Presentation of First Time Attenders at Lymphedema Clinics: Cross-sectional Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 46
- 试验地点
- 2
- 主要终点
- Extracellular fluid in the arm
研究概览
简要总结
The first aim of this research project is to identify what factors motivate patients to seek assessment for early lymphedema and further, to gain insight into the signs and symptoms of developing lymphedema and the concurrent physical measurements.
The second aim is to identify other sensory signs and symptoms and changes in body perception which may be perceived by the patient as reflective of lymphedema, and to identify to which degree they contribute to the patients' motivation to seek referral to lymphedema clinics.
详细描述
One of the most challenging morbidities after breast cancer treatment is lymphedema. Approximately 20% of women treated for breast cancer with axillary lymph node dissection will be diagnosed with lymphedema. Pre- and post-operatively, women are informed about changes suggestive of lymphedema and guided about seeking further assessment. The investigators presume that if symptoms occur, patients will seek assessment. However, it is unknown whether this is true or if those prospectively monitored present earlier for treatment, or whether other factors specifically drive patients to seek further assessment. Understanding the early experience and presentation of secondary lymphedema will improve patient education and detection programs.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •women after breast cancer (> 18 years) with unilateral axillary lymph node dissection or sentinel node biopsy; mastectomy (with or without autologous reconstruction) or wide excision of the tumor
- •able to give consent to participate in the research
排除标准
- •patients under the age of 18 years
结局指标
主要结局
Extracellular fluid in the arm
时间窗: immediately after inclusion in the study
Bioimpedance spectroscopy (BIS) is a measurement tool used to determine the volume of extracellular fluid, of which lymph fluid is a component.
Arm volume
时间窗: immediately after inclusion in the study
Arm circumference measures are commonly used to diagnose and monitor lymphedema.
Pitting
时间窗: immediately after inclusion in the study
The pitting tests examines the responsiveness of tissue to pressure and can be used to help determine the stage of lymphedema.
次要结局
- Temporal summation(immediately after inclusion in the study)
- Self-reported signs and symptoms of lymphedema(immediately after inclusion in the study)
- Impairments in function, activity limitations, and participation restrictions of patients with arm lymphedema(immediately after inclusion in the study)
- Global Health Status/Quality of Life Score(immediately after inclusion in the study)
- Body perception(immediately after inclusion in the study)
- Pain intensity assessed with the Numeric Rating Scale(immediately after inclusion in the study)
- Prevalence of neuropathic pain(immediately after inclusion in the study)
- Tactile acuity (Two-point discrimination)(immediately after inclusion in the study)
- Mechanical detection and pain threshold(immediately after inclusion in the study)