Evidence map›Paper›PMID 28976793›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2017

Association Between Precautionary Behaviors and Breast Cancer-Related Lymphedema in Patients Undergoing Bilateral Surgery.

Maria S Asdourian, Meyha N Swaroop, Hoda E Sayegh, Cheryl L Brunelle, Amir I Mina, Hui Zheng, Melissa N Skolny, Alphonse G Taghian

Abstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.8field-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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

  1. Patient education for breast cancer-related lymphedema: a systematic review.Journal of cancer survivorship : research and practice · 2023
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Development and validation of a nomogram to predict the risk of breast cancer-related lymphedema among Chinese breast cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  10. Article
  11. Cancer-related lymphedema: clinical pearls for providers.Current oncology (Toronto, Ont.) · 2020
    Review
  12. Article
  13. 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
  14. Review
  15. Article
  16. Timing of Lymphedema After Treatment for Breast Cancer: When Are Patients Most At Risk?International journal of radiation oncology, biology, physics · 2019
    Article
  17. Survivorship, Version 2.2018, NCCN Clinical Practice Guidelines in Oncology.Journal of the National Comprehensive Cancer Network : JNCCN · 2018
    Article
  18. Review
  19. Nonoperative Treatment of Lymphedema.Seminars in plastic surgery · 2018
    Review
  20. Intra-articular Injections for Musculoskeletal Pain in a Cancer Rehabilitation Clinic: A Cross-Sectional Study.The journal of the International Society of Physical and Rehabilitation Medicine
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Maria S AsdourianAll authors: Massachusetts General Hospital, Boston, MA.
Meyha N SwaroopAll authors: Massachusetts General Hospital, Boston, MA.
Hoda E SayeghAll authors: Massachusetts General Hospital, Boston, MA.
Cheryl L BrunelleAll authors: Massachusetts General Hospital, Boston, MA.
Amir I MinaAll authors: Massachusetts General Hospital, Boston, MA.
Hui ZhengAll authors: Massachusetts General Hospital, Boston, MA.
Melissa N SkolnyAll authors: Massachusetts General Hospital, Boston, MA.
Alphonse G TaghianAll authors: Massachusetts General Hospital, Boston, MA.
Massachusetts General Hospital · US

Funding

Variation in Receptor Tyrosine Kinases and Breast Cancer RiskP50CA089393 · NCI · DANA-FARBER CANCER INSTITUTE · PI HARRIS, LYNDSAY NORINE · 2000 to 2009
$28.8M
Early Detection and Treatment of Lymphedema in Women with Breast CancerR01CA139118 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI TAGHIAN, ALPHONSE G · 2009 to 2013
$1.4M
NCI NIH HHS P50 CA089393NCI NIH HHS R01 CA139118
6 · The paper itself

Abstract

Purpose This study examined the lifestyle and clinical risk factors for lymphedema in a cohort of patients who underwent bilateral breast cancer surgery. Patients and Methods Between 2013 and 2016, 327 patients who underwent bilateral breast cancer surgery were prospectively screened for arm lymphedema as quantified by the weight-adjusted volume change (WAC) formula. Arm perometry and subjective data were collected preoperatively and at regular intervals postoperatively. At the time of each measurement, patients completed a risk assessment survey that reported the number of blood draws, injections, blood pressure readings, trauma to the at-risk arm, and number of flights since the previous measurement. Generalized estimating equations were applied to ascertain the association among arm volume changes, clinical factors, and risk exposures. Results The cohort comprised 327 patients and 654 at-risk arms, with a median postoperative follow-up that ranged from 6.1 to 68.2 months. Of the 654 arms, 83 developed lymphedema, defined as a WAC ≥ 10% relative to baseline. On multivariable analysis, none of the lifestyle risk factors examined through the risk assessment survey were significantly associated with increased WAC. Multivariable analysis demonstrated that having a body mass index ≥ 25 kg/m

Indexed as

Health BehaviorAdultAgedArmBreast NeoplasmsCohort StudiesFemaleHumansLife StyleLymphedemaMastectomyMiddle AgedPostoperative ComplicationsRisk Assessment

Identifiers

PMID28976793
PMCPMC5721227
OpenAlexW2761704643

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.