Association Between Lymphedema Self-Care Adherence and Lymphedema Outcomes Among Women with Breast Cancer-Related Lymphedema

作者：Brown Justin C; Kumar Anagha; Cheville Andrea L; Tchou Julia C; Troxel Andrea B; Harris Susan R; Schmitz Kathryn H^*

来源：American Journal of Physical Medicine and Rehabilitation, 2015, 94(4): 288-296.

DOI：10.1097/PHM.0000000000000178

• Compliance
• Physiotherapy
• Clinical Guidelines
• Measurement

Objective The aim of this study was to determine whether adherence to self-care modalities for breast cancer-related lymphedema (BCRL) predicts BCRL outcomes among 128 breast cancer survivors who participated in the 12-mo physical activity and lymphedema trial.
Design This was a prospective cohort study. Adherence to ten BCRL self-care modalities, as recommended in the clinical practice guidelines for the management of BCRL, was assessed by a questionnaire at baseline. BCRL outcomes assessed at baseline and 12 mos included volumetry, circumferences, bioimpedence spectroscopy, the Norman lymphedema survey, and therapist-defined lymphedema exacerbations requiring treatment. Generalized linear models were used to estimate the relationship between adherence to BCRL self-care modalities and the likelihood of experiencing a BCRL outcome.
Results Adherence to BCRL self-care activities did not predict experiencing any BCRL outcomes at 12 mos. Levels of adherence to BCRL self-care modalities did not predict a 5% or greater decrease in interlimb volume (P-trend = 0.79), 5% or greater decrease in the sum of interlimb arm circumferences (P-trend = 0.47), 10% or greater decrease in bioimpedence spectroscopy (P-trend = 0.83), 1 or greater decrease in self-reported lymphedema symptoms (P-trend = 0.91), or therapist-defined lymphedema exacerbation requiring treatment (P-trend = 0.84).
Conclusions Our findings suggest that levels of BCRL self-care adherence do not predict BCRL outcomes among breast cancer survivors with stable lymphedema who were followed for 12 mos.

• 出版日期2015-4