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https://www.readbyqxmd.com/read/29460193/use-of-compression-garments-by-women-with-lymphoedema-secondary-to-breast-cancer-treatment
#1
E Longhurst, E S Dylke, S L Kilbreath
PURPOSE: This aim of this study was to determine the use of compression garments by women with lymphoedema secondary to breast cancer treatment and factors which underpin use. METHODS: An online survey was distributed to the Survey and Review group of the Breast Cancer Network Australia. The survey included questions related to the participants' demographics, breast cancer and lymphoedema medical history, prescription and use of compression garments and their beliefs about compression and lymphoedema...
August 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/28956701/segmental-bioimpedance-informs-diagnosis-of-breast-cancer-related-lymphedema
#2
Brenda J Svensson, Elizabeth S Dylke, Leigh C Ward, Sharon L Kilbreath
BACKGROUND: Detection of lymphedema, particularly its mild stage, is clinically challenging. The aim of this study was to determine whether segmental bioimpedance spectroscopy (BIS) provided additional information to whole arm BIS in assessing women with or at risk of lymphedema following breast cancer. METHODS AND RESULTS: Participants (n = 66), aged 61.6 ± 10.5 years (mean ± standard deviation [SD]), were grouped according to lymphedema status: (1) at-risk (n = 24) had no indicators of lymphedema and (2) lymphedema (n = 42) were suspected to be developing lymphedema or had previously met lymphedema diagnostic criteria and undergone treatment...
December 2017: Lymphatic Research and Biology
https://www.readbyqxmd.com/read/28880731/reference-ranges-using-bioimpedance-for-detection-of-lymphedema-in-chinese-women
#3
Hewei Wang, Ding Li, Jiang Liuya, Elizabeth S Dylke, Leigh C Ward, Jie Jia, Sharon L Kilbreath
BACKGROUND: Bioimpedance is a commonly used technique for detection of early lymphedema. The thresholds used for detection are based on impedance measurements obtained in Western populations. It is unknown whether these thresholds are applicable to a Chinese population. METHODS AND RESULTS: Impedance measurements were obtained for both arms in 391 women, ranging in age from 20 to 84 years, using a standardized protocol. Frequency distributions of interlimb impedance arm ratios for both dominant:non-dominant and non-dominant:dominant were used to determine thresholds at two and three standard deviations (SDs) above the mean...
September 2017: Lymphatic Research and Biology
https://www.readbyqxmd.com/read/28759331/reliability-and-diagnostic-thresholds-for-ultrasound-measurements-of-dermal-thickness-in-breast-lymphedema
#4
Elizabeth S Dylke, Helen Benincasa Nakagawa, Lanni Lin, Jillian L Clarke, Sharon L Kilbreath
BACKGROUND: Lymphedema of the breast, secondary to treatment for breast cancer, is difficult to assess due to the shape of the breast and the nature of the tissue. Ultrasound measurement of dermal thickness has been previously used to assess breast swelling; however, the reliability of the measurements, or what should be considered an abnormal thickness, is currently known. METHODS AND RESULTS: Thirty-eight women with breast edema were recruited and underwent assessment using ultrasound...
June 2018: Lymphatic Research and Biology
https://www.readbyqxmd.com/read/28749717/circumference-based-criteria-for-detection-of-secondary-arm-lymphedema-for-chinese-women
#5
Hewei Wang, Li Shen, Tao Liu, Peng Shao, Elizabeth S Dylke, Jie Jia, Sharon L Kilbreath
BACKGROUND: Detection of upper limb lymphedema following treatment for breast cancer typically relies on interlimb circumference-based differences. Normative-determined criteria from an Australian population have high sensitivity and specificity for detection of mild lymphedema in Australian women. It is unknown whether these criteria are applicable to Chinese women whose body habitus is different from Australian women. The aims of this study, therefore, were to determine the normative-based interlimb circumference and volume differences in a Chinese population and whether specific population-based thresholds are required...
September 2017: Lymphatic Research and Biology
https://www.readbyqxmd.com/read/27333213/diagnosis-of-upper-limb-lymphedema-development-of-an-evidence-based-approach
#6
E S Dylke, G P Schembri, D L Bailey, E Bailey, L C Ward, K Refshauge, J Beith, D Black, S L Kilbreath
BACKGROUND: The diagnosis of secondary upper limb lymphedema (LE) is complicated by the lack of an agreed-upon measurement tool and diagnostic threshold. The aim of this study was to determine which of the many commonly used and normatively determined clinical diagnostic thresholds has the best diagnostic accuracy of secondary upper limb LE, when compared to diagnosis by an appropriate reference standard, lymphoscintigraphy. MATERIAL AND METHODS: The arms of women treated for breast cancer with and without a previous diagnosis of LE, as well as healthy controls, were assessed using lymphoscintigraphy, bioimpedance spectroscopy (BIS) and perometry...
December 2016: Acta Oncologica
https://www.readbyqxmd.com/read/27183497/risk-factors-for-lymphoedema-in-women-with-breast-cancer-a-large-prospective-cohort
#7
S L Kilbreath, K M Refshauge, J M Beith, L C Ward, O A Ung, E S Dylke, J R French, J Yee, L Koelmeyer, K Gaitatzis
A prospective study was conducted to identify women at increased risk for lymphoedema (LE) based on axillary surgery. Assessment occurred prior to surgery, within 4 weeks, and at 6, 12 and 18 months following surgery. Following post-surgery assessment, women were asked to complete weekly diaries regarding events that occurred in the previous week. Risk factors were grouped into demographic, lifestyle, breast cancer treatment-related, arm swelling-related, and post-surgical activities. Bioimpedance spectroscopy thresholds were used to determine presence of LE...
August 2016: Breast: Official Journal of the European Society of Mastology
https://www.readbyqxmd.com/read/26209993/current-rehabilitation-processes-do-not-prevent-long-term-impairments-after-treatment-for-breast-cancer-in-australia
#8
Elizabeth S Dylke, Sharon Kilbreath
BACKGROUND: Our aims were to determine if and how advice regarding physical rehabilitation (arm-specific and general exercise) was provided after treatment for breast cancer, as well as the prevalence of physical impairments following treatment for breast cancer in an Australian population. METHODS: Members of the Review and Survey Group of the Breast Cancer Network Australia participated in a validated web-based survey. RESULTS: Participants included 186 women who underwent axillary node dissection and 201 who underwent sentinel node biopsy for breast cancer...
June 2015: Australian Family Physician
https://www.readbyqxmd.com/read/25324019/safety-and-efficacy-of-progressive-resistance-training-in-breast-cancer-a-systematic-review-and-meta-analysis
#9
REVIEW
Birinder S Cheema, Sharon L Kilbreath, Paul P Fahey, Geoffrey P Delaney, Evan Atlantis
The purpose of this study was to assess the safety and efficacy of progressive resistance training (PRT) in breast cancer. Randomized controlled trials (RCTs) published to November 2013 that reported on the effects of PRT (>6 weeks) on breast cancer-related lymphedema (BCRL) (incidence/exacerbation, arm volume, and symptom severity), physical functioning (upper and lower body muscular strength), and health-related quality of life (HRQoL) in breast cancer patients were included. Of 446 citations retrieved, 15 RCTs in 1,652 patients were included and yielded five studies on BCRL incidence/exacerbation (N = 647), four studies on arm volume (N = 384) and BCRL symptom severity (N = 479), 11 studies on upper body muscular strength (N = 1,252), nine studies on lower body muscular strength (N = 1,079), and seven studies on HRQoL (N = 823)...
November 2014: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/24837521/segmental-impedance-thresholds-for-early-detection-of-unilateral-upper-limb-swelling
#10
B J Svensson, E S Dylke, L C Ward, S L Kilbreath
BACKGROUND: Detection of early lymphedema is important for effective treatment outcome and reduction of disease burden. The aims of this study were to determine normal inter-limb variance in the hand and four segments of the arm using bioimpedance spectroscopy (BIS) to provide diagnostic thresholds for detection of early lymphedema development, to determine the intra-rater reliability of these measurements, and to compare the inter-limb BIS ratios to differences based on arm circumference measures...
December 2015: Lymphatic Research and Biology
https://www.readbyqxmd.com/read/24364844/tissue-composition-changes-and-secondary-lymphedema
#11
E S Dylke, L C Ward, J D Meerkin, L Nery, S L Kilbreath
BACKGROUND: The aim of this study was to determine the impact of dominance and severity on tissue composition changes with lymphedema using dual-energy X-ray absorptiometry (DXA), and to determine the relationships between the DXA-determined tissue volumes and the clinical outcomes determined by perometry and bioimpedance spectroscopy. METHODS AND RESULTS: Fifty-six women with secondary lymphedema and 44 women without a history of breast cancer or lymphedema underwent measurement of their upper limbs with DXA, perometry, and bioimpedance spectroscopy...
December 2013: Lymphatic Research and Biology
https://www.readbyqxmd.com/read/23570659/reliability-of-a-radiological-grading-system-for-dermal-backflow-in-lymphoscintigraphy-imaging
#12
Elizabeth S Dylke, Mark F McEntee, Geoffrey P Schembri, Patrick C Brennan, Elizabeth Bailey, Leigh C Ward, Sharon L Kilbreath
RATIONALE AND OBJECTIVES: Lymphoscintigraphy may be used for diagnosing secondary lymphedema. Dermal backflow, the presence of radiotracer in dermal lymphatics, is a key clinical feature. Although often reported as present or absent, a scale that assesses the severity of dermal backflow has been previously developed. The aim of this study was to determine the reliability of these two methods of assessment. MATERIALS AND METHODS: Sixteen experienced nuclear medicine physicians assessed the quantity of dermal backflow of 57 lymphoscintigraphy scans using a 4-point descriptive scale that was dichotomized for secondary analysis...
June 2013: Academic Radiology
https://www.readbyqxmd.com/read/23240956/normative-volume-difference-between-the-dominant-and-nondominant-upper-limbs-in-healthy-older-women
#13
E S Dylke, J Yee, L C Ward, N Foroughi, S L Kilbreath
BACKGROUND: Upper limb lymphedema is a possible consequence of the treatment for breast cancer. Accurate detection of swelling is important in implementing appropriate treatment. Currently used diagnostic cut-offs for excess volume have been chosen for ease of use and are not based on normative differences. The aim of this study, therefore, was to determine the normal inter-limb variance for healthy older women and identify statistically-based diagnostic cut-offs for both circumference and volume...
December 2012: Lymphatic Research and Biology
https://www.readbyqxmd.com/read/23188815/use-of-impedance-ratios-to-assess-hand-swelling-in-lymphoedema
#14
E S Dylke, H Alsobayel, L C Ward, M Liu, E Webb, S L Kilbreath
OBJECTIVES: To determine whether bioimpedance spectroscopy was suitable for detection of hand lymphoedema. METHODS: The hands of 50 participants without a history of lymphoedema were measured with perometry and bioimpedance spectroscopy after positioning two ways for three minutes: (a) both hands rested at heart height and (b) the dominant hand at heart height and the non-dominant hand at head height. In addition, 10 women with secondary hand lymphoedema were also measured...
March 2014: Phlebology
https://www.readbyqxmd.com/read/22720663/measurement-of-hand-volume-by-bioelectrical-impedance-spectroscopy
#15
L C Ward, E S Dylke, S L Kilbreath
BACKGROUND: Assessment of lymphedema is frequently based upon measuring the increase in volume of the affected region compared to that of a comparable unaffected region. This requires methods that can measure the volume of body regions that are not only accurate and sensitive but also suitable for use in clinical practice. To date, bioimpedance spectroscopy has been used to measure volume increase due to lymphedema in whole arms but excluding the hand. We report here an impedance-based method for the measurement of hand volume...
June 2012: Lymphatic Research and Biology
https://www.readbyqxmd.com/read/22410862/change-in-extracellular-fluid-and-arm-volumes-as-a-consequence-of-a-single-session-of-lymphatic-massage-followed-by-rest-with-or-without-compression
#16
RANDOMIZED CONTROLLED TRIAL
J Maher, K Refshauge, L Ward, R Paterson, S Kilbreath
PURPOSE: This study evaluated the acute effect of massage and compression components of lymphoedema treatment in women with and without arm lymphoedema secondary to breast cancer from a single treatment session. METHODS: Women with (n = 15) and without (n = 15) lymphoedema underwent a single session of lymphatic massage. Following the session, women were randomised to receive or not receive a compression sleeve. Measurements were taken prior to, during, and following the massage as well as 30 min after completion of the massage...
December 2012: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/21688979/inter-rater-reliability-of-arm-circumference-measurement
#17
Nasim Foroughi, Elizabeth S Dylke, Ross D Paterson, Kristine A Sparrow, Jacqueline Fan, Elise B G Warwick, Sharon L Kilbreath
BACKGROUND: Arm lymphedema is routinely assessed by clinicians and researchers, using arm circumference measurements. A protocol was developed for measuring arm circumference independent of medically trained professionals. The aim of this project was to assess the protocol's inter-rater reliability and its coherence with perometry measures. METHODS AND RESULTS: Community-dwelling adults (n = 57), aged 60.2  ± 12.8 years, in good general health, were included in this study...
2011: Lymphatic Research and Biology
https://www.readbyqxmd.com/read/21417767/confirmation-of-the-reference-impedance-ratios-used-for-assessment-of-breast-cancer-related-lymphedema-by-bioelectrical-impedance-spectroscopy
#18
L C Ward, E Dylke, S Czerniec, E Isenring, S L Kilbreath
BACKGROUND: Breast cancer-related lymphedema in the arm is commonly detected by bioelectrical impedance spectroscopy as an increased inter-arm impedance ratio due to the presence of excess lymph in the at-risk arm relative to that of the unaffected arm. The presence of lymphedema is determined by a value of this ratio greater than the mean ratio, plus three standard deviations observed in a comparable healthy population. This threshold value has not been established using the measurement protocols in current practice...
March 2011: Lymphatic Research and Biology
https://www.readbyqxmd.com/read/21417766/reference-ranges-for-assessment-of-unilateral-lymphedema-in-legs-by-bioelectrical-impedance-spectroscopy
#19
L C Ward, E Dylke, S Czerniec, E Isenring, S L Kilbreath
BACKGROUND: Secondary unilateral lymphedema in the leg may occur as a consequence of pelvic surgery and/or radiation therapy, which causes damage to the pelvic lymphatic system. To date, assessment has been typically by manual measurement of the volume excess of the affected leg compared to the contralateral leg. In contrast, the assessment of unilateral arm lymphedema is readily accomplished by the use of bioelectrical impedance spectroscopy (BIS) as an increased inter-arm impedance ratio due to the presence of excess lymph in the affected arm relative to that of the unaffected arm...
March 2011: Lymphatic Research and Biology
https://www.readbyqxmd.com/read/20180016/effect-of-air-travel-on-lymphedema-risk-in-women-with-history-of-breast-cancer
#20
Sharon L Kilbreath, Leigh C Ward, Kirstin Lane, Margaret McNeely, Elizabeth S Dylke, Kathryn M Refshauge, Don McKenzie, Mi-Joung Lee, Carolyn Peddle, Katie J Battersby
To assess the impact of air travel on swelling of the 'at risk' arm of women treated for breast cancer. Women treated for breast cancer from Canada (n = 60) and from within Australia (n = 12) attending a dragon boat regatta in Queensland, Australia participated. Women were measured within 2 weeks prior to their flight, on arrival in Queensland and, for 40 women travelling from Canada, measured again 6 weeks following return to Canada. Changes to extracellular fluid were measured using a single-frequency bioimpedance device (BIA)...
April 2010: Breast Cancer Research and Treatment
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