoms at 6 years following breast cancer and to examine the prognostic significance of lymphedema with respect to overall 6-year survival (OS).</div>
</front>
</TEI>
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<DateCreated><Year>2011</Year>
<Month>11</Month>
<Day>09</Day>
</DateCreated>
<DateCompleted><Year>2012</Year>
<Month>03</Month>
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<JournalIssue CitedMedium="Internet"><Volume>9</Volume>
<Issue>3</Issue>
<PubDate><Year>2011</Year>
</PubDate>
</JournalIssue>
<Title>Lymphatic research and biology</Title>
<ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation>
</Journal>
<ArticleTitle>Prevalence and prognostic significance of secondary lymphedema following breast cancer.</ArticleTitle>
<Pagination><MedlinePgn>135-41</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1089/lrb.2011.0007</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The adverse consequences of lymphedema following breast cancer in relation to physical function and quality of life are clear; however, its potential relationship with survival has not been investigated. Our purpose was to determine the prevalence of lymphedema and associated upper-body symptoms at 6 years following breast cancer and to examine the prognostic significance of lymphedema with respect to overall 6-year survival (OS).</AbstractText>
<AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">A population-based sample of Australian women (n = 287) diagnosed with invasive, unilateral breast cancer was followed for a median of 6.6 years and prospectively assessed for lymphedema (using bioimpedance spectroscopy [BIS], sum of arm circumferences [SOAC], and self-reported arm swelling), a range of upper-body symptoms, and vital status. OS was measured from date of diagnosis to date of death or last follow-up. Kaplan-Meier methods were used to calculate OS and Cox proportional hazards models quantified the risk associated with lymphedema. Approximately 45% of women had reported at least one moderate to extreme symptom at 6.6 years postdiagnosis, while 34% had shown clinical evidence of lymphedema, and 48% reported arm swelling at least once since baseline assessment. A total of 27 (9.4%) women died during the follow-up period, and lymphedema, diagnosed by BIS or SOAC between 6-18 months postdiagnosis, predicted mortality (BIS: HR = 2.5; 95% CI: 0.9, 6.8, p = 0.08; SOAC: 3.0; 95% CI: 1.1, 8.7, p = 0.04). There was no association (HR = 1.2; 95% CI: 0.5, 2.6, p = 0.68) between self-reported arm swelling and OS.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">These findings suggest that lymphedema may influence survival following breast cancer treatment and warrant further investigation in other cancer cohorts and explication of a potential underlying biology.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hayes</LastName>
<ForeName>Sandi</ForeName>
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<AffiliationInfo><Affiliation>Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia. sc.hayes@qut.edu.au</Affiliation>
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