The management of the prevention and the treatment of lymphoedema — a literature review
Abstract
Lymphoedema, which is understood as a result of mechanical (low output) failure of the lymphatic system, may be a result of abnormalities of structure and function of the lymphatic system (primary lymphoedema), injuries, inflammation, chronic vein insufficiency or related to cancer (secondary lymphoedema). Because of chronic nature of the illness and the lack of possibilities to be cured, education and prevention play an important role. In the developed lymphoedema complex physical therapy is used which an indispensable factor is compression therapy. This paper presents current review of knowledge using in the prevention and the treatment of lymphatic insufficiency and also describes barriers in the sufficient management of lymphedema in the health care system.
Keywords: lymphatic systemlymphoedemapreventioneducationphysical activitycompression therapycomplex physical therapy
References
- Watt H, Singh-Grewal D, Wargon O, et al. Paediatric lymphoedema: A retrospective chart review of 86 cases. J Paediatr Child Health. 2017; 53(1): 38–42.
- International Society of . The diagnosis and treatment of peripheral lymphedema: Consensus document of the International Society of . Lymphology. 2013; 46: 1–11.
- Partsch H, Flour M, Coleridge-Smith P. Consensus Statement. Indication for compression therapy in venous and lymphatic disease. Intern Angiol. 2008; 27: 193–219.
- Monleon S, Murta-Nascimento C, Bascuas I, et al. Lymphedema Predictor Factors after Breast Cancer Surgery: A Survival Analysis. Lymphat Res Biol. 2015; 13(4): 268–274.
- Baker A, Semple JL, Moore S, et al. Lymphatic function is impaired following irradiation of a single lymph node. Lymphat Res Biol. 2014; 12(2): 76–88.
- Pusic AL, Cemal Y, Albornoz C, et al. Quality of life among breast cancer patients with lymphedema: a systematic review of patient-reported outcome instruments and outcomes. J Cancer Surviv. 2013; 7(1): 83–92.
- Chachaj A, Małyszczak K, Pyszel K, et al. Physical and psychological impairments of women with upper limb lymphedema following breast cancer treatment. Psychooncology. 2010; 19(3): 299–305.
- Stout Gergich NL, Pfalzer LA, McGarvey C, et al. Preoperative assessment enables the early diagnosis and successful treatment of lymphedema. Cancer. 2008; 112(12): 2809–2819.
- Ostby PL, Armer JM, Dale PS, et al. Surveillance recommendations in reducing risk of and optimally managing breast cancer-related lymphedema. J Pers Med. 2014; 4(3): 424–447.
- Soran A, Ozmen T, McGuire KP, et al. The importance of detection of subclinical lymphedema for the prevention of breast cancer-related clinical lymphedema after axillary lymph node dissection; a prospective observational study. Lymphat Res Biol. 2014; 12(4): 289–294.
- Gatt M, Willis S, Leuschner S. A meta-analysis of the effectiveness and safety of kinesiology taping in the management of cancer-related lymphoedema. Eur J Cancer Care (Engl). 2016 [Epub ahead of print].
- Shah C, Arthur DW, Wazer D, et al. The impact of early detection and intervention of breast cancer-related lymphedema: a systematic review. Cancer Med. 2016; 5(6): 1154–1162.
- Zimmermann A, Wozniewski M, Szklarska A, et al. Efficacy of manual lymphatic drainage in preventing secondary lymphedema after breast cancer surgery. Lymphology. 2012; 45(3): 103–112.
- Zhang L, Fan A, Yan J, et al. Combining Manual Lymph Drainage with Physical Exercise after Modified Radical Mastectomy Effectively Prevents Upper Limb Lymphedema. Lymphat Res Biol. 2016; 14(2): 104–108.
- Stuiver MM, ten Tusscher MR, Agasi-Idenburg CS, et al. Conservative interventions for preventing clinically detectable upper-limb lymphoedema in patients who are at risk of developing lymphoedema after breast cancer therapy. Cochrane Database Syst Rev. 2015(2): CD009765.
- Ochalek K, Gradalski T, Partsch H. Preventing early postoperative arm swelling and lymphedema manifestation by compression sleeves after axillary lymph node interventions in breast cancer patients: A randomized controlled trial. J Pain Symptom Manage. 2017 [Epub ahead of print].
- Sawan S, Mugnai R, Lopes Ad, et al. Lower-limb lymphedema and vulval cancer: feasibility of prophylactic compression garments and validation of leg volume measurement. Int J Gynecol Cancer. 2009; 19(9): 1649–1654.
- Cal A, Bahar Z. Women's Barriers to Prevention of Lymphedema After Breast Surgery and Home Care Needs: A Qualitative Study. Cancer Nurs. 2016; 39(6): E17–E25.
- Sun F, Skolny MN, Swaroop MN, et al. The need for preoperative baseline arm measurement to accurately quantify breast cancer-related lymphedema. Breast Cancer Res Treat. 2016; 157(2): 229–240.
- Malicka I, Rosseger A, Hanuszkiewicz J, et al. Kinesiology Taping reduces lymphedema of the upper extremity in women after breast cancer treatment: a pilot study. Prz Menopauzalny. 2014; 13(4): 221–226.
- Rogan S, Taeymans J, Luginbuehl H, et al. Therapy modalities to reduce lymphoedema in female breast cancer patients: a systematic review and meta-analysis. Breast Cancer Res Treat. 2016; 159(1): 1–14.
- Dayes I, Whelan T, Julian J, et al. Randomized Trial of Decongestive Lymphatic Therapy for the Treatment of Lymphedema in Women With Breast Cancer. Journal of Clinical Oncology. 2013; 31(30): 3758–3763.
- Vignes S, Blanchard M, Arrault M, et al. Intensive complete decongestive physiotherapy for cancer-related upper-limb lymphedema: 11 days achieved greater volume reduction than 4. Gynecol Oncol. 2013; 131(1): 127–130.
- Gradalski T, Ochalek K, Kurpiewska J. Complex Decongestive Lymphatic Therapy With or Without Vodder II Manual Lymph Drainage in More Severe Chronic Postmastectomy Upper Limb Lymphedema: A Randomized Noninferiority Prospective Study. J Pain Symptom Manage. 2015; 50(6): 750–757.
- King M, Deveaux A, White H, et al. Compression garments versus compression bandaging in decongestive lymphatic therapy for breast cancer-related lymphedema: a randomized controlled trial. Support Care Cancer. 2012; 20(5): 1031–1036.
- McNeely ML, Campbell KL, Webster M, et al. Efficacy of night-time compression for breast cancer related lymphedema (LYNC): protocol for a multi-centre, randomized controlled efficacy trial. BMC Cancer. 2016; 16: 601.
- Gradalski T, Kurpiewska J, Ochalek K, et al. The application of negative pressure wound therapy combined with compression bandaging for the decubitus ulcer of an advanced primary lower limb lymphedema. Int J Dermatol. 2017; 56(7): e144–e147.
- Taradaj J, Halski T, Rosinczuk J, et al. The influence of Kinesiology Taping on the volume of lymphoedema and manual dexterity of the upper limb in women after breast cancer treatment. Eur J Cancer Care (Engl). 2016; 25(4): 647–660.
- Lee BB, Andrade M, Antignani PL, et al. International Union of Phlebology. Diagnosis and treatment of primary lymphedema. Consensus document of the International Union of Phlebology (IUP)-2013. Int Angiol. 2013; 32(6): 541–574.
- Grądalski T. Pacjent z obrzękami kończyn dolnych opornymi na leczenie farmakologiczne – opis przypadku. Lekarz Rodzinny. 2016; 2: 82–88.
- Fialka-Moser V, Korpan M, Varela E, et al. The role of physical and rehabilitation medicine specialist in lymphoedema. Ann Phys Rehabil Med. 2013; 56(5): 396–410.
- Stout NL, Binkley JM, Schmitz KH, et al. A Prospective Surveillance Model for Rehabilitation for Women With Breast Cancer. Cancer 2012; Apr 15. ; 118(8 Suppl): 2207–2216.
- Lester J. Advocacy for survivors with or at risk for lymphedema. Semin Oncol Nurs. 2013; 29(1): 66–70.
- Dickson P. The occupational therapist’s role in lymphedema self-management. Occupational Therapy Now. 2012; 14: 19–21.
- Stout NL, Pfalzer LA, Springer B, et al. Breast cancer-related lymphedema: comparing direct costs of a prospective surveillance model and a traditional model of care. Phys Ther. 2012; 92(1): 152–163.
- Załącznik 1. do rozporządzenia Ministra Zdrowia z dnia 6 listopada 2013 r. (Dz. U. z 12 grudnia 2013 r. poz. 1522).
- Fukuda R, Akazawa C, Arakawa C. Relationship between self-care continuation and self-efficacy in patients with secondary lower extremity lymphedema: A questionnaire survey. Journal of Nursing Education and Practice. 2015; 5(12).
- Załącznik do rozporządzenia Ministra Zdrowia z dnia 6 grudnia 2013 r. (Dz. U. z 17 grudnia 2013 r. poz. 1565).
- http://www.nfz-warszawa.pl/dla-swiadczeniodawcow/aktualnosci/komunikat-dla-swiadczeniodawcow-wystawiajacych-i-realizujacych-zlecenia-na-zaopatrzenie-w-rekawy- i-nogawice-uciskowe,1.html (dostęp 07. 07. 2017 r.).
- http://www.icd9.pl/dzial16/rozdzial93/podrozdzial93.3/kategoria93.39/ (dostęp 07. 07. 2017 r.
- Grądalski T, Ochałek K. W stronę systemu opieki medycznej w zastoinowej niewydolności chłonnej – głos w dyskusji. Acta Angiol. 2013; 19: 46–49.
- Weiss R. Cost of a lymphedema treatment mandate-10 years of experience in the Commonwealth of Virginia. Health Econ Rev. 2016; 6(1): 42.