Evidence map›Paper›PMID 36566297›Full record

ReviewBreast cancer research and treatment2023

Bioimpedance spectroscopy for breast cancer-related lymphedema assessment: clinical practice guidelines.

Chirag Shah, Pat Whitworth, Stephanie Valente, Graham S Schwarz, Megan Kruse, Manpreet Kohli, Kirstyn Brownson, Laura Lawson, Beth Dupree, Frank A Vicini

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in Breast cancer research and treatment, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07011316 (Subclinical Assessment and Monitoring of Lymphatic System Function in Oncology Patients as Part of Physiotherapeutic Prevention of Limb Lymphoedema), which is not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 5% 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.

NCT07011316 recruitingnot on this mapstarted 2025, after this paper: background citation

Subclinical Assessment and Monitoring of Lymphatic System Function in Oncology Patients as Part of Physiotherapeutic Prevention of Limb Lymphoedema

TypeobservationalSponsorThe Greater Poland Cancer CentreRan2025 to 2029Enrolled600ConditionsLymphoedema
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Trial
  5. Based on the health belief model: a qualitative exploration of factors influencing early screening behavior for breast cancer-related lymphedema.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  10. Review
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  17. Evaluation of response to treatment in breast cancer-related lymphedema.Turkish journal of physical medicine and rehabilitation · 2025
    Article
  18. 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

10 authors at 4 institutions in 2 countries.

Chirag ShahDepartment of Radiation Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH, USA. shahc4@ccf.org.ORCID http://orcid.org/0000-0002-9295-5554
Pat WhitworthNashville Breast Center, Nashville, TN, USA.
Stephanie ValenteDepartment of Breast Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA.
Graham S SchwarzDeparment of Plastic Surgery, Dermatology and Plastic Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Megan KruseDepartment of Medical Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH, USA.
Manpreet KohliDepartment of General Surgery, RWJ Barnabas Health, West Long Beach, NJ, USA.
Kirstyn BrownsonDepartment of General Surgery, University of Utah, Salt Lake City, UT, USA.
Laura LawsonNashville Breast Center, Nashville, TN, USA.
Beth Dupree, Sedona, AZ, USA.
Frank A ViciniMichigan Healthcare Professionals, Farmington Hills, MI, USA.
Cleveland Clinic · USBarnardo's · GBMichigan Healthcare Professionals · USUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBreast cancer-related lymphedema (BCRL) represents a significant concern for patients following breast cancer treatment, and assessment for BCRL represents a key component of survivorship efforts. Growing data has demonstrated the benefits of early detection and treatment of BCRL. Traditional diagnostic modalities are less able to detect reversible subclinical BCRL while newer techniques such as bioimpedance spectroscopy (BIS) have shown the ability to detect subclinical BCRL, allowing for early intervention and low rates of chronic BCRL with level I evidence. We present updated clinical practice guidelines for BIS utilization to assess for BCRL. METHODS AND

resultsReview of the literature identified a randomized controlled trial and other published data which form the basis for the recommendations made. The final results of the PREVENT trial, with 3-year follow-up, demonstrated an absolute reduction of 11.3% and relative reduction of 59% in chronic BCRL (through utilization of compression garment therapy) with BIS as compared to tape measurement. This is in keeping with real-world data demonstrating the effectiveness of BIS in a prospective surveillance model. For optimal outcomes patients should receive an initial pre-treatment measurement and subsequently be followed at a minimum quarterly for first 3 years then biannually for years 4-5, then annually as appropriate, consistent with previous guidelines; the target for intervention has been changed from a change in L-Dex of 10 to 6.5. The lack of pre-operative measure does not preclude inclusion in the prospective surveillance model of care.

conclusionThe updated clinical practice guidelines present a standardized approach for a prospective model of care using BIS for BCRL assessment and supported by evidence from a randomized controlled trial as well as real-world data.

Indexed as

Breast Cancer LymphedemaBreast NeoplasmsLymphedemaDielectric SpectroscopyEarly Detection of CancerFemaleHumansLymph Node ExcisionRandomized Controlled Trials as TopicBioimpedance spectroscopyBreast cancerClinical guidelinesL-DexLymphedema

Identifiers

PMID36566297
PMCPMC9883343
OpenAlexW4312140844

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.