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Lymphedema after pelvic and para-aortic lymphadenectomy-results of a systematic evaluation in patients with cervical and endometrial carcinoma.
Armbrust, R; Auletta, V; Cichon, G; Vercellino, G; Yost, K; Sehouli, J.
Afiliación
  • Armbrust R; Department of Gynecology with Center for Oncological Surgery, Charité-University Hospital Berlin, Augustenburger Platz 1, 13353, Berlin, Germany. robert.armbrust@charite.de.
  • Auletta V; Department of Gynecology, Helios Klinikum Niederberg, Velbert, Germany. robert.armbrust@charite.de.
  • Cichon G; Department of Gynecology with Center for Oncological Surgery, Charité-University Hospital Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
  • Vercellino G; Department of Gynecology, Helios Klinikum Niederberg, Velbert, Germany.
  • Yost K; Department of Gynecology with Center for Oncological Surgery, Charité-University Hospital Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
  • Sehouli J; Department of Gynecology, Helios Klinikum Niederberg, Velbert, Germany.
Arch Gynecol Obstet ; 307(5): 1557-1565, 2023 05.
Article en En | MEDLINE | ID: mdl-36222950
BACKGROUND: Lymphedema is a frequent complication after surgical treatment in gynecological oncology with substantial impact on patients´ Quality of Life (QoL). Little is known about screening instruments and prevention. Primary objective was to develop and validate the German version of a 13 items screening questionnaire (SQ) developed by Yost et al. to provide a valid instrument for early diagnosis of lower extremity lymphedema (LEL). METHODS: After translation the SQ was used in pt. with cervical or endometrial cancer who underwent pelvic/paraaortic Lymphadenectomy. Sensitivity and specifity were analysed regarding possible prediction and influencing factors of LEL. RESULTS: 67 pt. had LEL (N = 128). Nearly 50% of women in each group (38 in LEL + e 30 in LEL - ) had a body mass index (BMI) > 30 kg/m2. Number of removed lymphnodes, radiotherapy and were significantly associated with development of LEL. Translated Mayo Clinic questionnaire can be used with reliable specifity and sensitivity. Four additional questions improved the diagnostic accuracy of the SQ. CONCLUSIONS: The translated SQ is a valuable and predictive tool for screening and early detection of LEL in Gynecological cancer surgery and can even improved by adding simple questions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Endometriales / Neoplasias de los Genitales Femeninos / Linfedema Tipo de estudio: Prognostic_studies / Screening_studies Aspecto: Patient_preference Límite: Female / Humans Idioma: En Revista: Arch Gynecol Obstet Asunto de la revista: GINECOLOGIA / OBSTETRICIA Año: 2023 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Endometriales / Neoplasias de los Genitales Femeninos / Linfedema Tipo de estudio: Prognostic_studies / Screening_studies Aspecto: Patient_preference Límite: Female / Humans Idioma: En Revista: Arch Gynecol Obstet Asunto de la revista: GINECOLOGIA / OBSTETRICIA Año: 2023 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Alemania