Evidence map›Paper›PMID 41194015›Full record

Observational studyBMC surgery2025

Predictors of early arm lymphoedema in breast cancer patients treated with modified radical mastectomy -a prospective observational study.

Mohd Ozair Khan, Farhanul Huda, Shalinee Rao, Vidhu Shekhar Khare, Kanmathareddy Amulya, Nirmal Raj, Adarsh Jha, Aditya Arnav, Somprakas Basu

Abstract readObservational Study
In one paragraph

Observational study in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Mohd Ozair KhanDepartment of General Surgery, All India Institute of Medical Sciences, Rishikesh, India.
Farhanul HudaDepartment of General Surgery, All India Institute of Medical Sciences, Rishikesh, India. farhanul1973huda@gmail.com.
Shalinee RaoDepartment of Pathology and Lab Medicine, All India Institute of Medical Sciences, Rishikesh, India.
Vidhu Shekhar KhareDepartment of General Surgery, All India Institute of Medical Sciences, Rishikesh, India.
Kanmathareddy AmulyaDepartment of General Surgery, All India Institute of Medical Sciences, Rishikesh, India.
Nirmal RajDepartment of General Surgery, All India Institute of Medical Sciences, Rishikesh, India.
Adarsh JhaDepartment of General Surgery, All India Institute of Medical Sciences, Rishikesh, India.
Aditya ArnavDepartment of General Surgery, All India Institute of Medical Sciences, Rishikesh, India.
Somprakas BasuDepartment of General Surgery, All India Institute of Medical Sciences, Rishikesh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast cancer is the most common malignancy among women globally, with 2.3 million new cases in 2022. Advances in early detection and treatment have improved survival, but long-term complications like breast cancer-related lymphoedema (BCRL) remain underrecognized. Affecting 6-40% of patients following axillary lymph node dissection, BCRL leads to chronic swelling, pain, and reduced quality of life. The risk is heightened in low- and middle-income countries (LMICs), where delayed diagnosis and limited awareness necessitate more aggressive interventions. Despite its profound physical, psychosocial, and economic impact, BCRL remains understudied in LMICs, highlighting the need for region-specific data and preventive strategies.

methodsThis prospective observational study, which was conducted in a tertiary care centre over 18 months (July 2022-December 2023), aimed to identify clinicopathological predictors of the development of early ipsilateral arm lymphoedema in patients undergoing Modified radical mastectomy (MRM). We diagnosed lymphoedema via circumferential measurements (≥ 10% increase in ipsilateral arm) at 1 day pre-surgery and followed up the patients at 1-, 3-, and 6-months post-surgery. Variables included patient demographics, tumour characteristics, and treatment factors.

resultsWe recruited 80 patients, and 21 of them (26.25%) developed lymphoedema in 6 month period, with significant predictors identified as BMI (mean 28.42 vs. 26.04 kg/m

conclusionThe study highlights the critical role of pre-operative risk stratification. These findings underscore the need for personalized surgical and adjuvant strategies to mitigate Lymphoedema risk, enhancing long-term survivorship care in breast cancer patients.

trial registrationClinical Trials Registry India-CTRI/2023/08/056411 (Registered prospectively on 11/08/2023).

Indexed as

Breast Cancer LymphedemaBreast NeoplasmsLymphedemaMastectomy, Modified RadicalPostoperative ComplicationsAdultAgedArmAxillaFemaleHumansLymph Node ExcisionMiddle AgedProspective StudiesRisk FactorsAxillary dissectionBreast cancerLymphoedemaProspective studiesSurvivorship

Identifiers

PMID41194015
PMCPMC12587732

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Registered trials

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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.