Evidence map›Paper›PMID 37816208›Full record

Trial reportJCO oncology practice2023

Axillary Treatment and Chronic Breast Cancer-Related Lymphedema: Implications for Prospective Surveillance and Intervention From a Randomized Controlled Trial.

John Boyages, Frank A Vicini, Behnaz Azimi Manavi, Richelle L Gaw, Louise A Koelmeyer, Sheila H Ridner, Chirag Shah

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JCO oncology practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Effectiveness of telehealth versus face-to-face appointments in identifying complications following breast cancer surgery.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  6. Advancing Lymphedema Surveillance With Evidence-Based Practices.Clinical journal of oncology nursing · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 7 institutions in 2 countries.

John BoyagesAustralian Lymphoedema Education, Research, and Treatment Program, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW, Australia.ORCID 0000-0003-3208-3966
Frank A ViciniGenesisCare, Farmington Hills, MI.
Behnaz Azimi ManaviImpediMed Limited, Pinkenba, QLD, Australia.
Richelle L GawIMPACT SRC, School of Medicine, Barwon Health, Faculty of Health, Deakin University, Geelong, VIC, Australia.ORCID 0000-0001-7475-1972
Louise A KoelmeyerAustralian Lymphoedema Education, Research, and Treatment Program, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW, Australia.ORCID 0000-0002-2736-2330
Sheila H RidnerVanderbilt University School of Nursing, Nashville, TN.ORCID 0000-0003-3847-7405
Chirag ShahTaussig Cancer Institute, Cleveland Clinic, Cleveland, OH.ORCID 0000-0003-1305-8431
Australian National University · AUBarwon Health · AUCleveland Clinic · USImpedimed (Australia) · AUMacquarie University · AUMemorialCare Health System · USVanderbilt University · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
NCATS NIH HHS UL1 TR000445
6 · The paper itself

Abstract

purposeThe PREVENT randomized trial assessed progression to chronic breast cancer-related lymphedema (cBCRL) after intervention triggered by bioimpedance spectroscopy (BIS) or tape measurement (TM). This secondary analysis identifies cBCRL risk factors on the basis of axillary treatment.

methodsBetween June 2014 and September 2018, 881 patients received sentinel node biopsy (SNB; n = 651), SNB + regional node irradiation (RNI; n = 58), axillary lymph node dissection (ALND; n = 85), or ALND + RNI (n = 87). The primary outcome was the 3-year cBCRL rate requiring complex decongestive physiotherapy (CDP).

resultsAfter a median follow-up of 32.8 months (IQR, 21-34.3), 69 of 881 patients (7.8%) developed cBCRL. For TM, 43 of 438 (9.8%) developed cBCRL versus 26 of 443 (5.9%) for BIS (

conclusionThe extent of axillary treatment is a significant risk factor for cBCRL. Increasing BMI, rurality, SCF radiation, and taxane chemotherapy also increase risk. These results have implications for a proposed risk-based lymphedema screening, early intervention, and treatment program.

Indexed as

Breast NeoplasmsLymphedemaBridged-Ring CompoundsFemaleHumansLymph Node ExcisionProspective StudiesTaxoidsBridged-Ring CompoundstaxaneTaxoids

Identifiers

PMID37816208
PMCPMC10732511
OpenAlexW4387489780

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.