Association between lymphedema self-care adherence and lymphedema outcomes among women with breast cancer-related lymphedema

Justin C. Brown, Anagha Kumar, Andrea L. Cheville, Julia C. Tchou, Andrea B. Troxel, Susan R. Harris, Kathryn H. Schmitz

Research output: Contribution to journalArticle

5 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)288-296
Number of pages9
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume94
Issue number4
DOIs
StatePublished - Apr 20 2015

Fingerprint

Lymphedema
Self Care
Survivors
Breast Cancer Lymphedema
Spectrum Analysis
Breast Neoplasms
Practice Management
Practice Guidelines
Linear Models
Cohort Studies

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Brown, Justin C. ; Kumar, Anagha ; Cheville, Andrea L. ; Tchou, Julia C. ; Troxel, Andrea B. ; Harris, Susan R. ; Schmitz, Kathryn H. / Association between lymphedema self-care adherence and lymphedema outcomes among women with breast cancer-related lymphedema. In: American Journal of Physical Medicine and Rehabilitation. 2015 ; Vol. 94, No. 4. pp. 288-296.
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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.",
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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 journalArticle

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AU - Kumar, Anagha

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AU - Troxel, Andrea B.

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AU - Schmitz, Kathryn H.

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