Evidence map›Paper›PMID 39611899›Full record

SynthesisAsian Pacific journal of cancer prevention : APJCP2024

The Effication of Low-Level Laser Therapy, Kinesio Taping, and Endermology on Post-Mastectomy Lymphedema: A Systematic Review and Meta-Analysis.

Dian Ibnu Wahid, R Artanto Wahyono, Kunta Setiaji, Herjuna Hardiyanto, Suwardjo Suwardjo, Sumadi Lukman Anwar, Teguh Aryandono

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Asian Pacific journal of cancer prevention : APJCP, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

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

  1. Pooled it
  2. Trial
  3. Article
  4. 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

7 authors.

Dian Ibnu WahidSurgery Department, Soeradji Tirtonegoro Hospital, Klaten, Faculty of Medicine, Gadjah Mada University, Indonesia.
R Artanto WahyonoDivision of Oncology Surgery, Surgery Department, Sardjito Hospital, Yogyakarta, Indonesia.
Kunta SetiajiDivision of Oncology Surgery, Surgery Department, Sardjito Hospital, Yogyakarta, Indonesia.
Herjuna HardiyantoDivision of Oncology Surgery, Surgery Department, Sardjito Hospital, Yogyakarta, Indonesia.
Suwardjo SuwardjoDivision of Oncology Surgery, Surgery Department, Sardjito Hospital, Yogyakarta, Indonesia.
Sumadi Lukman AnwarDivision of Oncology Surgery, Surgery Department, Sardjito Hospital, Yogyakarta, Indonesia.ORCID 0000-0002-2607-6682
Teguh AryandonoDivision of Oncology Surgery, Surgery Department, Sardjito Hospital, Yogyakarta, Indonesia.ORCID 0000-0002-1143-4125

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-mastectomy lymphedema is a common complication following breast cancer surgery, characterized by the accumulation of lymphatic fluid, causing swelling, discomfort, and functional limitations in the affected arm. Traditional treatments for lymphedema include manual lymphatic drainage and compression garments, but their effectiveness is variable, and many patients do not achieve satisfactory outcomes. Emerging therapeutic modalities such as Low-Level Laser Therapy (LLLT), Kinesio Taping, and Endermology offer potential non-invasive treatment alternatives. However, the relative efficacy of these approaches in reducing lymphedema, improving limb function, and enhancing quality of life in post-mastectomy patients remains unclear.

objectiveThis study aims to determine the effects of low-level laser therapy, kinesio taping, and endermology on breast cancer patients post-mastectomy with lymphedema.

methodsA systematic review and meta-analysis were conducted based on PRISMA guidelines. Searches were carried out in databases using keywords. Inclusion and exclusion criteria were applied to select the studies to be included. The selected studies were critically appraised using Cochrane's critical appraisal tool. The chosen studies were extracted and analysed both qualitatively and quantitatively. Quantitative analysis was performed using both fixed-effects and random-effects approaches.

resultsEighteen studies were included in this analysis. All studies were randomized trials with good quality based on critical appraisal. The analysis found a significantly greater reduction in arm volume in the combined intervention group (MD = 76.27; 95% CI = 33.84-118.69) and in each therapy group: low-level laser therapy (MD = 91.98; 95% CI = 41.99-141.97) and endermology (MD = 34.61; 95% CI = 20.81-48.41). However, there were no significant differences in the reduction of arm circumference or pain scale, either overall or for each therapy individually.

conclusionLow-level laser therapy and endermology provide better outcomes for breast cancer patients with post-mastectomy lymphedema compared to conventional therapy.

Indexed as

Athletic TapeBreast NeoplasmsLow-Level Light TherapyLymphedemaMastectomyFemaleHumansPostoperative ComplicationsQuality of LifeEndermologyKinesio TapingLow-Level Laser TherapyPost-mastectomy lymphedemasystematic review and meta-Analysis

Identifiers

PMID39611899
PMCPMC11996114

What OpenQuestion holds

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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.