Recent progress in the treatment and prevention of cancer‐related lymphedema

Shaitelman, Simona F.; Cromwell, Kate D.; Rasmussen, John C.; Stout, Nicole L.; Armer, Jane M.; Lasinski, Bonnie B.; Cormier, Janice N.

doi:10.3322/caac.21253

Cited by 218 publications

(174 citation statements)

References 228 publications

(304 reference statements)

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“…As mentioned in the results, patients with grade III lymphedema showed no significant improvement in subscales of HRQoL after treatment except for PF. It was hypothesized that objective symptoms such as LVC (limb volume change) would respond more significantly to treatment at low grade lymphedema than higher grade (23). In our study, most patients had moderate to high grade lymphedema and just a few low grade patients with lymphedema were present to be evaluated.…”

Section: Discussionmentioning

confidence: 94%

The Effect of Complex Decongestive Therapy on Post-Breast Surgery Quality of Life in Breast Cancer Patients With Unilateral Lymphedema and Its Predictive Factors

et al. 2016

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Background: Complex decongestive therapy (CDT) is one of the most common treatments used in lymphedema. Effects of lymphedema treatment and its predictive factors were studied previously but its impact on quality of life (HRQOL) is still unknown. Objectives: This study, in addition to investigating CDT effects on HRQOL, examined factors that can influence it, to estimate the effect of treatment according to patient's condition in our setting. Patients and Methods:The present study was a quasi-experimental study on health-related HRQOL. A general data gathering form was used in 120 patients who developed lymphedema following breast cancer surgery and referred for treatment to Shiraz Motahari clinic in 2014. All patients' arm size was measured by "direct voltmeter" before the intervention to determine the grade of lymphedema. SF-36 questionnaire was used pre-and one month post-intervention to collect HRQOL data. Complete decongestive therapy (CDT) with or without Pump was used as the intervention. Results: Patients had higher scores after treatment in all subscales of quality of life (except for "role limitation due to physical problems"), but a statistically significant difference (P = 0.023) was observed only in the "mental health" subscale. The results showed significant changes in bodily pain after the intervention in patients less than 40 years old (P = 0.03), "general health" and "vitality" in single patients (P values equal to 0.013 and 0.02, respectively) and "mental health" in those with education "less than high school" (P = 0.018). In the case of household patients, only PF changed significantly after treatment (P = 0.027). Moreover, "role limitation due to physical problems" and "mental health" subscales changed significantly after treatment with CDT + Pump (P values equal to 0.004 and 0.003). Other groups represented no significant changes in other subscales. Besides, duration of lymph edema had no effect on improvement of HRQOL after treatment. Conclusions: Although this study showed that some factors can improve patients' feeling and HRQOL after treatment in our population, in many aspects no changes were observed. It is recommended to improve patients' HRQOL through more social and physiological support in our setting. Also, more follow-up duration after the intervention is recommended in future studies.

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Section: Discussionmentioning

confidence: 94%

The Effect of Complex Decongestive Therapy on Post-Breast Surgery Quality of Life in Breast Cancer Patients With Unilateral Lymphedema and Its Predictive Factors

et al. 2016

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“…In contrast, the contemporary surgical approaches in the treatment of lymphoedema now involve much less invasive approaches and involve microsurgical approaches to decrease the excess lymphatic fl uid or minimally invasive approaches for the removal of accumulated proteins within the aff ected extremity. Surgical treatments of lymphoedema have gained popularity in recent years, but it should be understood that the surgical treatment of lymphoedema is reserved primarily for patients who have lymphoedema that is refractory to standard treatment modalities [53].…”

Section: Surgical Treatmentmentioning

confidence: 99%

Management of lymphoedema

Yüksel

Gürbüz

Velioğlu

et al. 2016

Vasa

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Summary: Lymphoedema is a common and progressive disease which causes deterioration of the quality of life of patients. It is divided into two groups: primary and secondary lymphoedema. Nowadays, the majority of patients with lymphoedema are associated with a malignancy or its treatment modalities, such as cancer surgery and radiation therapy. Accurate diagnosis and effective treatment are crucial for alleviating the symptoms, preventing progression and reducing the potential risks of lymphoedema. This report provides an overview of the management of lymphoedema.

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“…BCRL remains a significant quality of life issue [3,8] and its development is associated with diminished strength, fatigue, and pain in the affected arm [2,3,9]; impaired functional ability, loss of self-confidence, and poorer emotional wellbeing [3]. To address these needs it is important that patients with mild symptoms are referred to the appropriate specialist [1], early detection and treatment is likely to lead to more effective management [8,10].…”

Section: Introductionmentioning

confidence: 99%

“…To address these needs it is important that patients with mild symptoms are referred to the appropriate specialist [1], early detection and treatment is likely to lead to more effective management [8,10].…”

Section: Introductionmentioning

confidence: 99%

Use of reflexology in managing secondary lymphoedema for patients affected by treatments for breast cancer: A feasibility study

Whatley

Street

Kay³

et al. 2016

Complementary Therapies in Clinical Practice

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Abstract:Purpose: The aim of this feasibility study was to examine the use of reflexology lymphatic drainage (RLD) in the treatment of breast-cancer related lymphoedema (BCRL) with a view to further research. Methods: An uncontrolled trial was conducted with 26 women who had developed lymphoedema in one arm following treatment for breast cancer. Changes in upperlimb volumes and in participant concerns and wellbeing were measured. Qualitative data were also collected. Results: A significant reduction in the volume of the affected arm was identified at follow-up compared to baseline. This reduction in volume appeared to be maintained for more than six months. Participant concerns and wellbeing significantly improved. Conclusions: RLD may be a useful intervention for BCRL although the results could not be attributed to the reflexology intervention because of research design limitations. The main conclusion was that there was sufficient evidence for further research using a randomized controlled trial.

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Recent progress in the treatment and prevention of cancer‐related lymphedema

Cited by 218 publications

References 228 publications

The Effect of Complex Decongestive Therapy on Post-Breast Surgery Quality of Life in Breast Cancer Patients With Unilateral Lymphedema and Its Predictive Factors

The Effect of Complex Decongestive Therapy on Post-Breast Surgery Quality of Life in Breast Cancer Patients With Unilateral Lymphedema and Its Predictive Factors

Management of lymphoedema

Use of reflexology in managing secondary lymphoedema for patients affected by treatments for breast cancer: A feasibility study

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