The Effects of Daily-Living Risks on Breast Cancer-Related Lymphedema.

Autor: Fu MR; School of Nursing and Health Studies, University of Missouri -Kansas City, Kansas City, MO, USA. mei.fu@umkc.edu., Liu B; Division of Computing, Analytics, and Mathematics, School of Science and Engineering, University of Missouri -Kansas City, Kansas City, MO, USA., Qiu JM; Harvard Medical School, Boston, MA, USA., Sun Y; College of Nursing/438 CNB, University of Iowa, Iowa City, IA, USA., Axelrod D; Department of Surgery, New York University School of Medicine, NYU Perlmutter Cancer Center, New York, NY, USA., Guth A; Department of Surgery, New York University School of Medicine, NYU Perlmutter Cancer Center, New York, NY, USA., Korth S; Advanced Practiced Registered Nurse for the Breast Center at University Health Kansas City, University Health - UMKC Health Sciences District, Kansas City, MO, USA., Kremer HL; University Health - UMKC Health Sciences District, Kansas City, MO, USA., Wang Y; Electrical and Computer Engineering and Biomedical Engineering, New York University Tandon School of Engineering, Brooklyn, NY, USA.
Jazyk: angličtina
Zdroj: Annals of surgical oncology [Ann Surg Oncol] 2024 Nov; Vol. 31 (12), pp. 8076-8085. Date of Electronic Publication: 2024 Aug 01.
DOI: 10.1245/s10434-024-15946-x
Abstrakt: Background: Conventional advice to reduce the risk of breast cancer-related lymphedema (BCLE) suggests avoidance of daily-living risks, and limited research has investigated these risks.
Objective: This study aimed to examine the occurrence, patterns, and effects of daily-living risks on BCLE.
Methods: A cross-sectional design was used to collect data from 567 patients at a metropolitan cancer center in the United States. The Lymphedema Risk-Reduction Behavior Checklist was used to assess the occurrence of 11 daily-living risks. Descriptive, regression, and factor analyses were performed.
Results: Significant odds of BCLE were associated with infection (odds ratio [OR] 2.58, 95% confidence interval [CI] 1.95-3.42), cuts/scratches (OR 2.65, 95% CI 1.97-3.56), sunburn (OR 1.89, 95% CI 1.39-3.56), oil splash or steam burns (OR 2.08, 95% CI 1.53-3.83), and insect bites (OR 1.59, 95% CI 1.18-2.13). The daily-living risks were clustered into factors related to skin trauma and carrying objects. Skin trauma risk was significantly associated with BCLE (B = 0.539, z = 3.926, OR 1.714, 95% CI 1.312-2.250; p < 0.001). Having three, four, or five skin trauma risks significantly increased the odds of BCLE to 4.31, 5.14, and 6.94 times, respectively. The risk of carrying objects had no significant or incremental effects on BCLE.
Conclusion: Complete avoidance of daily-living risks is challenging given 52.73% of patients incurred more than five daily-living risks. Our study findings underscore the importance of 'what to do' strategies to minimize infection and skin trauma.
(© 2024. The Author(s).)
Databáze: MEDLINE
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