☆ 4.7 Editorial Material

Mounting Evidence Against Complex Decongestive Therapy As a First-Line Treatment for Early Lymphedema

JOURNAL OF CLINICAL ONCOLOGY (2013)

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JOURNAL OF CLINICAL ONCOLOGY

卷 31, 期 30, 页码 3737-3738

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AMER SOC CLINICAL ONCOLOGY

DOI: 10.1200/JCO.2013.51.8373

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Oncology

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Early prevention of complex decongestive therapy and rehabilitation exercise for prevention of lower extremity lymphedema after operation of gynecologic cancer

Xiaoli Wu, Yinglei Liu, Dandan Zhu, Fang Wang, Jianhong Ji, Hongyan Yan

Summary: Early prevention of complex decongestive therapy combined with rehabilitation exercise can reduce the incidence of lower limb extremity lymphedema and improve patients' quality of life for gynecologic cancer patients.

ASIAN JOURNAL OF SURGERY (2021)

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Article Orthopedics

The effect of the combined use of complex decongestive therapy with electrotherapy modalities for the treatment of breast cancer-related lymphedema: a randomized clinical trial

Mahboobeh Hemmati, Zahra Rojhani-Shirazi, Zeinab Sadat Zakeri, Majid Akrami, Nasrin Salehi Dehno

Summary: This study evaluated the effects of combined complex decongestive therapy (CDT) with electrotherapy modalities in patients with breast cancer-related lymphedema. The results showed that the combination of electrotherapy modalities (ultrasound or faradic current) with CDT resulted in a greater reduction in lymphedema volume, pain, and functional disability compared to CDT alone.

BMC MUSCULOSKELETAL DISORDERS (2022)

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Article Oncology

How we approach lymphedema in the pediatric population

Irina Pateva, Arin K. Greene, Kristen M. Snyder

Summary: Lymphedema in children is a rare but progressive and chronic condition, accurate diagnosis takes time and is associated with genetic syndromes. Timely treatment is crucial.

PEDIATRIC BLOOD & CANCER (2022)

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Article Oncology

How we approach lymphedema in the pediatric population

Irina Pateva, Arin K. Greene, Kristen M. Snyder

Summary: Lymphedema in children is a rare but progressive and chronic condition. Accurate diagnosis may take time and it is important to identify cases associated with genetic syndromes and initiate appropriate treatment promptly.

PEDIATRIC BLOOD & CANCER (2022)

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Article Radiology, Nuclear Medicine & Medical Imaging

Pneumatic Compression-Assisted Lymphoscintigraphy for Quantitative Evaluation of Breast Cancer-Related Lymphedema

Ingi Min, Sung Joon Lim, Gi Jeong Cheon, Minseok Suh, Kwan Sik Seo

Summary: The study aims to compare the effectiveness of conventional stress lymphoscintigraphy (CSL) and pneumatic compression-assisted lymphoscintigraphy (PCAL). Among participants with relatively preserved lymphatic flow extent, the PCAL group showed better percentage reduction of volume compared to the CSL group. The use of IPC devices in lymphoscintigraphy can help in quantitatively describing lymphedema status and selecting appropriate treatment methods.

CLINICAL NUCLEAR MEDICINE (2023)

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Review Medicine, General & Internal

Extracorporeal Shock Wave Therapy Combined with Complex Decongestive Therapy in Patients with Breast Cancer-Related Lymphedema: A Systemic Review and Meta-Analysis

Yu Lin Tsai, Jie Ting, Ya Chi Chuang, Yuan Yang Cheng, Yu Chun Lee

Summary: The combination of extracorporeal shock wave therapy (ESWT) and conventional complex decongestive therapy (CDT) has a significant positive effect on breast cancer-related lymphedema (BCRL) by improving the volume of lymphedema, skin thickness, and shoulder range of motion (ROM).

JOURNAL OF CLINICAL MEDICINE (2021)

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Article Medicine, General & Internal

Case reports of primary lymphedema tarda in South Korea: Two case reports of unilateral primary lymphedema tarda in lower extremities

Wonsik Dho, Zee Won Seo, Ju Hyun Son, Chang-Hyung Lee

Summary: This paper reports two cases of unilateral lymphedema tarda in the lower extremities in South Korea, which is a rare subtype of primary lymphedema occurring in individuals older than 35 years. The diagnosis of primary lymphedema tarda was confirmed by ultrasonography and lymphangiography, showing dermal backflow and no lymph node uptake at the inguinal node of the affected side. The patients reported slight improvement in symptoms after rehabilitation.

MEDICINE (2023)

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Article Oncology

Self-administration of complex decongestive therapy facilitated by the mobile application WeChat improves lymphedema and quality of life in breast cancer survivors: an observational study

Xu Liang, Miaoning You, Cuiju Wen, Fengzhen Hou, Jingjing Kang, Zhihua Lv, Jun Tian

Summary: This study developed a novel model of complex decongestive therapy (CDT) based on a mobile application, which achieved promising outcomes in improving lymphedema symptoms and quality of life for breast cancer survivors.

ANNALS OF TRANSLATIONAL MEDICINE (2022)

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Article Rehabilitation

Effects of complex decongestive therapy and aquatic physiotherapy on markers of the inflammatory process in individuals with lymphedema

Barbara Cristina de Sousa Pedrosa, Pedro Machado Manhaes de Castro, Luiza Vieira Santos e Santos, Danielly Lima de Andrade, Adriano Florencio Vilaca, Jose Eudes Gomes Pinheiro, Ana Paula de Lima Ferreira, Esdras Marques Lins, Juliana Netto Maia, Maria do Amparo Andrade, Celia Maria Machado Barbosa de Castro

Summary: This study evaluated the effects of complex decongestive therapy (CDT) and aquatic physiotherapy on markers of inflammation and lower limb volumes in individuals with lymphedema. The results showed that CDT significantly reduced the inflammatory marker TNF-alpha in patients with lymphedema, suggesting an anti-inflammatory effect of the therapy.

PHYSIOTHERAPY THEORY AND PRACTICE (2022)

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Article Surgery

A comparison of the effectiveness of complex decongestive therapy and extracorporeal shock wave therapy in the treatment of lymphedema secondary to breast cancer

Mehtap Aykac Cebicci, Meltem Dizdar

Summary: Both complex decongestive therapy and extracorporeal shockwave therapy showed significant effectiveness in treating lymphedema secondary to breast cancer, with no significant differences in efficacy between the two treatments.

INDIAN JOURNAL OF SURGERY (2021)

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Article Engineering, Biomedical

The effect of complex decongestive therapy on spatio-temporal parameters and balance in women with breast cancer-related upper extremity unilateral lymphedema

Furkan Bilek, Gulnihal Deniz, Arif Gulkesen

Summary: The aim of this study was to investigate the effect of complex decongestive therapy on spatio-temporal parameters and balance in individuals with breast cancer-related upper extremity unilateral lymphedema. After 30 sessions of complex decongestive therapy, significant improvement was observed in participants' spatio-temporal parameters and balance. Complex decongestive therapy was recommended as an effective and safe treatment to reduce the volume of lymphedema and improve balance and gait disturbance in patients with unilateral lymphedema.

CLINICAL BIOMECHANICS (2023)

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Article Oncology

The effect of complex decongestive physiotherapy applied with different compression pressures on skin and subcutaneous tissue thickness in individuals with breast cancer-related lymphedema: a double-blinded randomized comparison trial

Elif Duygu-Yildiz, Yesim Bakar, Mustafa Hizal

Summary: The study aimed to evaluate the effect of compression bandage with different pressures on skin and subcutaneous thickness in individuals with breast cancer-related lymphedema (BCRL). Results showed that high-pressure bandage was more effective in reducing subcutaneous tissue thickness in the dorsum of hand and arm, and had faster edema resolution compared to low-pressure bandage. No significant differences were found in sleep quality, treatment benefit, and comfort between the two groups.

SUPPORTIVE CARE IN CANCER (2023)

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Article Orthopedics

Complex Decongestive Therapy in the Physical Therapist Management of Rosacea-Related Edema (Morbus Morbihan Syndrome): A Case Report With a New Approach

Gamze Nalan Cinar, Serap Ozgul, Gulbala Nakip, Esra Uzelpasaci, Emine Baran, Ceren Gursen, Gonca Elcin, Turkan Akbayrak

Summary: The case report described the use of complete decongestive therapy (CDT) in treating a male with facial lymphedema related to MMS. The results showed improvements in facial edema and participant symptoms after 8 weeks of treatment, including anxiety level, swelling sensation, and body image perception.

PHYSICAL THERAPY (2021)

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Review Dermatology

Guidelines Relevant to Diagnosis, Assessment, and Management of Lymphedema: A Systematic Review

Eric Torgbenu, Tim Luckett, Mark A. Buhagiar, Jane L. Phillips

Summary: This study aims to describe and compare international guidelines on lymphedema diagnosis, assessment, and management. The review found that there are high-quality guidelines available for lymphedema care, with most guidelines recommending an integrated medical, psychological assessment, and physical examination, followed by Complex Decongestive Therapy (CDT) and self-management.

ADVANCES IN WOUND CARE (2023)

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Article Immunology

TREATMENT OF SECONDARY LOWER LIMB LYMPHEDEMA AFTER GYNECOLOGIC CANCER WITH COMPLEX DECONGESTIVE THERAPY

F. Liu, N. Liu, L. Wang, J. Chen, L. Han, Z. Yu, D. Sun

Summary: Secondary lower extremity lymphedema is a common complication of treatment for gynecological cancers, and complex decongestive therapy (CDT) has been recognized as an effective treatment method. However, the technique has not been widely utilized in China. Research shows that CDT can effectively improve lymph stasis, reduce limb circumference, and decrease the incidence of erysipelas.

LYMPHOLOGY (2021)

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Article Oncology

Preexisting morbidity profile of women newly diagnosed with breast cancer in sub-Saharan Africa: African Breast Cancer-Disparities in Outcomes study

Oluwatosin A. Ayeni, Shane A. Norris, Maureen Joffe, Herbert Cubasch, Moses Galukande, Annelle Zietsman, Groesbeck Parham, Charles Adisa, Angelica Anele, Joachim Schuz, Benjamin O. Anderson, Milena Foerster, Isabel dos Santos Silva, Valerie A. McCormack

Summary: The prevalence of preexisting morbidities, such as obesity, hypertension, and HIV, is high among breast cancer patients in sub-Saharan Africa. Obesity and hypertension are more common in upper middle income countries and higher socioeconomic groups. The presence of multiple morbidities does not significantly impact the care and diagnosis of breast cancer patients.

INTERNATIONAL JOURNAL OF CANCER (2021)

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Summary: The study investigated the relationship between diagnosis delays in African breast cancer patients and geospatial factors, finding that distance to diagnostic/treatment facilities was associated with delay. This highlights the need to address geospatial barriers to early diagnosis in sub-Saharan African settings, such as providing transport allowances and decentralizing diagnostic services.

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Maternally Orphaned Children and Intergenerational Concerns Associated With Breast Cancer Deaths Among Women in Sub-Saharan Africa

Moses Galukande, Joachim Schuez, Benjamin O. Anderson, Annelle Zietsman, Charles Adisa, Angelica Anele, Groesbeck Parham, Leeya F. Pinder, Songiso Mutumba, Dorothy Lombe, Anna Cabanes, Milena Foerster, Isabel Dos-Santos-Silva, Valerie McCormack

Summary: This study estimated that for every 100 breast cancer deaths in sub-Saharan African settings from 2014-2019, there were 210 children becoming maternal orphans. The results highlight the significant intergenerational consequences associated with breast cancer deaths in the region.

JAMA ONCOLOGY (2021)

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Mounting Evidence Against Complex Decongestive Therapy As a First-Line Treatment for Early Lymphedema

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AMER SOC CLINICAL ONCOLOGY

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