The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.
Lymphedema in Breast Cancer Survivors: Incidence, Degree, Time Course, Treatment, and Symptoms
Open accessAbstract
Purpose: To examine the incidence, degree, time course, treatment, and symptoms of lymphedema in breast cancer survivors. Methods: We conducted a 5-year, population-based prospective study of 631 randomly selected Philadelphia and Delaware County, Pennsylvania female residents with incident breast cancer who were diagnosed from 1999 to 2001. Using a questionnaire previously validated against physical therapists’ measurement-based clinical criteria, we assigned a score indicating the degree of lymphedema (none, mild, or moderate/severe) to each month of follow-up based on the respondent's perceived differences in hand/arm size. Standard survival analysis methods permitted maximum use of follow-up. Results: Five-year cumulative incidence of lymphedema was 42 (42%) per 100 women. Among the 238 affected women, lymphedema first occurred within 2 years of diagnosis in 80% and within 3 years in 89%. Among 433 women observed for 3 years, 23% reported no more than mild lymphedema, 12% reported moderate/severe lymphedema, and 2% reported chronically moderate/severe lymphedema. Women with mild lymphedema were more than three times more likely to develop moderate/severe lymphedema than women with no lymphedema. Thirty-seven percent of women with mild lymphedema and 68% with moderate/severe lymphedema received treatment. Increasing proportions of women with increasing degree of lymphedema reported symptoms (eg, jewelry too tight, tired/thick/heavy arm). Symptoms present before the first occurrence of lymphedema were associated with a higher probability of later lymphedema (eg, hazard ratio for jewelry too tight = 7.37; 95% CI, 4.26 to 12.76). Conclusion: Lymphedema after breast cancer is common but mostly mild. Subtle differences in self-reported hand/arm size and symptoms can be early signs of progressing lymphedema.
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Incidence of unilateral arm lymphoedema after breast cancer: a systematic review and meta-analysis
DiSipio, T., Rye, S., Newman, B., & Hayes, S. (2013) · The Lancet Oncology · doi:10.1016/s1470-2045(13)70076-7 · Cited by 1,885
Hayes, S. C., Johansson, K., Stout, N. L., Prosnitz, R., Armer, J. M., Gabram, S., & Schmitz, K. H. (2012) · Cancer · doi:10.1002/cncr.27467 · Cited by 366
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Cintolesi, V., Stanton, A. W. B., Bains, S. K., Cousins, E., Peters, A. M., Purushotham, A. D., Levick, J. R., & Mortimer, P. S. (2016) · Lymphatic Research and Biology · doi:10.1089/lrb.2016.0005 · Cited by 46
Cho, K. H., Han, E. Y., Lee, S. A., Park, H., Lee, C., & IM, S. H. (2020) · Frontiers in Oncology · doi:10.3389/fonc.2020.00111 · Cited by 29
Metadata
- Authors
- Norman, S. A., Localio, A. R., Potashnik, S. L., Simoes Torpey, H. A., Kallan, M. J., Weber, A. L., Miller, L. T., DeMichele, A., & Solin, L. J.
- Venue
- Journal of Clinical Oncology
- Published
- 2009-01-20
- Volume
- 27
- Issue
- 3
- Pages
- 390-397
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- OpenAlex
- W2141453541
- Cited by
- 375
- References
- 34
- FWCI
- 8.93
- Type
- journal article
- Language
- en
- Open access
- green
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- Norman, S. A., Localio, A. R., Potashnik, S. L., Simoes Torpey, H. A., Kallan, M. J., Weber, A. L., Miller, L. T., DeMichele, A., & Solin, L. J. (2009). Lymphedema in Breast Cancer Survivors: Incidence, Degree, Time Course, Treatment, and Symptoms. Journal of Clinical Oncology. https://doi.org/10.1200/jco.2008.17.9291
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