Lymphedema: Patient and provider education

Runowicz, Carolyn D.

doi:10.1002/(sici)1097-0142(19981215)83:12b+<2874::aid-cncr42>3.0.co;2-4

Cited by 25 publications

(16 citation statements)

References 4 publications

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“…BCRL can affect quality of life, interfere with daily life activities, and impact psychological health [5]. From 15-54% of breast cancer survivors can develop BCRL, and while awareness and care of the condition has historically been neglected by health care professionals [6,7], great improvements in its clinical management have been made in recent years [2,8].…”

Section: Introductionmentioning

confidence: 99%

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Clinician awareness and knowledge of breast cancer-related lymphedema in a large, integrated health care delivery setting

Tam

Shen

Munneke

et al. 2011

Breast Cancer Res Treat

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Breast cancer survivors have reported dissatisfaction regarding their education on risk of breast cancer-related lymphedema (BCRL) from clinicians. We describe clinician knowledge and treatment referral of patients with BCRL among active oncologists, surgeons, and primary care physicians in the Kaiser Permanente Northern California Medical Care Program. A total of 887 oncologists, surgeons, and primary care clinicians completed a 10-minute web survey from May 2, 2010 to December 31, 2010 on BCRL knowledge, education, and referral patterns. A knowledge score of BCRL was calculated based on clinician responses. Multivariable regression models were used to determine the associations of selected covariates with BCRL knowledge score and clinician referral, respectively. Compared with primary care clinicians, oncologists had the highest mean score followed closely by surgeons (P < 0.0001). In multivariable analyses, being female, an oncologist or surgeon, and recently receiving BCRL materials were each significantly associated with higher BCRL knowledge scores. About 44% of clinicians (n = 381) indicated they had ever made a BCRL referral (100% oncologists, 79% surgeons, and 36% primary care clinicians). Clinicians with a higher knowledge score were more likely to make referrals. In stratified analyses by specialty, the significant associated factors remained for primary care but became non-significant for oncology and surgery. These results can inform educational interventions to strengthen clinician knowledge of the clinical management of BCRL, especially among primary care clinicians. With the growing number of breast cancer survivors, increasing clinician education about BCRL across all specialties is warranted.

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Section: Introductionmentioning

confidence: 99%

“…When clinicians educate patients about BCRL, there can be discrepant information as well as lack of clarity on which clinical specialist to seek for BCRL treatment [4,7]. Thus, consistent educational messages and referral patterns from health care providers are needed to help reduce the risk of and manage BCRL [5,11].…”

Section: Introductionmentioning

confidence: 99%

Clinician awareness and knowledge of breast cancer-related lymphedema in a large, integrated health care delivery setting

Tam

Shen

Munneke

et al. 2011

Breast Cancer Res Treat

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“…A second major iatrogenic problem, in BC surgery, is lymphedema [8,42]. The surgical removal of axillary's nodes may disrupt and impair the lymphatic drainage from the arm.…”

Section: Pharmacologic Effectsmentioning

confidence: 99%

“…The surgical removal of axillary's nodes may disrupt and impair the lymphatic drainage from the arm. The arm becomes swollen and painful, causing deformity, discomfort and disability [8,42]. Lymphedema affects the visual, tactile, pain-related and proprioceptive dimensions of body image, more so when it affects the dominant arm (Fig.1).…”

Section: Pharmacologic Effectsmentioning

confidence: 99%

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Iatrogenic and Post‐Traumatic Female Sexual Disorder

Graziottin¹

2006

Standard Practice in Sexual Medicine

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Prognostic factors for lymphedema after primary treatment of breast carcinoma

Herd-Smith

Russo

Muraca

et al. 2001

Cancer

150

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Fruit for thought: Low‐temperature microwave hydrothermal processing of orange peel not only enables the separation of the major components but also adds further value through the production of other high‐value products: pectin and D‐limonene, together with a rare form of mesoporous cellulose, are produced in a single step, without added acid. A process temperature change enables the conversion of D‐limonene to α‐terpineol.

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Lymphedema: Patient and provider education

Cited by 25 publications

References 4 publications

Clinician awareness and knowledge of breast cancer-related lymphedema in a large, integrated health care delivery setting

Clinician awareness and knowledge of breast cancer-related lymphedema in a large, integrated health care delivery setting

Iatrogenic and Post‐Traumatic Female Sexual Disorder

Prognostic factors for lymphedema after primary treatment of breast carcinoma

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