Quality of Life and Volume Reduction in Women with Secondary Lymphoedema Related to Breast Cancer

Lanza, M; Bergmann, Anke; Ferreira, Maria Giseli da Costa Leite; Aguiar, Suzana Sales de; Dias, Ricardo de Almeida; Abrahão, Karen de Souza; Paltrinieri, E M; Allende, Ruy G. Martínez; Andrade, Mauro Figueiredo Carvalho de

doi:10.1155/2015/586827

Cited by 14 publications

(13 citation statements)

References 27 publications

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“…). Excess volume reduction (EVR) was calculated as a percentage using the formula: (postoperative change in limb volume/preoperative difference in volume between limbs) × 100; otherwise stated as:

\begin{matrix} ([, ((), V_{affected limb} normalat time t) - ((), V_{affected limb} normalat baseline) /) \\ (], ((), V_{affected limb} normalat baseline - V_{control limb} normalat baseline)) \times 100 \end{matrix}

…”

Section: Methodsmentioning

confidence: 99%

Feasibility study of combined dynamic imaging and lymphaticovenous anastomosis surgery for breast cancer-related lymphoedema

Khan

Hernán

Adamthwaite

et al. 2018

British Journal of Surgery

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Background Breast cancer‐related lymphoedema (BCRL) presents a significant healthcare burden and adversely affects quality of life of breast cancer survivors. A prospective feasibility study was performed on lymphaticovenous anastomosis (LVA) for the treatment of BCRL. Methods Patients with BCRL underwent near‐infrared spectroscopy with indocyanine green lymphatic mapping to identify suitable lymphatic channels for LVA. End‐to‐end anastomoses to subdermal venules were performed and patients recommenced compression garment therapy (CGT) after surgery. Volumetric assessment of the affected limb was performed at regular intervals using infrared perometry to calculate the excess volume reduction. Results Over a 24‐month interval, 27 patients with BCRL underwent LVA. The mean duration of lymphoedema was 3·5 (range 0·5–18) years, and the mean number of LVAs performed was 3 (range 2–5). Twenty‐four of the 27 patients completed 12‐month follow‐up. Patients exhibited three patterns of volumetric response following LVA: sustained response (16 patients), transient response (5) or no response (6). Sustained responders showed an excess volume reduction of −33·2 per cent at 12 months, and this correlated positively with the number of LVAs performed (r = −0·56, P = 0·034). Overall, ten patients were able to downgrade CGT after surgery, and two patients were CGT‐free at 12 months. Conclusion LVA resulted in a sustained volume reduction in selected patients and may offset the burden of CGT. Further work is required to identify biomarkers that predict a favourable response to LVA surgery.

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\begin{matrix} ([, ((), V_{affected limb} normalat time t) - ((), V_{affected limb} normalat baseline) /) \\ (], ((), V_{affected limb} normalat baseline - V_{control limb} normalat baseline)) \times 100 \end{matrix}

…”

Section: Methodsmentioning

confidence: 99%

Feasibility study of combined dynamic imaging and lymphaticovenous anastomosis surgery for breast cancer-related lymphoedema

Khan

Hernán

Adamthwaite

et al. 2018

British Journal of Surgery

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“…It consists of the adaptation of elastic compression stockings, exercises and self-massage, in order to preserve and optimize the results obtained in the initial phase. 3 Inelastic compression bandaging is one of the main factors responsible for reducing limb volume, but it needs to be performed daily or every other day for the pressure to be within the expected range. However, patients with limb bandages have difficulties bathing and performing activities of daily living.…”

Section: Introductionmentioning

confidence: 99%

The validity of an adjustable compression velcro wrap for the treatment of patients with upper limb lymphedema secondary to breast cancer: a pilot study

Campanholi¹,

Lopes²,

Mansani³

et al. 2017

Rev. Bras. Mastol. (Impr.)

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“…The therapeutic response after the surgical procedure depends on not only the physiological conditions, but also psychological, social, physical and cultural conditions of each woman, which directly influence their quality of life. 8 Breast cancer is the disease most feared disease in the female population, as it provides a psychological trauma due to fear of mutilation and loss of femininity, which contributes to the distortion of self-image. Stages of depression, anxiety and fear are frequent, causing behavioral and psychosocial problems.…”

Section: Introductionmentioning

confidence: 99%

“…The evaluation of the quality of life of post-breast cancer women discusses how they experience changes caused by the disease, as well as the negative or positive influence that provides treatment in their lives. 8 The behavior analysis and understanding of disease is an important aspect of the combat against cancer in relation to quality of life of the patient, which can be accomplished through the quality of life questionnaire SF-36 (Medical Outcomes Study 36-Item Short-Form Health Survey). We can use this questionnaire in research in the area of health, in order to document the impact of the overall health of individuals with different diagnoses.…”

Section: Introductionmentioning

confidence: 99%

“…In this sense, the evaluation of the quality of life of women post breast cancer becomes crucial for the patient's care management, in order to intervene and modify as soon as possible this situation. 8,12 Considering the above, the question that guided this study was: what is the impact of breast cancer removal surgery in the life of women, aiming to recognize the variables that affect their quality of daily life of women, and to improve the assistance offered during physical therapy. Thus, the objective was to analyses the quality of life of women who had undergone mastectomy and to conservative surgery for breast cancer, using a health survey instrument and how it could impact their sociodemographic aspects.…”

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confidence: 99%

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Impact of mastectomy and breast-conserving surgery on quality of life of women after breast cancer

Mendes¹,

Souza²,

Neves³

et al. 2017

Mundo Saúde

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ResumoO câncer de mama é um problema de saúde pública, no Brasil, as estimativas para o biênio de 2016/2017, apontam para 57.960 novos casos. A cirurgia conservadora é considerada o procedimento de escolha no estágio inicial, incluindo a remoção do tumor envolvendo uma borda de tecido normal, com preservação do tecido mamária, enquanto a mastectomia (ou cirurgia não-conservadora) inclui a remoção de todo o tecido mamário, com a remoção do peitoral maior e menor. As intervenções cirúrgicas realizadas em mulheres com câncer de mama podem causar repercussões físicas, emocionais, psicológicas, sociais e sexuais que geram impacto negativo em sua qualidade de vida. Levando isso em consideração, a hipótese deste estudo foi baseada na questão: qual é o impacto das cirurgias de remoção do câncer de mama na qualidade de vida de mulheres das cidades de São José dos Campos e Jacareí. Portanto, este estudo teve como objetivo analisar a qualidade de vida entre mulheres submetidas à mastectomia e cirurgia conservadora da mama após o diagnóstico de câncer de mama e como isso poderia ser impactado pelos aspectos sócio demográficos. Este foi um estudo descritivo cruzado com caráter exploratório. A amostra consistiu em 105 mulheres pós-câncer de mama com idade média de 55,4 ± 11,1 anos, divididas em dois grupos de acordo com o tipo de cirurgia realizada. Foi utilizado o questionário de qualidade de vida SF-36 "Short-Form Health Survey". A análise estatística de variância foi realizada com o teste de Kruskal-Wallis, considerando o nível de significância (p≤0,05). Condição geral da saúde (p=0,70), vitalidade (p=0,66), física (p=0,6), física (p=0,25), aspectos sociais (p = 0,23), limitações nos aspectos emocionais (p = 0,78), saúde mental (p = 0,28). Foi possível concluir que, tanto a mastectomia quanto a cirurgia conservadora não apresentam diferença estatística em relação à qualidade de vida. No entanto, ambas as técnicas, assim como os aspectos sócio demográficos, podem influenciar negativamente na qualidade de vida das mulheres após cirurgia de remoção do câncer de mama.Palavras-chave: Câncer de Mama. Mastectomia. Cirurgia Conservadora da Mama. Qualidade de Vida. AbstractBreast cancer is public health problem, in Brazil, it is estimated 57,960 new cases for the biennium of 2016/2017. Conservative surgery is considered the procedure of choice in the initial stage, including tumor removal involving a border of normal tissue, with preservation of breast tissue. While mastectomy, or non-conservative surgery, includes the removal of the entire breast tissue, with the removal of the pectoralis major and minor. Surgical interventions performed in women with breast cancer can cause physical, emotional/psychological, social and sexual repercussions that generate negative impact in their life. Considering that, this study was conducted over the hypothesis: what is the impact of breast cancer removal surgery in quality of life of women from São José dos Campos and Jacareí cities, aiming to recognize the variables that affect their quality o...

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Quality of Life and Volume Reduction in Women with Secondary Lymphoedema Related to Breast Cancer

Cited by 14 publications

References 27 publications

Feasibility study of combined dynamic imaging and lymphaticovenous anastomosis surgery for breast cancer-related lymphoedema

Feasibility study of combined dynamic imaging and lymphaticovenous anastomosis surgery for breast cancer-related lymphoedema

The validity of an adjustable compression velcro wrap for the treatment of patients with upper limb lymphedema secondary to breast cancer: a pilot study

Impact of mastectomy and breast-conserving surgery on quality of life of women after breast cancer

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