Multidisciplinary preventive intervention for breast cancer-related lymphedema: An international consensus
Por:
Martinez-Jaimez, P, Linares, PF, Piller, N, Masia, J, Yamamoto, T, Lopez-Montoya, L, Monforte-Royo, C
Publicada:
1 nov 2022
Ahead of Print:
1 sep 2022
Resumen:
Objective To establish a consensus regarding the multidisciplinary prevention of breast cancer-related lymphedema (BCRL), taking into account the expert opinion of professional groups from across the world involved in the identification and treatment of breast cancers. Methods International consensus study involving a modified nominal group and Delphi process. A total of 50 preventive strategies representing those used by a range of health disciplines involved in breast cancer care were identified by the nominal group. These strategies were categorised into four subgroups (general recommendations, therapeutic approach, rehabilitation medicine and physiotherapy and dietary recommendations) and presented in survey format to a multidisciplinary panel of experts in a two-round Delphi process. Eleven specialist areas and 15 countries were represented on the panel. Results Twenty-seven experts responded to both Delphi rounds, and the mean overall agreement after Round 2 was 85.7%. Of the 50 proposed strategies for preventing BCRL, 48 yielded consensus among experts. Conclusion We report an international consensus for the multidisciplinary prevention of BCRL, setting out recommendations aimed at systematising the care of women with breast cancer. The consensus could provide a platform for the development of standardised clinical guidelines.
Filiaciones:
Martinez-Jaimez, P:
Clin Planas, Breast Reconstruct & Lymphedema Surg Unit, Barcelona, Spain
Univ Int Catalunya, Fac Med & Hlth Sci, Nursing Dept, Barcelona, Spain
Linares, PF:
Univ Int Catalunya, Fac Med & Hlth Sci, Nursing Dept, Barcelona, Spain
Piller, N:
Flinders Ctr Innovat Canc, Flinders Med Ctr, Coll Med & Publ Hlth, Lymphoedema Clin Res Unit, Bedford Pk, SA, Australia
Masia, J:
Clin Planas, Breast Reconstruct & Lymphedema Surg Unit, Barcelona, Spain
Univ Autonoma Barcelona, Dept Plast Surg, Hosp Santa Creu & St Pau, Barcelona, Spain
Hosp del Mar, Dept Plast Surg, Barcelona, Spain
Yamamoto, T:
Natl Ctr Global Hlth & Med, Dept Plast & Reconstruct Surg, Tokyo, Japan
Lopez-Montoya, L:
Fi Fisioterapia Integral SC Res Grp, Zapopan, Mexico
Monforte-Royo, C:
Univ Int Catalunya, Fac Med & Hlth Sci, Nursing Dept, Barcelona, Spain
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