Multidisciplinary preventive intervention for breast cancer-related lymphedema: an international consensus

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 consen...

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Detalles Bibliográficos
Autores: Martínez-Jaimez, Patricia, Fuster-Linares, Pilar, Piller, Neil, Masia, Jaume, Yamamoto, Takumi, López Montoya, Luis Enrique, Monforte-Royo, Cristina
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:20.500.12328/4140
Acceso en línea:http://hdl.handle.net/20.500.12328/4140
https://dx.doi.org/10.1155/2023/9897040
https://dx.doi.org/10.1111/ecc.13704
Access Level:acceso abierto
Palabra clave:Càncer de mama
Limfedema relacionat amb el càncer de mama
Consens internacional
Equip multidisciplinari
Prevenció
Recomanacions d'intervenció
Cáncer de mama
Linfedema relacionado con cáncer de mama
Consenso internacional
Equipo multidisciplinario
Prevención
Recomendaciones de intervención
Breast cancer
Breast cancer-related lymphedema
International consensus
Multidisciplinary team
Prevention
Recommendations for intervention
616
Descripción
Sumario: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.