Evidence map›Paper›PMID 30175055›Full record

ReviewGland surgery2018

Breast cancer-related lymphedema: risk factors, precautionary measures, and treatments.

Tessa C Gillespie, Hoda E Sayegh, Cheryl L Brunelle, Kayla M Daniell, Alphonse G Taghian

2 registry-linked trialsOpen access · diamondAbstract readReview
In one paragraph

Review in Gland surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 159 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
159citing papers in PubMed, 6 pooled it
9.8field-weighted citation impact, top 1% 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.

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
NCT05441943 naactive not recruitingnot on this mapstarted 2022, after this paper: background citation

Lymphaticovenous Anastomosis as a Surgical Treatment for Breast Cancer-Related Lymphedema

TypeinterventionalSponsorOdense University HospitalRan2022 to 2026Enrolled10ConditionsBreast Cancer Lymphedema, Secondary Lymphedema, Iatrogenic Lymphedema, LymphedemaArmsLymphovenous anastomosis
3 · Its place in the literature

Who cites it

159 citing papers in PubMed, 6 syntheses or guidelines pooled it, 333 citations in OpenAlex.

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  6. 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
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99 more citing papers are in PubMed but not listed here.

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

5 authors at 1 institution in 1 country.

Tessa C GillespieDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, MA, USA.
Hoda E SayeghDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, MA, USA.
Cheryl L BrunelleDepartment of Physical Therapy, Massachusetts General Hospital, Boston, MA, USA.
Kayla M DaniellDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, MA, USA.
Alphonse G TaghianDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, MA, USA.
Massachusetts General Hospital · US

Funding

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 R01 CA139118
6 · The paper itself

Abstract

Breast cancer-related lymphedema (BCRL) is a negative sequela of breast cancer treatment, and well-established risk factors include axillary lymph node dissection (ALND) and regional lymph node radiation (RLNR). BCRL affects approximately 1 in 5 patients treated for breast cancer, and it has a significant negative impact on patients' quality of life after breast cancer treatment, serving as a reminder of previous illness. This paper is a comprehensive review of the current evidence regarding BCRL risk factors, precautionary guidelines, prospective screening, early intervention, and surgical and non-surgical treatment techniques. Through establishing evidence-based BCRL risk factors, researchers and clinicians are better able to prevent, anticipate, and provide early intervention for BCRL. Clinicians can identify patients at high risk and utilize prospective screening programs, which incorporate objective measurements, patient reported outcome measures (PROM), and clinical examination, thereby creating opportunities for early intervention and, accordingly, improving BCRL prognosis. Innovative surgical techniques that minimize and/or prophylactically correct lymphatic disruption, such as axillary reverse mapping (ARM) and lymphatic-venous anastomoses (LVAs), are promising avenues for reducing BCRL incidence. Nonetheless, for those patients with BCRL who remain unresponsive to conservative methods like complete decongestive therapy (CDT), surgical treatment options aiming to reduce limb volume or restore lymphatic flow may prove to be palliative or corrective. It is only through a strong team-based approach that such a continuum of care can exist, and a multidisciplinary approach to BCRL screening, intervention, and research is therefore strongly encouraged.

Indexed as

Breast cancer-related lymphedema (BCRL)lymphedemalymphedema precautionary measureslymphedema risk factorslymphedema treatment

Identifiers

PMID30175055
PMCPMC6107585
OpenAlexW2784837904

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.