Abstract
Objective: The aim of this study was to determine whether adherence to selfcare modalities for breast cancer-related lymphedema (BCRL) predicts BCRL outcomes among 128 breast cancer survivors who participated in the 12-mo physical activity and lymphedema trial. Design: This was a prospective cohort study. Adherence to ten BCRL self-care modalities, as recommended in the clinical practice guidelines for the management of BCRL, was assessed by a questionnaire at baseline. BCRL outcomes assessed at baseline and 12 mos included volumetry, circumferences, bioimpedence spectroscopy, the Norman lymphedema survey, and therapist-defined lymphedema exacerbations requiring treatment. Generalized linear models were used to estimate the relationship between adherence to BCRL self-care modalities and the likelihood of experiencing a BCRL outcome. Results: Adherence to BCRL self-care activities did not predict experiencing any BCRL outcomes at 12 mos. Levels of adherence to BCRL self-care modalities did not predict a 5%or greater decrease in interlimb volume (Ptrend = 0.79),5%or greater decrease in the sum of interlimb arm circumferences (Ptrend = 0.47), 10% or greater decrease in bioimpedence spectroscopy (Ptrend = 0.83), 1 or greater decrease in self-reported lymphedema symptoms (Ptrend = 0.91), or therapistdefined lymphedema exacerbation requiring treatment (Ptrend = 0.84). Conclusions: Our findings suggest that levels of BCRL self-care adherence do not predict BCRL outcomes among breast cancer survivors with stable lymphedema who were followed for 12 mos.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 288-296 |
| Number of pages | 9 |
| Journal | American Journal of Physical Medicine and Rehabilitation |
| Volume | 94 |
| Issue number | 4 |
| DOIs | |
| State | Published - Apr 20 2015 |
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All Science Journal Classification (ASJC) codes
- Physical Therapy, Sports Therapy and Rehabilitation
- Rehabilitation
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Association between lymphedema self-care adherence and lymphedema outcomes among women with breast cancer-related lymphedema. / Brown, Justin C.; Kumar, Anagha; Cheville, Andrea L.; Tchou, Julia C.; Troxel, Andrea B.; Harris, Susan R.; Schmitz, Kathryn H.
In: American Journal of Physical Medicine and Rehabilitation, Vol. 94, No. 4, 20.04.2015, p. 288-296.Research output: Contribution to journal › Article
TY - JOUR
T1 - Association between lymphedema self-care adherence and lymphedema outcomes among women with breast cancer-related lymphedema
AU - Brown, Justin C.
AU - Kumar, Anagha
AU - Cheville, Andrea L.
AU - Tchou, Julia C.
AU - Troxel, Andrea B.
AU - Harris, Susan R.
AU - Schmitz, Kathryn H.
PY - 2015/4/20
Y1 - 2015/4/20
N2 - Objective: The aim of this study was to determine whether adherence to selfcare modalities for breast cancer-related lymphedema (BCRL) predicts BCRL outcomes among 128 breast cancer survivors who participated in the 12-mo physical activity and lymphedema trial. Design: This was a prospective cohort study. Adherence to ten BCRL self-care modalities, as recommended in the clinical practice guidelines for the management of BCRL, was assessed by a questionnaire at baseline. BCRL outcomes assessed at baseline and 12 mos included volumetry, circumferences, bioimpedence spectroscopy, the Norman lymphedema survey, and therapist-defined lymphedema exacerbations requiring treatment. Generalized linear models were used to estimate the relationship between adherence to BCRL self-care modalities and the likelihood of experiencing a BCRL outcome. Results: Adherence to BCRL self-care activities did not predict experiencing any BCRL outcomes at 12 mos. Levels of adherence to BCRL self-care modalities did not predict a 5%or greater decrease in interlimb volume (Ptrend = 0.79),5%or greater decrease in the sum of interlimb arm circumferences (Ptrend = 0.47), 10% or greater decrease in bioimpedence spectroscopy (Ptrend = 0.83), 1 or greater decrease in self-reported lymphedema symptoms (Ptrend = 0.91), or therapistdefined lymphedema exacerbation requiring treatment (Ptrend = 0.84). Conclusions: Our findings suggest that levels of BCRL self-care adherence do not predict BCRL outcomes among breast cancer survivors with stable lymphedema who were followed for 12 mos.
AB - Objective: The aim of this study was to determine whether adherence to selfcare modalities for breast cancer-related lymphedema (BCRL) predicts BCRL outcomes among 128 breast cancer survivors who participated in the 12-mo physical activity and lymphedema trial. Design: This was a prospective cohort study. Adherence to ten BCRL self-care modalities, as recommended in the clinical practice guidelines for the management of BCRL, was assessed by a questionnaire at baseline. BCRL outcomes assessed at baseline and 12 mos included volumetry, circumferences, bioimpedence spectroscopy, the Norman lymphedema survey, and therapist-defined lymphedema exacerbations requiring treatment. Generalized linear models were used to estimate the relationship between adherence to BCRL self-care modalities and the likelihood of experiencing a BCRL outcome. Results: Adherence to BCRL self-care activities did not predict experiencing any BCRL outcomes at 12 mos. Levels of adherence to BCRL self-care modalities did not predict a 5%or greater decrease in interlimb volume (Ptrend = 0.79),5%or greater decrease in the sum of interlimb arm circumferences (Ptrend = 0.47), 10% or greater decrease in bioimpedence spectroscopy (Ptrend = 0.83), 1 or greater decrease in self-reported lymphedema symptoms (Ptrend = 0.91), or therapistdefined lymphedema exacerbation requiring treatment (Ptrend = 0.84). Conclusions: Our findings suggest that levels of BCRL self-care adherence do not predict BCRL outcomes among breast cancer survivors with stable lymphedema who were followed for 12 mos.
UR - http://www.scopus.com/inward/record.url?scp=84925257561&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84925257561&partnerID=8YFLogxK
U2 - 10.1097/PHM.0000000000000178
DO - 10.1097/PHM.0000000000000178
M3 - Article
C2 - 25171662
AN - SCOPUS:84925257561
VL - 94
SP - 288
EP - 296
JO - American Journal of Physical Medicine and Rehabilitation
JF - American Journal of Physical Medicine and Rehabilitation
SN - 0894-9115
IS - 4
ER -