Risk Factors of Lymph Edema in Breast Cancer Patients
Background. Lymphedema secondary to breast cancer treatment is a common and serious problem for disease survivors. The objective of the current study was to identify the risk factors of secondary lymphedema after breast carcinoma treatment. Materials & Methods. The breast cancer patients who wer...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | International Journal of Breast Cancer |
| Online Access: | http://dx.doi.org/10.1155/2013/641818 |
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| _version_ | 1832558759130431488 |
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| author | Haghighat Shahpar Akbari Atieh Ansari Maryam Homaei Shandiz Fatemeh Najafi Massoome Ebrahimi Mandana Yunesian Masud Mirzaei Hamid Reza Akbari Mohammad Esmaeil |
| author_facet | Haghighat Shahpar Akbari Atieh Ansari Maryam Homaei Shandiz Fatemeh Najafi Massoome Ebrahimi Mandana Yunesian Masud Mirzaei Hamid Reza Akbari Mohammad Esmaeil |
| author_sort | Haghighat Shahpar |
| collection | DOAJ |
| description | Background. Lymphedema secondary to breast cancer treatment is a common and serious problem for disease survivors. The objective of the current study was to identify the risk factors of secondary lymphedema after breast carcinoma treatment. Materials & Methods. The breast cancer patients who were followed up in three centers in Tehran and Mashhad in 2010 were recruited in the study. The circumference measurement was used for defining lymphedema. Results. Among 410 breast cancer patients, 123 cases (30%) developed lymphedema. Variables such as low educational level, body mass index (BMI), higher stage of disease, number of involved lymph nodes, comorbid diseases, trauma, infection, and the time after surgery showed significant correlation with the development of lymphedema. In logistic regression analysis, increase of 1 kg/m2 in BMI (OR = 1.09; 95% CI 1.05–1.15), each number increase in lymph node involvement (OR = 1.15; 95% CI 1.08–1.21) and the increase of every 1 month after surgery (OR = 1.01; 95% CI 1.01–1.02) significantly increased the risk of lymphedema. Conclusion. The results of this study demonstrated that preserving a fitted BMI, emphasis on self-care, and educating preventive activities may have important roles in decreasing the lymphedema incidence and improving the patients’ quality of life. |
| format | Article |
| id | doaj-art-e1941ec7869d4efc827ff7c73d8eea08 |
| institution | Kabale University |
| issn | 2090-3170 2090-3189 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Breast Cancer |
| spelling | doaj-art-e1941ec7869d4efc827ff7c73d8eea082025-02-03T01:31:36ZengWileyInternational Journal of Breast Cancer2090-31702090-31892013-01-01201310.1155/2013/641818641818Risk Factors of Lymph Edema in Breast Cancer PatientsHaghighat Shahpar0Akbari Atieh1Ansari Maryam2Homaei Shandiz Fatemeh3Najafi Massoome4Ebrahimi Mandana5Yunesian Masud6Mirzaei Hamid Reza7Akbari Mohammad Esmaeil8Breast Cancer Research Group, Breast Cancer Research Center (BCRC), ACECR, Tehran 1315685981, IranCancer Research Center (CRC), Shahid Beheshti University of Medical Sciences, Tehran 1989934148, IranBreast Cancer Research Group, Breast Cancer Research Center (BCRC), ACECR, Tehran 1315685981, IranSolid Tumor Treatment Research Center, Mashhad University of Medical University, Mashhad 91397, IranCancer Institute, Tehran University of Medical Sciences, Tehran 1419733141, IranBreast Cancer Research Group, Breast Cancer Research Center (BCRC), ACECR, Tehran 1315685981, IranTehran University of Medical Sciences, Tehran 1411717415, IranCancer Research Center (CRC), Shahid Beheshti University of Medical Sciences, Tehran 1989934148, IranCancer Research Center (CRC), Shahid Beheshti University of Medical Sciences, Tehran 1989934148, IranBackground. Lymphedema secondary to breast cancer treatment is a common and serious problem for disease survivors. The objective of the current study was to identify the risk factors of secondary lymphedema after breast carcinoma treatment. Materials & Methods. The breast cancer patients who were followed up in three centers in Tehran and Mashhad in 2010 were recruited in the study. The circumference measurement was used for defining lymphedema. Results. Among 410 breast cancer patients, 123 cases (30%) developed lymphedema. Variables such as low educational level, body mass index (BMI), higher stage of disease, number of involved lymph nodes, comorbid diseases, trauma, infection, and the time after surgery showed significant correlation with the development of lymphedema. In logistic regression analysis, increase of 1 kg/m2 in BMI (OR = 1.09; 95% CI 1.05–1.15), each number increase in lymph node involvement (OR = 1.15; 95% CI 1.08–1.21) and the increase of every 1 month after surgery (OR = 1.01; 95% CI 1.01–1.02) significantly increased the risk of lymphedema. Conclusion. The results of this study demonstrated that preserving a fitted BMI, emphasis on self-care, and educating preventive activities may have important roles in decreasing the lymphedema incidence and improving the patients’ quality of life.http://dx.doi.org/10.1155/2013/641818 |
| spellingShingle | Haghighat Shahpar Akbari Atieh Ansari Maryam Homaei Shandiz Fatemeh Najafi Massoome Ebrahimi Mandana Yunesian Masud Mirzaei Hamid Reza Akbari Mohammad Esmaeil Risk Factors of Lymph Edema in Breast Cancer Patients International Journal of Breast Cancer |
| title | Risk Factors of Lymph Edema in Breast Cancer Patients |
| title_full | Risk Factors of Lymph Edema in Breast Cancer Patients |
| title_fullStr | Risk Factors of Lymph Edema in Breast Cancer Patients |
| title_full_unstemmed | Risk Factors of Lymph Edema in Breast Cancer Patients |
| title_short | Risk Factors of Lymph Edema in Breast Cancer Patients |
| title_sort | risk factors of lymph edema in breast cancer patients |
| url | http://dx.doi.org/10.1155/2013/641818 |
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