Evidence-based recommendations regarding risk reduction practices for people at risk of or with breast cancer-related lymphedema: consensus from an expert panel

Evidence-based recommendations regarding risk reduction practices for people at risk of or with breast cancer-related lymphedema: consensus from an expert panel

Several recent studies have investigated the validity of precautionary practices for lymphedema risk reduction after breast cancer treatment, such as avoidance of blood pressure measurements, skin puncture, blood draws, and use of prophylactic compression during air travel. Other studies have elucid...

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Bibliographic Details
Published in:Medical oncology (Northwood, London, England) Vol. 41; no. 11; p. 298
Main Authors: Brunelle, Cheryl L., Jackson, Katherine, Shallwani, Shirin M., Hunley, Julie H., Kennedy, Anna, Fench, Sarah, Hill, Alexandra, Paskett, Electra D., Rush, Katrina, Thiadens, Saskia R. J., White, Joan, Stewart, Paula
Format: Journal Article
Language:English
Published: New York Springer US 23-10-2024
Springer Nature B.V
Subjects:
Air travel
Blood pressure
Breast cancer
Breast Cancer Lymphedema - etiology
Breast Cancer Lymphedema - prevention & control
Breast Cancer Lymphedema - therapy
Breast Neoplasms - complications
Consensus
Editorial
Evidence-Based Medicine
Female
Hematology
Humans
Internal Medicine
Lymphedema
Lymphedema - etiology
Lymphedema - prevention & control
Lymphedema - therapy
Medicine
Medicine & Public Health
Oncology
Pathology
Practice Guidelines as Topic - standards
Risk Factors
Risk Reduction Behavior
North America
Risk reduction
Breast cancer
Precautionary behaviors
Lymphedema
Expert panel
Consensus
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Description
Summary:Several recent studies have investigated the validity of precautionary practices for lymphedema risk reduction after breast cancer treatment, such as avoidance of blood pressure measurements, skin puncture, blood draws, and use of prophylactic compression during air travel. Other studies have elucidated risk factors for breast cancer-related lymphedema, such as axillary lymph node dissection and skin infection (cellulitis). Combining the current evidence base with the consensus opinion of lymphatic experts assembled at the American Cancer Society/Lymphology Association of North America Summit in October 2023, updated evidence-based risk reduction recommendations are presented for those with or at risk of breast cancer-related lymphedema. Recommendation topics include prospective surveillance, patient education, individual risk factors, exercise, blood pressure, skin care and hygiene, skin puncture and blood draws, surgical procedures, prophylactic compression, air travel, and hot climate and sauna. These recommendations will help inform education and medical choices for individuals treated for breast cancer who are at risk of or diagnosed with breast cancer-related lymphedema. More high-quality evidence is required to allow the development of risk reduction recommendations for other cancer types such as gynecological, melanoma, and head and neck. It is recommended that clinicians and organizations serving people at risk of or with lymphedema align risk reduction guidelines with the evidence-based recommendations provided within this consensus document and companion manuscripts from the American Cancer Society/Lymphology Association of North America Lymphedema Summit: Forward Momentum: Future Steps in Lymphedema Management.
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ISSN:1559-131X
1357-0560
1559-131X
DOI:10.1007/s12032-024-02510-6