Multinational Association of Supportive Care in Cancer (MASCC) clinical practice guidance for the prevention of breast cancer-related arm lymphoedema (BCRAL): international Delphi consensus-based recommendationsResearch in context
Summary: Background: Developing strategies to prevent breast cancer-related arm lymphoedema (BCRAL) is a critical unmet need because there are no effective interventions to eradicate it once it reaches a chronic state. Certain strategies such as prospective surveillance programs and prophylactic ly...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Henry C.Y. Wong [verfasserIn] Matthew P. Wallen [verfasserIn] Adrian Wai Chan [verfasserIn] Narayanee Dick [verfasserIn] Pierluigi Bonomo [verfasserIn] Monique Bareham [verfasserIn] Julie Ryan Wolf [verfasserIn] Corina van den Hurk [verfasserIn] Margaret Fitch [verfasserIn] Edward Chow [verfasserIn] Raymond J. Chan [verfasserIn] Muna AlKhaifi [verfasserIn] Belen Alonso Alvarez [verfasserIn] Suvam Banerjee [verfasserIn] Kira Bloomquist [verfasserIn] Pinar Borman [verfasserIn] Yolande Borthwick [verfasserIn] Dominic Chan [verfasserIn] Sze Man Chan [verfasserIn] Yolanda Chan [verfasserIn] Ngan Sum Jean Cheng [verfasserIn] J. Isabelle Choi [verfasserIn] Yin Ping Choy [verfasserIn] Kimberly Corbin [verfasserIn] Elizabeth Dylke [verfasserIn] Pamela Hammond [verfasserIn] Satoshi Hirakawa [verfasserIn] Kimiko Hirata [verfasserIn] Shing Fung Lee [verfasserIn] Marianne Holt [verfasserIn] Peter Johnstone [verfasserIn] Yuichiro Kikawa [verfasserIn] Deborah Kirk [verfasserIn] Haruru Kotani [verfasserIn] Carol Kwok [verfasserIn] Jessica Lai [verfasserIn] Mei Ying Lim [verfasserIn] Michael Lock [verfasserIn] Brittany Lorden [verfasserIn] Page Mack [verfasserIn] Stefano Magno [verfasserIn] Icro Meattini [verfasserIn] Gustavo Nader Marta [verfasserIn] Margaret McNeely [verfasserIn] Tammy Mondry [verfasserIn] Luis Enrique Lopez Montoya [verfasserIn] Mami Ogita [verfasserIn] Misato Osaka [verfasserIn] Stephanie Phan [verfasserIn] Philip Poortmans [verfasserIn] Bolette Skjødt Rafn [verfasserIn] Abram Recht [verfasserIn] Agata Rembielak [verfasserIn] Angela Río-González [verfasserIn] Jolien Robijns [verfasserIn] Naoko Sanuki [verfasserIn] Charles B. Simone, II [verfasserIn] Mateusz Spałek [verfasserIn] Kaori Tane [verfasserIn] Luiz Felipe Nevola Teixeira [verfasserIn] Mitsuo Terada [verfasserIn] Mark Trombetta [verfasserIn] Kam Hung Wong [verfasserIn] Katsuhide Yoshidome [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2024 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
In: EClinicalMedicine - Elsevier, 2018, 68(2024), Seite 102441- |
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| Übergeordnetes Werk: |
volume:68 ; year:2024 ; pages:102441- |
| Links: |
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| DOI / URN: |
10.1016/j.eclinm.2024.102441 |
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DOAJ095021175 |
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| 245 | 1 | 0 | |a Multinational Association of Supportive Care in Cancer (MASCC) clinical practice guidance for the prevention of breast cancer-related arm lymphoedema (BCRAL): international Delphi consensus-based recommendationsResearch in context |
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| 520 | |a Summary: Background: Developing strategies to prevent breast cancer-related arm lymphoedema (BCRAL) is a critical unmet need because there are no effective interventions to eradicate it once it reaches a chronic state. Certain strategies such as prospective surveillance programs and prophylactic lymphatic reconstruction have been reported to be effective in clinical trials. However, a large variation exists in practice based on clinician preference, organizational standards, and local resources. Methods: A two-round international Delphi consensus process was performed from February 27, 2023 to May 25, 2023 to compile opinions of 55 experts involved in the care and research of breast cancer and lymphoedema on such interventions. Findings: Axillary lymph node dissection, use of post-operative radiotherapy, relative within-arm volume increase one month after surgery, greater number of lymph nodes dissected, and high body mass index were recommended as the most important risk factors to guide selection of patients for interventions to prevent BCRAL. The panel recommended that prospective surveillance programs should be implemented to screen for and reduce risks of BCRAL where feasible and resources allow. Prophylactic compression sleeves, axillary reverse mapping and prophylactic lymphatic reconstruction should be offered for patients who are at risk for developing BCRAL as options where expertise is available and resources allow. Recommendations on axillary management in clinical T1–2, node negative breast cancer patients with 1–2 positive sentinel lymph nodes were also provided by the expert panel. Routine axillary lymph node dissection should not be offered in these patients who receive breast conservation therapy. Axillary radiation instead of axillary lymph node dissection should be considered in the same group of patients undergoing mastectomy. Interpretation: An individualised approach based on patients' preferences, risk factors for BCRAL, availability of treatment options and expertise of the healthcare team is paramount to ensure patients at risk receive preventive interventions for BCRAL, regardless of where they are receiving care. Funding: This study was not supported by any funding. RJC received investigator grant support from the Australian National Health and Medical Research Council (APP1194051). | ||
| 650 | 4 | |a Prevention | |
| 650 | 4 | |a Breast cancer related arm lymphoedema | |
| 650 | 4 | |a Delphi consensus | |
| 653 | 0 | |a Medicine (General) | |
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10.1016/j.eclinm.2024.102441 doi (DE-627)DOAJ095021175 (DE-599)DOAJa4492596283245c89816027c97e264da DE-627 ger DE-627 rakwb eng R5-920 Henry C.Y. Wong verfasserin aut Multinational Association of Supportive Care in Cancer (MASCC) clinical practice guidance for the prevention of breast cancer-related arm lymphoedema (BCRAL): international Delphi consensus-based recommendationsResearch in context 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Summary: Background: Developing strategies to prevent breast cancer-related arm lymphoedema (BCRAL) is a critical unmet need because there are no effective interventions to eradicate it once it reaches a chronic state. Certain strategies such as prospective surveillance programs and prophylactic lymphatic reconstruction have been reported to be effective in clinical trials. However, a large variation exists in practice based on clinician preference, organizational standards, and local resources. Methods: A two-round international Delphi consensus process was performed from February 27, 2023 to May 25, 2023 to compile opinions of 55 experts involved in the care and research of breast cancer and lymphoedema on such interventions. Findings: Axillary lymph node dissection, use of post-operative radiotherapy, relative within-arm volume increase one month after surgery, greater number of lymph nodes dissected, and high body mass index were recommended as the most important risk factors to guide selection of patients for interventions to prevent BCRAL. The panel recommended that prospective surveillance programs should be implemented to screen for and reduce risks of BCRAL where feasible and resources allow. Prophylactic compression sleeves, axillary reverse mapping and prophylactic lymphatic reconstruction should be offered for patients who are at risk for developing BCRAL as options where expertise is available and resources allow. Recommendations on axillary management in clinical T1–2, node negative breast cancer patients with 1–2 positive sentinel lymph nodes were also provided by the expert panel. Routine axillary lymph node dissection should not be offered in these patients who receive breast conservation therapy. Axillary radiation instead of axillary lymph node dissection should be considered in the same group of patients undergoing mastectomy. Interpretation: An individualised approach based on patients' preferences, risk factors for BCRAL, availability of treatment options and expertise of the healthcare team is paramount to ensure patients at risk receive preventive interventions for BCRAL, regardless of where they are receiving care. Funding: This study was not supported by any funding. RJC received investigator grant support from the Australian National Health and Medical Research Council (APP1194051). Prevention Breast cancer related arm lymphoedema Delphi consensus Medicine (General) Matthew P. Wallen verfasserin aut Adrian Wai Chan verfasserin aut Narayanee Dick verfasserin aut Pierluigi Bonomo verfasserin aut Monique Bareham verfasserin aut Julie Ryan Wolf verfasserin aut Corina van den Hurk verfasserin aut Margaret Fitch verfasserin aut Edward Chow verfasserin aut Raymond J. Chan verfasserin aut Muna AlKhaifi verfasserin aut Belen Alonso Alvarez verfasserin aut Suvam Banerjee verfasserin aut Kira Bloomquist verfasserin aut Pierluigi Bonomo verfasserin aut Pinar Borman verfasserin aut Yolande Borthwick verfasserin aut Dominic Chan verfasserin aut Sze Man Chan verfasserin aut Yolanda Chan verfasserin aut Ngan Sum Jean Cheng verfasserin aut J. Isabelle Choi verfasserin aut Edward Chow verfasserin aut Yin Ping Choy verfasserin aut Kimberly Corbin verfasserin aut Elizabeth Dylke verfasserin aut Pamela Hammond verfasserin aut Satoshi Hirakawa verfasserin aut Kimiko Hirata verfasserin aut Shing Fung Lee verfasserin aut Marianne Holt verfasserin aut Peter Johnstone verfasserin aut Yuichiro Kikawa verfasserin aut Deborah Kirk verfasserin aut Haruru Kotani verfasserin aut Carol Kwok verfasserin aut Jessica Lai verfasserin aut Mei Ying Lim verfasserin aut Michael Lock verfasserin aut Brittany Lorden verfasserin aut Page Mack verfasserin aut Stefano Magno verfasserin aut Icro Meattini verfasserin aut Gustavo Nader Marta verfasserin aut Margaret McNeely verfasserin aut Tammy Mondry verfasserin aut Luis Enrique Lopez Montoya verfasserin aut Mami Ogita verfasserin aut Misato Osaka verfasserin aut Stephanie Phan verfasserin aut Philip Poortmans verfasserin aut Bolette Skjødt Rafn verfasserin aut Abram Recht verfasserin aut Agata Rembielak verfasserin aut Angela Río-González verfasserin aut Jolien Robijns verfasserin aut Naoko Sanuki verfasserin aut Charles B. Simone, II verfasserin aut Mateusz Spałek verfasserin aut Kaori Tane verfasserin aut Luiz Felipe Nevola Teixeira verfasserin aut Mitsuo Terada verfasserin aut Mark Trombetta verfasserin aut Kam Hung Wong verfasserin aut Katsuhide Yoshidome verfasserin aut In EClinicalMedicine Elsevier, 2018 68(2024), Seite 102441- (DE-627)1035271834 25895370 nnns volume:68 year:2024 pages:102441- https://doi.org/10.1016/j.eclinm.2024.102441 kostenfrei https://doaj.org/article/a4492596283245c89816027c97e264da kostenfrei http://www.sciencedirect.com/science/article/pii/S2589537024000208 kostenfrei https://doaj.org/toc/2589-5370 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 68 2024 102441- |
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10.1016/j.eclinm.2024.102441 doi (DE-627)DOAJ095021175 (DE-599)DOAJa4492596283245c89816027c97e264da DE-627 ger DE-627 rakwb eng R5-920 Henry C.Y. Wong verfasserin aut Multinational Association of Supportive Care in Cancer (MASCC) clinical practice guidance for the prevention of breast cancer-related arm lymphoedema (BCRAL): international Delphi consensus-based recommendationsResearch in context 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Summary: Background: Developing strategies to prevent breast cancer-related arm lymphoedema (BCRAL) is a critical unmet need because there are no effective interventions to eradicate it once it reaches a chronic state. Certain strategies such as prospective surveillance programs and prophylactic lymphatic reconstruction have been reported to be effective in clinical trials. However, a large variation exists in practice based on clinician preference, organizational standards, and local resources. Methods: A two-round international Delphi consensus process was performed from February 27, 2023 to May 25, 2023 to compile opinions of 55 experts involved in the care and research of breast cancer and lymphoedema on such interventions. Findings: Axillary lymph node dissection, use of post-operative radiotherapy, relative within-arm volume increase one month after surgery, greater number of lymph nodes dissected, and high body mass index were recommended as the most important risk factors to guide selection of patients for interventions to prevent BCRAL. The panel recommended that prospective surveillance programs should be implemented to screen for and reduce risks of BCRAL where feasible and resources allow. Prophylactic compression sleeves, axillary reverse mapping and prophylactic lymphatic reconstruction should be offered for patients who are at risk for developing BCRAL as options where expertise is available and resources allow. Recommendations on axillary management in clinical T1–2, node negative breast cancer patients with 1–2 positive sentinel lymph nodes were also provided by the expert panel. Routine axillary lymph node dissection should not be offered in these patients who receive breast conservation therapy. Axillary radiation instead of axillary lymph node dissection should be considered in the same group of patients undergoing mastectomy. Interpretation: An individualised approach based on patients' preferences, risk factors for BCRAL, availability of treatment options and expertise of the healthcare team is paramount to ensure patients at risk receive preventive interventions for BCRAL, regardless of where they are receiving care. Funding: This study was not supported by any funding. RJC received investigator grant support from the Australian National Health and Medical Research Council (APP1194051). Prevention Breast cancer related arm lymphoedema Delphi consensus Medicine (General) Matthew P. Wallen verfasserin aut Adrian Wai Chan verfasserin aut Narayanee Dick verfasserin aut Pierluigi Bonomo verfasserin aut Monique Bareham verfasserin aut Julie Ryan Wolf verfasserin aut Corina van den Hurk verfasserin aut Margaret Fitch verfasserin aut Edward Chow verfasserin aut Raymond J. Chan verfasserin aut Muna AlKhaifi verfasserin aut Belen Alonso Alvarez verfasserin aut Suvam Banerjee verfasserin aut Kira Bloomquist verfasserin aut Pierluigi Bonomo verfasserin aut Pinar Borman verfasserin aut Yolande Borthwick verfasserin aut Dominic Chan verfasserin aut Sze Man Chan verfasserin aut Yolanda Chan verfasserin aut Ngan Sum Jean Cheng verfasserin aut J. Isabelle Choi verfasserin aut Edward Chow verfasserin aut Yin Ping Choy verfasserin aut Kimberly Corbin verfasserin aut Elizabeth Dylke verfasserin aut Pamela Hammond verfasserin aut Satoshi Hirakawa verfasserin aut Kimiko Hirata verfasserin aut Shing Fung Lee verfasserin aut Marianne Holt verfasserin aut Peter Johnstone verfasserin aut Yuichiro Kikawa verfasserin aut Deborah Kirk verfasserin aut Haruru Kotani verfasserin aut Carol Kwok verfasserin aut Jessica Lai verfasserin aut Mei Ying Lim verfasserin aut Michael Lock verfasserin aut Brittany Lorden verfasserin aut Page Mack verfasserin aut Stefano Magno verfasserin aut Icro Meattini verfasserin aut Gustavo Nader Marta verfasserin aut Margaret McNeely verfasserin aut Tammy Mondry verfasserin aut Luis Enrique Lopez Montoya verfasserin aut Mami Ogita verfasserin aut Misato Osaka verfasserin aut Stephanie Phan verfasserin aut Philip Poortmans verfasserin aut Bolette Skjødt Rafn verfasserin aut Abram Recht verfasserin aut Agata Rembielak verfasserin aut Angela Río-González verfasserin aut Jolien Robijns verfasserin aut Naoko Sanuki verfasserin aut Charles B. Simone, II verfasserin aut Mateusz Spałek verfasserin aut Kaori Tane verfasserin aut Luiz Felipe Nevola Teixeira verfasserin aut Mitsuo Terada verfasserin aut Mark Trombetta verfasserin aut Kam Hung Wong verfasserin aut Katsuhide Yoshidome verfasserin aut In EClinicalMedicine Elsevier, 2018 68(2024), Seite 102441- (DE-627)1035271834 25895370 nnns volume:68 year:2024 pages:102441- https://doi.org/10.1016/j.eclinm.2024.102441 kostenfrei https://doaj.org/article/a4492596283245c89816027c97e264da kostenfrei http://www.sciencedirect.com/science/article/pii/S2589537024000208 kostenfrei https://doaj.org/toc/2589-5370 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 68 2024 102441- |
| allfields_unstemmed |
10.1016/j.eclinm.2024.102441 doi (DE-627)DOAJ095021175 (DE-599)DOAJa4492596283245c89816027c97e264da DE-627 ger DE-627 rakwb eng R5-920 Henry C.Y. Wong verfasserin aut Multinational Association of Supportive Care in Cancer (MASCC) clinical practice guidance for the prevention of breast cancer-related arm lymphoedema (BCRAL): international Delphi consensus-based recommendationsResearch in context 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Summary: Background: Developing strategies to prevent breast cancer-related arm lymphoedema (BCRAL) is a critical unmet need because there are no effective interventions to eradicate it once it reaches a chronic state. Certain strategies such as prospective surveillance programs and prophylactic lymphatic reconstruction have been reported to be effective in clinical trials. However, a large variation exists in practice based on clinician preference, organizational standards, and local resources. Methods: A two-round international Delphi consensus process was performed from February 27, 2023 to May 25, 2023 to compile opinions of 55 experts involved in the care and research of breast cancer and lymphoedema on such interventions. Findings: Axillary lymph node dissection, use of post-operative radiotherapy, relative within-arm volume increase one month after surgery, greater number of lymph nodes dissected, and high body mass index were recommended as the most important risk factors to guide selection of patients for interventions to prevent BCRAL. The panel recommended that prospective surveillance programs should be implemented to screen for and reduce risks of BCRAL where feasible and resources allow. Prophylactic compression sleeves, axillary reverse mapping and prophylactic lymphatic reconstruction should be offered for patients who are at risk for developing BCRAL as options where expertise is available and resources allow. Recommendations on axillary management in clinical T1–2, node negative breast cancer patients with 1–2 positive sentinel lymph nodes were also provided by the expert panel. Routine axillary lymph node dissection should not be offered in these patients who receive breast conservation therapy. Axillary radiation instead of axillary lymph node dissection should be considered in the same group of patients undergoing mastectomy. Interpretation: An individualised approach based on patients' preferences, risk factors for BCRAL, availability of treatment options and expertise of the healthcare team is paramount to ensure patients at risk receive preventive interventions for BCRAL, regardless of where they are receiving care. Funding: This study was not supported by any funding. RJC received investigator grant support from the Australian National Health and Medical Research Council (APP1194051). Prevention Breast cancer related arm lymphoedema Delphi consensus Medicine (General) Matthew P. Wallen verfasserin aut Adrian Wai Chan verfasserin aut Narayanee Dick verfasserin aut Pierluigi Bonomo verfasserin aut Monique Bareham verfasserin aut Julie Ryan Wolf verfasserin aut Corina van den Hurk verfasserin aut Margaret Fitch verfasserin aut Edward Chow verfasserin aut Raymond J. Chan verfasserin aut Muna AlKhaifi verfasserin aut Belen Alonso Alvarez verfasserin aut Suvam Banerjee verfasserin aut Kira Bloomquist verfasserin aut Pierluigi Bonomo verfasserin aut Pinar Borman verfasserin aut Yolande Borthwick verfasserin aut Dominic Chan verfasserin aut Sze Man Chan verfasserin aut Yolanda Chan verfasserin aut Ngan Sum Jean Cheng verfasserin aut J. Isabelle Choi verfasserin aut Edward Chow verfasserin aut Yin Ping Choy verfasserin aut Kimberly Corbin verfasserin aut Elizabeth Dylke verfasserin aut Pamela Hammond verfasserin aut Satoshi Hirakawa verfasserin aut Kimiko Hirata verfasserin aut Shing Fung Lee verfasserin aut Marianne Holt verfasserin aut Peter Johnstone verfasserin aut Yuichiro Kikawa verfasserin aut Deborah Kirk verfasserin aut Haruru Kotani verfasserin aut Carol Kwok verfasserin aut Jessica Lai verfasserin aut Mei Ying Lim verfasserin aut Michael Lock verfasserin aut Brittany Lorden verfasserin aut Page Mack verfasserin aut Stefano Magno verfasserin aut Icro Meattini verfasserin aut Gustavo Nader Marta verfasserin aut Margaret McNeely verfasserin aut Tammy Mondry verfasserin aut Luis Enrique Lopez Montoya verfasserin aut Mami Ogita verfasserin aut Misato Osaka verfasserin aut Stephanie Phan verfasserin aut Philip Poortmans verfasserin aut Bolette Skjødt Rafn verfasserin aut Abram Recht verfasserin aut Agata Rembielak verfasserin aut Angela Río-González verfasserin aut Jolien Robijns verfasserin aut Naoko Sanuki verfasserin aut Charles B. Simone, II verfasserin aut Mateusz Spałek verfasserin aut Kaori Tane verfasserin aut Luiz Felipe Nevola Teixeira verfasserin aut Mitsuo Terada verfasserin aut Mark Trombetta verfasserin aut Kam Hung Wong verfasserin aut Katsuhide Yoshidome verfasserin aut In EClinicalMedicine Elsevier, 2018 68(2024), Seite 102441- (DE-627)1035271834 25895370 nnns volume:68 year:2024 pages:102441- https://doi.org/10.1016/j.eclinm.2024.102441 kostenfrei https://doaj.org/article/a4492596283245c89816027c97e264da kostenfrei http://www.sciencedirect.com/science/article/pii/S2589537024000208 kostenfrei https://doaj.org/toc/2589-5370 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 68 2024 102441- |
| allfieldsGer |
10.1016/j.eclinm.2024.102441 doi (DE-627)DOAJ095021175 (DE-599)DOAJa4492596283245c89816027c97e264da DE-627 ger DE-627 rakwb eng R5-920 Henry C.Y. Wong verfasserin aut Multinational Association of Supportive Care in Cancer (MASCC) clinical practice guidance for the prevention of breast cancer-related arm lymphoedema (BCRAL): international Delphi consensus-based recommendationsResearch in context 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Summary: Background: Developing strategies to prevent breast cancer-related arm lymphoedema (BCRAL) is a critical unmet need because there are no effective interventions to eradicate it once it reaches a chronic state. Certain strategies such as prospective surveillance programs and prophylactic lymphatic reconstruction have been reported to be effective in clinical trials. However, a large variation exists in practice based on clinician preference, organizational standards, and local resources. Methods: A two-round international Delphi consensus process was performed from February 27, 2023 to May 25, 2023 to compile opinions of 55 experts involved in the care and research of breast cancer and lymphoedema on such interventions. Findings: Axillary lymph node dissection, use of post-operative radiotherapy, relative within-arm volume increase one month after surgery, greater number of lymph nodes dissected, and high body mass index were recommended as the most important risk factors to guide selection of patients for interventions to prevent BCRAL. The panel recommended that prospective surveillance programs should be implemented to screen for and reduce risks of BCRAL where feasible and resources allow. Prophylactic compression sleeves, axillary reverse mapping and prophylactic lymphatic reconstruction should be offered for patients who are at risk for developing BCRAL as options where expertise is available and resources allow. Recommendations on axillary management in clinical T1–2, node negative breast cancer patients with 1–2 positive sentinel lymph nodes were also provided by the expert panel. Routine axillary lymph node dissection should not be offered in these patients who receive breast conservation therapy. Axillary radiation instead of axillary lymph node dissection should be considered in the same group of patients undergoing mastectomy. Interpretation: An individualised approach based on patients' preferences, risk factors for BCRAL, availability of treatment options and expertise of the healthcare team is paramount to ensure patients at risk receive preventive interventions for BCRAL, regardless of where they are receiving care. Funding: This study was not supported by any funding. RJC received investigator grant support from the Australian National Health and Medical Research Council (APP1194051). Prevention Breast cancer related arm lymphoedema Delphi consensus Medicine (General) Matthew P. Wallen verfasserin aut Adrian Wai Chan verfasserin aut Narayanee Dick verfasserin aut Pierluigi Bonomo verfasserin aut Monique Bareham verfasserin aut Julie Ryan Wolf verfasserin aut Corina van den Hurk verfasserin aut Margaret Fitch verfasserin aut Edward Chow verfasserin aut Raymond J. Chan verfasserin aut Muna AlKhaifi verfasserin aut Belen Alonso Alvarez verfasserin aut Suvam Banerjee verfasserin aut Kira Bloomquist verfasserin aut Pierluigi Bonomo verfasserin aut Pinar Borman verfasserin aut Yolande Borthwick verfasserin aut Dominic Chan verfasserin aut Sze Man Chan verfasserin aut Yolanda Chan verfasserin aut Ngan Sum Jean Cheng verfasserin aut J. Isabelle Choi verfasserin aut Edward Chow verfasserin aut Yin Ping Choy verfasserin aut Kimberly Corbin verfasserin aut Elizabeth Dylke verfasserin aut Pamela Hammond verfasserin aut Satoshi Hirakawa verfasserin aut Kimiko Hirata verfasserin aut Shing Fung Lee verfasserin aut Marianne Holt verfasserin aut Peter Johnstone verfasserin aut Yuichiro Kikawa verfasserin aut Deborah Kirk verfasserin aut Haruru Kotani verfasserin aut Carol Kwok verfasserin aut Jessica Lai verfasserin aut Mei Ying Lim verfasserin aut Michael Lock verfasserin aut Brittany Lorden verfasserin aut Page Mack verfasserin aut Stefano Magno verfasserin aut Icro Meattini verfasserin aut Gustavo Nader Marta verfasserin aut Margaret McNeely verfasserin aut Tammy Mondry verfasserin aut Luis Enrique Lopez Montoya verfasserin aut Mami Ogita verfasserin aut Misato Osaka verfasserin aut Stephanie Phan verfasserin aut Philip Poortmans verfasserin aut Bolette Skjødt Rafn verfasserin aut Abram Recht verfasserin aut Agata Rembielak verfasserin aut Angela Río-González verfasserin aut Jolien Robijns verfasserin aut Naoko Sanuki verfasserin aut Charles B. Simone, II verfasserin aut Mateusz Spałek verfasserin aut Kaori Tane verfasserin aut Luiz Felipe Nevola Teixeira verfasserin aut Mitsuo Terada verfasserin aut Mark Trombetta verfasserin aut Kam Hung Wong verfasserin aut Katsuhide Yoshidome verfasserin aut In EClinicalMedicine Elsevier, 2018 68(2024), Seite 102441- (DE-627)1035271834 25895370 nnns volume:68 year:2024 pages:102441- https://doi.org/10.1016/j.eclinm.2024.102441 kostenfrei https://doaj.org/article/a4492596283245c89816027c97e264da kostenfrei http://www.sciencedirect.com/science/article/pii/S2589537024000208 kostenfrei https://doaj.org/toc/2589-5370 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 68 2024 102441- |
| allfieldsSound |
10.1016/j.eclinm.2024.102441 doi (DE-627)DOAJ095021175 (DE-599)DOAJa4492596283245c89816027c97e264da DE-627 ger DE-627 rakwb eng R5-920 Henry C.Y. Wong verfasserin aut Multinational Association of Supportive Care in Cancer (MASCC) clinical practice guidance for the prevention of breast cancer-related arm lymphoedema (BCRAL): international Delphi consensus-based recommendationsResearch in context 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Summary: Background: Developing strategies to prevent breast cancer-related arm lymphoedema (BCRAL) is a critical unmet need because there are no effective interventions to eradicate it once it reaches a chronic state. Certain strategies such as prospective surveillance programs and prophylactic lymphatic reconstruction have been reported to be effective in clinical trials. However, a large variation exists in practice based on clinician preference, organizational standards, and local resources. Methods: A two-round international Delphi consensus process was performed from February 27, 2023 to May 25, 2023 to compile opinions of 55 experts involved in the care and research of breast cancer and lymphoedema on such interventions. Findings: Axillary lymph node dissection, use of post-operative radiotherapy, relative within-arm volume increase one month after surgery, greater number of lymph nodes dissected, and high body mass index were recommended as the most important risk factors to guide selection of patients for interventions to prevent BCRAL. The panel recommended that prospective surveillance programs should be implemented to screen for and reduce risks of BCRAL where feasible and resources allow. Prophylactic compression sleeves, axillary reverse mapping and prophylactic lymphatic reconstruction should be offered for patients who are at risk for developing BCRAL as options where expertise is available and resources allow. Recommendations on axillary management in clinical T1–2, node negative breast cancer patients with 1–2 positive sentinel lymph nodes were also provided by the expert panel. Routine axillary lymph node dissection should not be offered in these patients who receive breast conservation therapy. Axillary radiation instead of axillary lymph node dissection should be considered in the same group of patients undergoing mastectomy. Interpretation: An individualised approach based on patients' preferences, risk factors for BCRAL, availability of treatment options and expertise of the healthcare team is paramount to ensure patients at risk receive preventive interventions for BCRAL, regardless of where they are receiving care. Funding: This study was not supported by any funding. RJC received investigator grant support from the Australian National Health and Medical Research Council (APP1194051). Prevention Breast cancer related arm lymphoedema Delphi consensus Medicine (General) Matthew P. Wallen verfasserin aut Adrian Wai Chan verfasserin aut Narayanee Dick verfasserin aut Pierluigi Bonomo verfasserin aut Monique Bareham verfasserin aut Julie Ryan Wolf verfasserin aut Corina van den Hurk verfasserin aut Margaret Fitch verfasserin aut Edward Chow verfasserin aut Raymond J. Chan verfasserin aut Muna AlKhaifi verfasserin aut Belen Alonso Alvarez verfasserin aut Suvam Banerjee verfasserin aut Kira Bloomquist verfasserin aut Pierluigi Bonomo verfasserin aut Pinar Borman verfasserin aut Yolande Borthwick verfasserin aut Dominic Chan verfasserin aut Sze Man Chan verfasserin aut Yolanda Chan verfasserin aut Ngan Sum Jean Cheng verfasserin aut J. Isabelle Choi verfasserin aut Edward Chow verfasserin aut Yin Ping Choy verfasserin aut Kimberly Corbin verfasserin aut Elizabeth Dylke verfasserin aut Pamela Hammond verfasserin aut Satoshi Hirakawa verfasserin aut Kimiko Hirata verfasserin aut Shing Fung Lee verfasserin aut Marianne Holt verfasserin aut Peter Johnstone verfasserin aut Yuichiro Kikawa verfasserin aut Deborah Kirk verfasserin aut Haruru Kotani verfasserin aut Carol Kwok verfasserin aut Jessica Lai verfasserin aut Mei Ying Lim verfasserin aut Michael Lock verfasserin aut Brittany Lorden verfasserin aut Page Mack verfasserin aut Stefano Magno verfasserin aut Icro Meattini verfasserin aut Gustavo Nader Marta verfasserin aut Margaret McNeely verfasserin aut Tammy Mondry verfasserin aut Luis Enrique Lopez Montoya verfasserin aut Mami Ogita verfasserin aut Misato Osaka verfasserin aut Stephanie Phan verfasserin aut Philip Poortmans verfasserin aut Bolette Skjødt Rafn verfasserin aut Abram Recht verfasserin aut Agata Rembielak verfasserin aut Angela Río-González verfasserin aut Jolien Robijns verfasserin aut Naoko Sanuki verfasserin aut Charles B. Simone, II verfasserin aut Mateusz Spałek verfasserin aut Kaori Tane verfasserin aut Luiz Felipe Nevola Teixeira verfasserin aut Mitsuo Terada verfasserin aut Mark Trombetta verfasserin aut Kam Hung Wong verfasserin aut Katsuhide Yoshidome verfasserin aut In EClinicalMedicine Elsevier, 2018 68(2024), Seite 102441- (DE-627)1035271834 25895370 nnns volume:68 year:2024 pages:102441- https://doi.org/10.1016/j.eclinm.2024.102441 kostenfrei https://doaj.org/article/a4492596283245c89816027c97e264da kostenfrei http://www.sciencedirect.com/science/article/pii/S2589537024000208 kostenfrei https://doaj.org/toc/2589-5370 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 68 2024 102441- |
| language |
English |
| source |
In EClinicalMedicine 68(2024), Seite 102441- volume:68 year:2024 pages:102441- |
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In EClinicalMedicine 68(2024), Seite 102441- volume:68 year:2024 pages:102441- |
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Article |
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Prevention Breast cancer related arm lymphoedema Delphi consensus Medicine (General) |
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EClinicalMedicine |
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Henry C.Y. Wong @@aut@@ Matthew P. Wallen @@aut@@ Adrian Wai Chan @@aut@@ Narayanee Dick @@aut@@ Pierluigi Bonomo @@aut@@ Monique Bareham @@aut@@ Julie Ryan Wolf @@aut@@ Corina van den Hurk @@aut@@ Margaret Fitch @@aut@@ Edward Chow @@aut@@ Raymond J. Chan @@aut@@ Muna AlKhaifi @@aut@@ Belen Alonso Alvarez @@aut@@ Suvam Banerjee @@aut@@ Kira Bloomquist @@aut@@ Pinar Borman @@aut@@ Yolande Borthwick @@aut@@ Dominic Chan @@aut@@ Sze Man Chan @@aut@@ Yolanda Chan @@aut@@ Ngan Sum Jean Cheng @@aut@@ J. Isabelle Choi @@aut@@ Yin Ping Choy @@aut@@ Kimberly Corbin @@aut@@ Elizabeth Dylke @@aut@@ Pamela Hammond @@aut@@ Satoshi Hirakawa @@aut@@ Kimiko Hirata @@aut@@ Shing Fung Lee @@aut@@ Marianne Holt @@aut@@ Peter Johnstone @@aut@@ Yuichiro Kikawa @@aut@@ Deborah Kirk @@aut@@ Haruru Kotani @@aut@@ Carol Kwok @@aut@@ Jessica Lai @@aut@@ Mei Ying Lim @@aut@@ Michael Lock @@aut@@ Brittany Lorden @@aut@@ Page Mack @@aut@@ Stefano Magno @@aut@@ Icro Meattini @@aut@@ Gustavo Nader Marta @@aut@@ Margaret McNeely @@aut@@ Tammy Mondry @@aut@@ Luis Enrique Lopez Montoya @@aut@@ Mami Ogita @@aut@@ Misato Osaka @@aut@@ Stephanie Phan @@aut@@ Philip Poortmans @@aut@@ Bolette Skjødt Rafn @@aut@@ Abram Recht @@aut@@ Agata Rembielak @@aut@@ Angela Río-González @@aut@@ Jolien Robijns @@aut@@ Naoko Sanuki @@aut@@ Charles B. Simone, II @@aut@@ Mateusz Spałek @@aut@@ Kaori Tane @@aut@@ Luiz Felipe Nevola Teixeira @@aut@@ Mitsuo Terada @@aut@@ Mark Trombetta @@aut@@ Kam Hung Wong @@aut@@ Katsuhide Yoshidome @@aut@@ |
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2024-01-01T00:00:00Z |
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1035271834 |
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DOAJ095021175 |
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englisch |
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<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000naa a22002652 4500</leader><controlfield tag="001">DOAJ095021175</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20240413085424.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">240413s2024 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1016/j.eclinm.2024.102441</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ095021175</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJa4492596283245c89816027c97e264da</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">R5-920</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Henry C.Y. Wong</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Multinational Association of Supportive Care in Cancer (MASCC) clinical practice guidance for the prevention of breast cancer-related arm lymphoedema (BCRAL): international Delphi consensus-based recommendationsResearch in context</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2024</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Summary: Background: Developing strategies to prevent breast cancer-related arm lymphoedema (BCRAL) is a critical unmet need because there are no effective interventions to eradicate it once it reaches a chronic state. Certain strategies such as prospective surveillance programs and prophylactic lymphatic reconstruction have been reported to be effective in clinical trials. However, a large variation exists in practice based on clinician preference, organizational standards, and local resources. Methods: A two-round international Delphi consensus process was performed from February 27, 2023 to May 25, 2023 to compile opinions of 55 experts involved in the care and research of breast cancer and lymphoedema on such interventions. Findings: Axillary lymph node dissection, use of post-operative radiotherapy, relative within-arm volume increase one month after surgery, greater number of lymph nodes dissected, and high body mass index were recommended as the most important risk factors to guide selection of patients for interventions to prevent BCRAL. The panel recommended that prospective surveillance programs should be implemented to screen for and reduce risks of BCRAL where feasible and resources allow. Prophylactic compression sleeves, axillary reverse mapping and prophylactic lymphatic reconstruction should be offered for patients who are at risk for developing BCRAL as options where expertise is available and resources allow. Recommendations on axillary management in clinical T1–2, node negative breast cancer patients with 1–2 positive sentinel lymph nodes were also provided by the expert panel. Routine axillary lymph node dissection should not be offered in these patients who receive breast conservation therapy. Axillary radiation instead of axillary lymph node dissection should be considered in the same group of patients undergoing mastectomy. Interpretation: An individualised approach based on patients' preferences, risk factors for BCRAL, availability of treatment options and expertise of the healthcare team is paramount to ensure patients at risk receive preventive interventions for BCRAL, regardless of where they are receiving care. Funding: This study was not supported by any funding. RJC received investigator grant support from the Australian National Health and Medical Research Council (APP1194051).</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Prevention</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Breast cancer related arm lymphoedema</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Delphi consensus</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medicine (General)</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Matthew P. 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Henry C.Y. Wong Matthew P. Wallen Adrian Wai Chan Narayanee Dick Pierluigi Bonomo Monique Bareham Julie Ryan Wolf Corina van den Hurk Margaret Fitch Edward Chow Raymond J. Chan Muna AlKhaifi Belen Alonso Alvarez Suvam Banerjee Kira Bloomquist Pinar Borman Yolande Borthwick Dominic Chan Sze Man Chan Yolanda Chan Ngan Sum Jean Cheng J. Isabelle Choi Yin Ping Choy Kimberly Corbin Elizabeth Dylke Pamela Hammond Satoshi Hirakawa Kimiko Hirata Shing Fung Lee Marianne Holt Peter Johnstone Yuichiro Kikawa Deborah Kirk Haruru Kotani Carol Kwok Jessica Lai Mei Ying Lim Michael Lock Brittany Lorden Page Mack Stefano Magno Icro Meattini Gustavo Nader Marta Margaret McNeely Tammy Mondry Luis Enrique Lopez Montoya Mami Ogita Misato Osaka Stephanie Phan Philip Poortmans Bolette Skjødt Rafn Abram Recht Agata Rembielak Angela Río-González Jolien Robijns Naoko Sanuki Charles B. Simone, II Mateusz Spałek Kaori Tane Luiz Felipe Nevola Teixeira Mitsuo Terada Mark Trombetta Kam Hung Wong Katsuhide Yoshidome |
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multinational association of supportive care in cancer (mascc) clinical practice guidance for the prevention of breast cancer-related arm lymphoedema (bcral): international delphi consensus-based recommendationsresearch in context |
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Multinational Association of Supportive Care in Cancer (MASCC) clinical practice guidance for the prevention of breast cancer-related arm lymphoedema (BCRAL): international Delphi consensus-based recommendationsResearch in context |
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Summary: Background: Developing strategies to prevent breast cancer-related arm lymphoedema (BCRAL) is a critical unmet need because there are no effective interventions to eradicate it once it reaches a chronic state. Certain strategies such as prospective surveillance programs and prophylactic lymphatic reconstruction have been reported to be effective in clinical trials. However, a large variation exists in practice based on clinician preference, organizational standards, and local resources. Methods: A two-round international Delphi consensus process was performed from February 27, 2023 to May 25, 2023 to compile opinions of 55 experts involved in the care and research of breast cancer and lymphoedema on such interventions. Findings: Axillary lymph node dissection, use of post-operative radiotherapy, relative within-arm volume increase one month after surgery, greater number of lymph nodes dissected, and high body mass index were recommended as the most important risk factors to guide selection of patients for interventions to prevent BCRAL. The panel recommended that prospective surveillance programs should be implemented to screen for and reduce risks of BCRAL where feasible and resources allow. Prophylactic compression sleeves, axillary reverse mapping and prophylactic lymphatic reconstruction should be offered for patients who are at risk for developing BCRAL as options where expertise is available and resources allow. Recommendations on axillary management in clinical T1–2, node negative breast cancer patients with 1–2 positive sentinel lymph nodes were also provided by the expert panel. Routine axillary lymph node dissection should not be offered in these patients who receive breast conservation therapy. Axillary radiation instead of axillary lymph node dissection should be considered in the same group of patients undergoing mastectomy. Interpretation: An individualised approach based on patients' preferences, risk factors for BCRAL, availability of treatment options and expertise of the healthcare team is paramount to ensure patients at risk receive preventive interventions for BCRAL, regardless of where they are receiving care. Funding: This study was not supported by any funding. RJC received investigator grant support from the Australian National Health and Medical Research Council (APP1194051). |
| abstractGer |
Summary: Background: Developing strategies to prevent breast cancer-related arm lymphoedema (BCRAL) is a critical unmet need because there are no effective interventions to eradicate it once it reaches a chronic state. Certain strategies such as prospective surveillance programs and prophylactic lymphatic reconstruction have been reported to be effective in clinical trials. However, a large variation exists in practice based on clinician preference, organizational standards, and local resources. Methods: A two-round international Delphi consensus process was performed from February 27, 2023 to May 25, 2023 to compile opinions of 55 experts involved in the care and research of breast cancer and lymphoedema on such interventions. Findings: Axillary lymph node dissection, use of post-operative radiotherapy, relative within-arm volume increase one month after surgery, greater number of lymph nodes dissected, and high body mass index were recommended as the most important risk factors to guide selection of patients for interventions to prevent BCRAL. The panel recommended that prospective surveillance programs should be implemented to screen for and reduce risks of BCRAL where feasible and resources allow. Prophylactic compression sleeves, axillary reverse mapping and prophylactic lymphatic reconstruction should be offered for patients who are at risk for developing BCRAL as options where expertise is available and resources allow. Recommendations on axillary management in clinical T1–2, node negative breast cancer patients with 1–2 positive sentinel lymph nodes were also provided by the expert panel. Routine axillary lymph node dissection should not be offered in these patients who receive breast conservation therapy. Axillary radiation instead of axillary lymph node dissection should be considered in the same group of patients undergoing mastectomy. Interpretation: An individualised approach based on patients' preferences, risk factors for BCRAL, availability of treatment options and expertise of the healthcare team is paramount to ensure patients at risk receive preventive interventions for BCRAL, regardless of where they are receiving care. Funding: This study was not supported by any funding. RJC received investigator grant support from the Australian National Health and Medical Research Council (APP1194051). |
| abstract_unstemmed |
Summary: Background: Developing strategies to prevent breast cancer-related arm lymphoedema (BCRAL) is a critical unmet need because there are no effective interventions to eradicate it once it reaches a chronic state. Certain strategies such as prospective surveillance programs and prophylactic lymphatic reconstruction have been reported to be effective in clinical trials. However, a large variation exists in practice based on clinician preference, organizational standards, and local resources. Methods: A two-round international Delphi consensus process was performed from February 27, 2023 to May 25, 2023 to compile opinions of 55 experts involved in the care and research of breast cancer and lymphoedema on such interventions. Findings: Axillary lymph node dissection, use of post-operative radiotherapy, relative within-arm volume increase one month after surgery, greater number of lymph nodes dissected, and high body mass index were recommended as the most important risk factors to guide selection of patients for interventions to prevent BCRAL. The panel recommended that prospective surveillance programs should be implemented to screen for and reduce risks of BCRAL where feasible and resources allow. Prophylactic compression sleeves, axillary reverse mapping and prophylactic lymphatic reconstruction should be offered for patients who are at risk for developing BCRAL as options where expertise is available and resources allow. Recommendations on axillary management in clinical T1–2, node negative breast cancer patients with 1–2 positive sentinel lymph nodes were also provided by the expert panel. Routine axillary lymph node dissection should not be offered in these patients who receive breast conservation therapy. Axillary radiation instead of axillary lymph node dissection should be considered in the same group of patients undergoing mastectomy. Interpretation: An individualised approach based on patients' preferences, risk factors for BCRAL, availability of treatment options and expertise of the healthcare team is paramount to ensure patients at risk receive preventive interventions for BCRAL, regardless of where they are receiving care. Funding: This study was not supported by any funding. RJC received investigator grant support from the Australian National Health and Medical Research Council (APP1194051). |
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The panel recommended that prospective surveillance programs should be implemented to screen for and reduce risks of BCRAL where feasible and resources allow. Prophylactic compression sleeves, axillary reverse mapping and prophylactic lymphatic reconstruction should be offered for patients who are at risk for developing BCRAL as options where expertise is available and resources allow. Recommendations on axillary management in clinical T1–2, node negative breast cancer patients with 1–2 positive sentinel lymph nodes were also provided by the expert panel. Routine axillary lymph node dissection should not be offered in these patients who receive breast conservation therapy. Axillary radiation instead of axillary lymph node dissection should be considered in the same group of patients undergoing mastectomy. Interpretation: An individualised approach based on patients' preferences, risk factors for BCRAL, availability of treatment options and expertise of the healthcare team is paramount to ensure patients at risk receive preventive interventions for BCRAL, regardless of where they are receiving care. Funding: This study was not supported by any funding. RJC received investigator grant support from the Australian National Health and Medical Research Council (APP1194051).</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Prevention</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Breast cancer related arm lymphoedema</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Delphi consensus</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medicine (General)</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Matthew P. 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