Air Travel Safety in Postoperative Breast Cancer Patients: A Systematic Review
Autor: | Judy Chun-Wai Ng, Michael Co, Ava Kwong |
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Rok vydání: | 2018 |
Předmět: |
Cancer Research
medicine.medical_specialty Breast Cancer Lymphedema Breast Implants medicine.medical_treatment Surgical Wound Breast Neoplasms 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Breast cancer Cancer Survivors medicine Humans Risk factor Intensive care medicine Adverse effect Mastectomy Venous Thrombosis business.industry Retrospective cohort study Surgical wound medicine.disease Air Travel Lymphedema Oncology 030220 oncology & carcinogenesis Female business Tamoxifen medicine.drug |
Zdroj: | Clinical Breast Cancer. 18:e813-e817 |
ISSN: | 1526-8209 |
DOI: | 10.1016/j.clbc.2018.05.003 |
Popis: | Air travel has long been a dilemma in post–breast cancer surgery patients. Anecdotal reports have described adverse outcomes on surgical wound, implants, and lymphedema during air travel. This review aims to evaluate the best evidence from the literature concerning the air travel safety in breast cancer patients. A comprehensive review was performed of the Medline, Embase, CINAHL, and Cochrane databases using a predefined strategy. Retrieved studies were independently screened and rated for relevance. Data were extracted by 2 researchers. We reviewed the best evidence on air travel safety in postoperative breast cancer patients. Evidence was limited in the current literature to suggest adverse effects on postoperative mastectomy wounds and drains by high-altitude travel. Similarly, adverse effects on breast implants were limited to case reports and ex vivo experiments. A systematic review of 12 studies concluded that air travel is not associated with upper limb lymphedema after breast cancer surgery. Deep-vein thrombosis (DVT) is a known complication after air travel; in addition, malignancy itself is a known risk factor for DVT. Evidence of safety to continue tamoxifen during the period of air travel is lacking in the literature. Evidence to support the use of systemic DVT prophylaxis in general postoperative breast cancer patients is also limited. Best evidence from a large retrospective study suggested that mechanical antiembolism devices and early mobilization are the only measures required. Air travel is generally safe in patients after breast cancer surgery. |
Databáze: | OpenAIRE |
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