Early surveillance is associated with less incidence and severity of breast cancer-related lymphedema compared with a traditional referral model of care
Cancer Dec 13, 2018
Koelmeyer LA, et al. - Researchers performed a retrospective analysis of data from 753 women who underwent bioimpedance spectroscopy (BIS) measures between January 1, 2007, and December 31, 2016, to investigate the influence of an early surveillance model of care on health service metrics and breast cancer-related lymphedema incidence when compared with a traditional referral model of care. One hundred eighty-eight women, who began lymphedema monitoring presurgery (n = 121) or within 90 days postsurgery (n = 67), were assigned to the “early surveillance” group, and 285 women who began monitoring after 90 days postsurgery, were assigned to the “traditional referral” group. Compared to women in the traditional referral group, those in the early surveillance group received lymphedema care significantly earlier. However, the groups were not different in the number of visits per year to the clinic. Hence the adoption of an early prospective surveillance model of care using BIS is supported for the early detection and management of breast cancer-related lymphedema.
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