Lymphedema Prophylaxis Utilizing Perioperative Education
Abstract
The purpose is to evaluate perioperative training for lymphedema protection. The hypothesis is that structured perioperative training in lymphedema protection will decrease lymphedema, and improve the QOL in patients undergoing axillary dissection and/or radiation therapy for breast cancer as compared to a control group. The specific questions are 1) what is the incidence of lymphedema and infection during the first three years after surgery among breast cancer patients who received perioperative training in lymphedema protection as compared to a control group? 2) What are the differences in the measured QOL among these breast cancer survivors? 3) What are the retention of information on lymphedema protection, and the compliance with arm precautions among these breast cancer survivors? Major Findings: In this interim report, the LE rate is 55%. Our rate for acute LE is 46.2%. Presentation of LE after the first year after surgery occurred in 8.9% of the study patients. There were 38.6% acute LE cases persisting to become chronic for a total chronic rate of 47.5%. Significance: LE is a significant problem. The identification of newer treatment plans and modalities that may obviate the need for injury to the lymphatics would help reduce the incidence of LE.
Document Details
- Document Type
- Technical Report
- Publication Date
- Sep 01, 2004
- Accession Number
- ADA435510
Entities
People
- Mary A. Kosir
Organizations
- Wayne State University