Effectiveness of Lymphedema Prevention Programs With Compression Garment After Lymphatic Node Dissection in Breast Cancer: A Randomized Controlled Clinical Trial

Background: Patients with breast cancer who undergo axillary lymph node dissection (ALND) are at risk of developing lymphedema, which can negatively impact quality of life. Lymphedema prevention programs, which primarily consist of educational content and exercise, have been shown to reduce the inci...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Maria J. Nadal Castells, Eliot Ramirez Mirabal, Jordi Cuartero Archs, Jean C. Perrot Gonzalez, Marta Beranuy Rodriguez, Alberto Pintor Ojeda, Helena Bascuñana Ambros
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	treatment rehabilitation prevention breast cancer lymphedema Other systems of medicine RZ201-999 Medical technology R855-855.5
Acceso en línea:	https://doaj.org/article/9984f30d14d34dad9e7c469cff19f5fb
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:9984f30d14d34dad9e7c469cff19f5fb
record_format	dspace
spelling	oai:doaj.org-article:9984f30d14d34dad9e7c469cff19f5fb2021-12-01T05:21:10ZEffectiveness of Lymphedema Prevention Programs With Compression Garment After Lymphatic Node Dissection in Breast Cancer: A Randomized Controlled Clinical Trial2673-686110.3389/fresc.2021.727256https://doaj.org/article/9984f30d14d34dad9e7c469cff19f5fb2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fresc.2021.727256/fullhttps://doaj.org/toc/2673-6861Background: Patients with breast cancer who undergo axillary lymph node dissection (ALND) are at risk of developing lymphedema, which can negatively impact quality of life. Lymphedema prevention programs, which primarily consist of educational content and exercise, have been shown to reduce the incidence of lymphedema. The addition of compression garments (CG) may increase the effectiveness of these programs.Aim: We aimed to determine whether adding a compression garment to a conventional lymphedema prevention program could improve treatment effectiveness.Design: Randomized clinical trial.Methods: Seventy patients who had undergone ALND for breast cancer were randomized to receive conventional preventative therapy (control arm, n = 35) consisting of a 1-hour educational session and a 12-week exercise program or the same therapy plus upper limb CGs (experimental arm, n = 35). Patients in the experimental arm were instructed to wear the CG ≥ 8 h/day for the first 3 months after surgery and 2 h/day thereafter.Results: At 2-years, the overall incidence of lymphedema in the two groups was 12.3%, with no significant differences between the conventional and experimental arms (12.5 vs. 12.1%). In the experimental arm, the incidence of lymphedema was significantly lower (p = 0.02) in patients who used the CGs daily as recommended compared to patient who did not adhere to this treatment recommendation. Neither exercise (p = 0.518) nor education alone decreased the incidence of lymphedema. Adherence decreased over time.Conclusions: The findings of this RCT show that health education, preventive exercise programs, and patient adherence to therapeutic recommendations all play an important role in preventing lymphedema.Clinical Rehabilitation Impact: Our data demonstrated that the use of a compression garment during the first 3 months after axillary node dissection may reduce the likelihood of lymphedema in high-risk patients.Maria J. Nadal CastellsEliot Ramirez MirabalJordi Cuartero ArchsJean C. Perrot GonzalezMarta Beranuy RodriguezAlberto Pintor OjedaHelena Bascuñana AmbrosFrontiers Media S.A.articletreatmentrehabilitationpreventionbreast cancerlymphedemaOther systems of medicineRZ201-999Medical technologyR855-855.5ENFrontiers in Rehabilitation Sciences, Vol 2 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	treatment rehabilitation prevention breast cancer lymphedema Other systems of medicine RZ201-999 Medical technology R855-855.5
spellingShingle	treatment rehabilitation prevention breast cancer lymphedema Other systems of medicine RZ201-999 Medical technology R855-855.5 Maria J. Nadal Castells Eliot Ramirez Mirabal Jordi Cuartero Archs Jean C. Perrot Gonzalez Marta Beranuy Rodriguez Alberto Pintor Ojeda Helena Bascuñana Ambros Effectiveness of Lymphedema Prevention Programs With Compression Garment After Lymphatic Node Dissection in Breast Cancer: A Randomized Controlled Clinical Trial
description	Background: Patients with breast cancer who undergo axillary lymph node dissection (ALND) are at risk of developing lymphedema, which can negatively impact quality of life. Lymphedema prevention programs, which primarily consist of educational content and exercise, have been shown to reduce the incidence of lymphedema. The addition of compression garments (CG) may increase the effectiveness of these programs.Aim: We aimed to determine whether adding a compression garment to a conventional lymphedema prevention program could improve treatment effectiveness.Design: Randomized clinical trial.Methods: Seventy patients who had undergone ALND for breast cancer were randomized to receive conventional preventative therapy (control arm, n = 35) consisting of a 1-hour educational session and a 12-week exercise program or the same therapy plus upper limb CGs (experimental arm, n = 35). Patients in the experimental arm were instructed to wear the CG ≥ 8 h/day for the first 3 months after surgery and 2 h/day thereafter.Results: At 2-years, the overall incidence of lymphedema in the two groups was 12.3%, with no significant differences between the conventional and experimental arms (12.5 vs. 12.1%). In the experimental arm, the incidence of lymphedema was significantly lower (p = 0.02) in patients who used the CGs daily as recommended compared to patient who did not adhere to this treatment recommendation. Neither exercise (p = 0.518) nor education alone decreased the incidence of lymphedema. Adherence decreased over time.Conclusions: The findings of this RCT show that health education, preventive exercise programs, and patient adherence to therapeutic recommendations all play an important role in preventing lymphedema.Clinical Rehabilitation Impact: Our data demonstrated that the use of a compression garment during the first 3 months after axillary node dissection may reduce the likelihood of lymphedema in high-risk patients.
format	article
author	Maria J. Nadal Castells Eliot Ramirez Mirabal Jordi Cuartero Archs Jean C. Perrot Gonzalez Marta Beranuy Rodriguez Alberto Pintor Ojeda Helena Bascuñana Ambros
author_facet	Maria J. Nadal Castells Eliot Ramirez Mirabal Jordi Cuartero Archs Jean C. Perrot Gonzalez Marta Beranuy Rodriguez Alberto Pintor Ojeda Helena Bascuñana Ambros
author_sort	Maria J. Nadal Castells
title	Effectiveness of Lymphedema Prevention Programs With Compression Garment After Lymphatic Node Dissection in Breast Cancer: A Randomized Controlled Clinical Trial
title_short	Effectiveness of Lymphedema Prevention Programs With Compression Garment After Lymphatic Node Dissection in Breast Cancer: A Randomized Controlled Clinical Trial
title_full	Effectiveness of Lymphedema Prevention Programs With Compression Garment After Lymphatic Node Dissection in Breast Cancer: A Randomized Controlled Clinical Trial
title_fullStr	Effectiveness of Lymphedema Prevention Programs With Compression Garment After Lymphatic Node Dissection in Breast Cancer: A Randomized Controlled Clinical Trial
title_full_unstemmed	Effectiveness of Lymphedema Prevention Programs With Compression Garment After Lymphatic Node Dissection in Breast Cancer: A Randomized Controlled Clinical Trial
title_sort	effectiveness of lymphedema prevention programs with compression garment after lymphatic node dissection in breast cancer: a randomized controlled clinical trial
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/9984f30d14d34dad9e7c469cff19f5fb
work_keys_str_mv	AT mariajnadalcastells effectivenessoflymphedemapreventionprogramswithcompressiongarmentafterlymphaticnodedissectioninbreastcancerarandomizedcontrolledclinicaltrial AT eliotramirezmirabal effectivenessoflymphedemapreventionprogramswithcompressiongarmentafterlymphaticnodedissectioninbreastcancerarandomizedcontrolledclinicaltrial AT jordicuarteroarchs effectivenessoflymphedemapreventionprogramswithcompressiongarmentafterlymphaticnodedissectioninbreastcancerarandomizedcontrolledclinicaltrial AT jeancperrotgonzalez effectivenessoflymphedemapreventionprogramswithcompressiongarmentafterlymphaticnodedissectioninbreastcancerarandomizedcontrolledclinicaltrial AT martaberanuyrodriguez effectivenessoflymphedemapreventionprogramswithcompressiongarmentafterlymphaticnodedissectioninbreastcancerarandomizedcontrolledclinicaltrial AT albertopintorojeda effectivenessoflymphedemapreventionprogramswithcompressiongarmentafterlymphaticnodedissectioninbreastcancerarandomizedcontrolledclinicaltrial AT helenabascunanaambros effectivenessoflymphedemapreventionprogramswithcompressiongarmentafterlymphaticnodedissectioninbreastcancerarandomizedcontrolledclinicaltrial
_version_	1718405558445277184

Effectiveness of Lymphedema Prevention Programs With Compression Garment After Lymphatic Node Dissection in Breast Cancer: A Randomized Controlled Clinical Trial

Ejemplares similares