Five-Year Cumulative Incidence of Axillary Web Syndrome and Comparison in Upper Extremity Movement, Function, Pain, and Lymphedema in Survivors of Breast Cancer With and Without Axillary Web Syndrome

Koehler, Linda A; Day, Amanda; Hunter, David W.; Blaes, Anne; Haddad, Tufia C.; Shanley, Ryan

doi:10.1016/j.apmr.2022.03.007

Cited by 6 publications

(3 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This measure of tissue consistency has been vetted by systematic analysis, but was not recommended for use with BCRL due to absence of diagnostic accuracy [ 21 ]. Assessment of axillary web syndrome has been established, but its reliability has yet to be evaluated [ 27 , 28 ]. Expert respondents highly recommended ultrasonography as an OM and it is also recommended in the BCRL diagnosis clinical practice guideline to assess underlying tissue changes for Stage III BCRL [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Development of a core set of outcome measures to be applied toward breast cancer-related lymphedema core outcome domains

Doubblestein,

Koehler,

Anderson

et al. 2024

Breast Cancer Res Treat

Self Cite

View full text Add to dashboard Cite

Purpose For breast cancer survivors (BCS) living with breast cancer-related lymphedema (BCRL), what outcome measures (OMs) are recommended to be used to measure standardized outcome domains to fully assess the burden of the disease and efficacy of interventions? An integral component of a standardized core outcome set (COS) are the OMs used to measure the COS. Methods A supplemental online survey was linked to a Delphi study investigating a COS for BCRL. OMs were limited to a maximum of 10 options for each outcome domain (OD). There were 14 ODs corresponding to the International Classification of Functioning, Disability, and Health (ICF) framework and respondents rated the OMs with a Likert level of recommendation. The feasibility of the listed OMs was also investigated for most outpatient, inpatient, and research settings. Results This study identified 27 standardized OMs with a few ODs having 2–3 highly recommended OMs for proper measurement. A few of the recommended OMs have limitations with reliability due to being semi-quantitative measures requiring the interpretation of the rater. Conclusion Narrowing the choices of OMs to 27 highly recommended by BCRL experts may reduce selective reporting, inconsistency in clinical use, and variability of reporting across interdisciplinary healthcare fields which manage or research BCRL. There is a need for valid, reliable, and feasible OMs that measure tissue consistency. Measures of upper extremity activity and motor control need further research in the BCS with BCRL population.

show abstract

Section: Discussionmentioning

confidence: 99%

Development of a core set of outcome measures to be applied toward breast cancer-related lymphedema core outcome domains

Doubblestein,

Koehler,

Anderson

et al. 2024

Breast Cancer Res Treat

Self Cite

View full text Add to dashboard Cite

show abstract

“…No evidence from systematic reviews is found regarding the relation between axillary web syndrome and upper limb motor behavioral outcomes. Shoulder flexion and abduction ROM is reported to be lower in women with axillary web syndrome at the short‐term and long‐term after surgery (Koehler et al, 2018; Koehler et al, 2022; Levy et al, 2012; Tay et al, 2021). One study describes axillary web syndrome at 2 and 4 weeks post‐surgery as a risk factor for reduced shoulder abduction ROM at 5 years following medical treatment (Koehler et al, 2022), while this result is conflicted by another study that does not report a relation between the presence of cording and flexion and abduction ROM at more than 12 months post‐surgery (Levy et al, 2012).…”

Section: Factors Associated With Upper Limb Movement Behaviormentioning

confidence: 99%

“…Shoulder flexion and abduction ROM is reported to be lower in women with axillary web syndrome at the short‐term and long‐term after surgery (Koehler et al, 2018; Koehler et al, 2022; Levy et al, 2012; Tay et al, 2021). One study describes axillary web syndrome at 2 and 4 weeks post‐surgery as a risk factor for reduced shoulder abduction ROM at 5 years following medical treatment (Koehler et al, 2022), while this result is conflicted by another study that does not report a relation between the presence of cording and flexion and abduction ROM at more than 12 months post‐surgery (Levy et al, 2012). Another cross‐sectional study that compares shoulder flexion and abduction ROM between BCS with axillary web syndrome and BCS without axillary web syndrome, also does not find differences in shoulder ROM between both groups at 2 months after surgery (Akezaki et al, 2021).…”

Section: Factors Associated With Upper Limb Movement Behaviormentioning

confidence: 99%

Altered upper limb motor behavior in breast cancer survivors and its relation to pain: A narrative review

Baets

Vets

Emmerzaal

et al. 2022

The Anatomical Record

View full text Add to dashboard Cite

Breast cancer is the most commonly diagnosed cancer among women and many women suffer from persistent physical and psychological complaints following their cancer treatment. Altered motor behavior at the shoulder region and upper limb, that is, alterations in movement patterns, spatiotemporal movement characteristics and muscle activation patterns, is a common physical consequence of breast cancer treatment, that can have a clear impact on daily life functioning and quality of life. Furthermore, altered upper limb motor behavior is suggested to relate to upper limb pain, which is very commonly reported in breast cancer survivors (BCS). This review, prepared according to the SANRA guidelines, looks into the current understanding of alterations in motor behavior at shoulder and upper limb in BCS, by discussing the factors related to this altered behavior. In this, we specifically focus on the relation between motor behavior and pain. Results of our search show that cancer treatment modality is predictive for shoulder range of motion. Furthermore, single prospective studies show depressive symptoms, living alone, being non‐white and low physical activity levels as predicting factors for reduced shoulder range of motion. Pain as factor related to altered motor behavior is only assessed in cross‐sectional research, limiting its interpretation in context of being cause or consequence of motor behavioral adaptations, and on the underlying mechanism explaining their relation. It is concluded that studies which explain the mechanisms how and in which subgroup of BCS motor behavioral alterations are associated with pain at the upper limb, are necessary in future.

show abstract

Using MammaPrint on core needle biopsy to guide the need for axillary staging during breast surgery

Drapalik,

Miller,

Rock

et al. 2024

Surgery

View full text Add to dashboard Cite

Five-Year Cumulative Incidence of Axillary Web Syndrome and Comparison in Upper Extremity Movement, Function, Pain, and Lymphedema in Survivors of Breast Cancer With and Without Axillary Web Syndrome

Cited by 6 publications

References 44 publications

Development of a core set of outcome measures to be applied toward breast cancer-related lymphedema core outcome domains

Development of a core set of outcome measures to be applied toward breast cancer-related lymphedema core outcome domains

Altered upper limb motor behavior in breast cancer survivors and its relation to pain: A narrative review

Using MammaPrint on core needle biopsy to guide the need for axillary staging during breast surgery

Contact Info

Product

Resources

About