ArticleClinical journal of oncology nursing2025
Using the Ipsilateral Arm in Patients With Breast Cancer: An Evidence-Based Practice Project and Practice Change.
Article in Clinical journal of oncology nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Confronting clinical tradition: ipsilateral arm use after breast cancer surgery in Japan.Journal of anesthesia · 2026Review
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Abstract
backgroundThe ipsilateral arm is not used for blood pressure, phlebotomy, or IV access postmastectomy or post-lymph node removal or biopsy. The non-evidence-based practice of blanket forbidding of ipsilateral arm use can result in inaccurate calf blood pressure measurements, foot stick blood draw orders, and an increased need for tunneled central venous catheters.
objectivesThis project piloted a practice change and allowed for the use of the ipsilateral arm in patients with breast cancer.
methodsThe team used the Johns Hopkins Evidence-Based Practice Model to implement a practice change for hematology-oncology inpatients with breast cancer and lymph node involvement, removal, or biopsy, or mastectomy history.
findingsTwelve months after implementation, more than 100 patients with breast cancer participated with zero incidences of resulting lymphedema. There were no foot stick orders or calf blood pressures in patients when the ipsilateral arm was used. After 16 months, the practice change became a systemwide policy.
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