Evidence map›Paper›PMID 29508139›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2018

Axillary web syndrome assessment using a self-assessment questionnaire: a prospective cohort study.

F Baggi, Luiz Felipe Nevola Teixeira, S Gandini, M C Simoncini, E Bonacossa, F Sandrin, M Sciotto Marotta, G Lanni, P Dadda, D Colpani and 1 more

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05115799 (Effects of a Manual Therapy Program to Reduce the Evolution Time of Axillary Web Syndrome), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT05115799 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Effects of a Manual Therapy Program to Reduce the Evolution Time of Axillary Web Syndrome

TypeinterventionalSponsorUniversity of MalagaRan2021 to 2024Enrolled46ConditionsBreast Cancer, Mastectomy, Lymphedema, ThrombiArmsManual Therapy, Physiotherapy, Kinesiology, Scar Massage, Kinesiotherapy, Physiotherapy, Health Education
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Effectiveness of physical therapy in axillary web syndrome after breast cancer: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Pooled it
  2. Physiotherapy protocol to reduce the evolution time of axillary web syndrome in women post-breast cancer surgery: a randomized clinical trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  3. Protocol to improve quality of life, functionality, and exercise capacity in patients with axillary web syndrome after breast cancer: a randomized clinical trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Axillary web syndrome among Chilean women with breast cancer: incidence and possible predisposing factors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Article
  10. Review
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

11 authors.

F BaggiPhysiotherapy Department, European Institute of Oncology, Via Ripamonti 435, 20141, Milan, Italy.
Luiz Felipe Nevola TeixeiraPhysiotherapy Department, European Institute of Oncology, Via Ripamonti 435, 20141, Milan, Italy. luizfelipe.nevolateixeira@ieo.it.ORCID http://orcid.org/0000-0003-2987-2040
S GandiniDivision of Epidemiology and Biostatistics, European Institute of Oncology, Via Ripamonti 435, 20141, Milan, Italy.
M C SimonciniPhysiotherapy Department, European Institute of Oncology, Via Ripamonti 435, 20141, Milan, Italy.
E BonacossaPhysiotherapy Department, European Institute of Oncology, Via Ripamonti 435, 20141, Milan, Italy.
F SandrinPhysiotherapy Department, European Institute of Oncology, Via Ripamonti 435, 20141, Milan, Italy.
M Sciotto MarottaPhysiotherapy Department, European Institute of Oncology, Via Ripamonti 435, 20141, Milan, Italy.
G LanniPhysiotherapy Department, European Institute of Oncology, Via Ripamonti 435, 20141, Milan, Italy.
P DaddaPhysiotherapy Department, European Institute of Oncology, Via Ripamonti 435, 20141, Milan, Italy.
D ColpaniPhysiotherapy Department, European Institute of Oncology, Via Ripamonti 435, 20141, Milan, Italy.
A LuiniBreast Surgery Unit, European Institute of Oncology, Via Ripamonti 435, 20141, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical procedure for breast cancer is not without its side effects and one such side effect is axillary web syndrome (AWS), characterized by palpable fibrotic-like cords in the operated arm. As physical evaluation is the only gold standard method used, our study aims to assess the incidence and early detection of AWS with a self-assessment questionnaire.

methodsFrom July 2013 to July 2014, 370 breast cancer patients were enrolled. AWS incidence was 51.1%, with 94.1% onset in the first 4 weeks after surgery; 43.5% of the patients did not recover in the first 8 weeks. Univariate analysis showed that BMI (P < 0.001), age (P < 0.001), educational level (P = 0.01), and exercise frequency in the eighth week of follow-up (P < 0.001) were significantly associated with the AWS detection, and multivariate analyses confirmed that younger patients (age < 50) have significantly higher AWS detection (OR = 2.38 (95%CI 1.53, 3.71) and that BMI is associated with AWS, with normal weight patients (BMI ≤ 25) having a significantly greater AWS detection with an odds ratio of 2.11 (95%CI 1.33, 3.36).

conclusionOur findings indicated that the incidence of AWS is high in breast cancer patients, particularly in the first month after surgery. Not all patients achieved recovery during our 8 week follow-up, suggesting that evaluation and treatment should be longer. Double AWS detection was found for patients who were younger (age < 50) and with normal weight.

Indexed as

AdultAgedAxillaBreast NeoplasmsCohort StudiesFemaleHumansIncidenceMiddle AgedProspective StudiesSurveys and QuestionnairesSyndromeBreast neoplasmsBreast reconstructionLymph node dissectionPhysiotherapyRehabilitation

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.