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Bioelectrical impedance for detecting and monitoring patients for the development of upper limb lymphedema in the clinic.

Abstract：

BACKGROUND:Single-frequency bioelectrical impedance (BI) has been used to measure extracellular fluid in the upper limbs. The purpose of the study was to evaluate BI's ability to detect and monitor upper limb changes in based upon the extent of various treatments and to assess its practicality. METHODS:Patients with newly diagnosed breast cancer were evaluated at baseline and after procedures that could potentially affect fluid accumulation in the arm and signal the possible development of early lymphedema. The magnitude of the change in lymphedema index ratios (LIR) from these procedures was evaluated to determine the sensitivity of BI. RESULTS:A total of 64 patients were evaluated. Although no difference in LIRs was noted by the extent of surgical procedure (lumpectomy 2.1 vs. mastectomy 1.1; P = .49), a trend was noted for increased LIRs with more aggressive axillary staging when sentinel lymph node was compared with axillary lymph node dissection (1.3 vs. 3.4; P = .08). A trend for an increased LIR with more aggressive local therapy also was noted when using a cutoff of less than 4 lymph nodes sampled compared with 4 or more nodes sampled (1.2 vs. 2.6; P = .09). CONCLUSIONS:In this limited analysis, L-Dex readings paralleled the extent of surgical interventions and suggest that they can be used to monitor patients for the early onset of edema. Further studies are needed to help validate the extent, degree, and chronologic time frame of these changes to help define recommendations for closer monitoring of patients and possible early intervention.

journal_name

Clin Breast Cancer

journal_title

Clinical breast cancer

authors

Vicini F,Shah C,Lyden M,Whitworth P

doi

10.1016/j.clbc.2012.01.004

subject

Has Abstract

pub_date

2012-04-01 00:00:00

pages

133-7

issue

2

eissn

1526-8209

issn

1938-0666

pii

S1526-8209(12)00041-9

journal_volume

12

pub_type

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