Evidence map›Paper›PMID 23494582›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2013

Transient swelling versus lymphoedema in the first year following surgery for breast cancer.

Sharon L Kilbreath, Mi-Joung Lee, Kathryn M Refshauge, Jane M Beith, Leigh C Ward, J M Simpson, D Black

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Effects of resistance training on breast cancer-related arm lymphedema: a systematic review and dose-response meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
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  9. Review
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  14. Breast Cancer-Related Lymphedema: Risk Factors, Screening, Management, and the Impact of Locoregional Treatment.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
    Review
  15. Risk factors and prediction model for persistent breast-cancer-related lymphedema: a 5-year cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Article
  16. Review
  17. The legacy of lymphedema: Impact on nursing practice and vascular access.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2019
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Sharon L KilbreathFaculty of Health Sciences, University of Sydney, PO Box 170, Lidcombe, Sydney, 1825, New South Wales, Australia. sharon.kilbreath@sydney.edu.au
Mi-Joung Lee
Kathryn M Refshauge
Jane M Beith
Leigh C Ward
J M Simpson
D Black
University of Sydney · AURoyal Prince Alfred Hospital · AUUniversity of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim was to better understand the incidence, time course and risk factors for swelling in the arm on the side of surgery over the first year following surgery for breast cancer.

methodWomen (n = 160) were assessed 1 month following surgery and then randomised to the exercise or control group. Reassessment occurred 3, 9 and 15 months following surgery. Potential risk factors for swelling included age, body mass index, side of surgery and surgical and medical treatments for their breast cancer, physical measures of shoulder range of motion and strength, inter-limb arm circumference difference and the group to which they were randomised. Swelling was determined using bioimpedance spectroscopy with reference to previously established cut-offs for lymphoedema.

resultsThe number of women with swelling at 3, 9 and 15 months was 15, 15 and 13, respectively; however, at 15 months only 5/13 presented with swelling in either of the preceding assessments. The risk of swelling increased at 3, 9 and 15 months for each centimetre increase in the baseline inter-limb difference in sum of arm circumferences by 1.30, 1.17 and 1.14. In addition, risk of swelling at 3 months was 2.6 times greater for women in the control group; at 9 months, 7 times greater for women who had taxane-based chemotherapy; and at 15 months, the risk increased 1.16 times for each day the drain was in situ.

conclusionSwelling in the first year is likely to be transient, and factors including exercise and taxane chemotherapy affect the risk of developing swelling.

Indexed as

Exercise TherapyAdultAge FactorsArmBody Mass IndexBreast NeoplasmsDrainageExerciseFemaleHumansIncidenceLymphedemaMiddle AgedRange of Motion, ArticularRisk FactorsTime Factors

Identifiers

PMID23494582
OpenAlexW2147068840

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.