Factors Impacting Management of Breast Cancer-Related Lymphedema (BCRL) in Hispanic/Latina Breast Cancer Survivors: A Literature Review

2021 ◽  
pp. 154041532199062
Author(s):  
Elizabeth A. Anderson ◽  
Jane M. Armer
Keyword(s):  
Breast Cancer ◽  
Physical Activity ◽  
At Risk ◽  
Literature Review ◽  
Cultural Influences ◽  
The United States ◽  
Intervention Strategies ◽  
Culturally Tailored ◽  
Breast Cancer Related Lymphedema ◽  
Latina Survivors

Introduction: Breast cancer-related lymphedema (BCRL) is a treatment sequela with negative physical and psychological implications. BCRL is a lifetime concern for survivors and is currently incurable. With the increase in the Latino population in the United States, it is critical for the cancer care community to address factors that increase BCRL risk and negatively impact long-term quality of life. This literature review undertook to identify successful intervention strategies for BCRL among Latina survivors. Methods: Multiple databases were searched for published articles from 2006 to 2020. PRISMA guidelines were utilized. Data were extracted related to physical activity, diet, and psychosocial stress concerns of Latinas at risk for or living with BCRL. Results: Eleven interventions combined education and skill-building techniques to address physical activity, diet, and stress management for BCRL. Family involvement, peer-mentoring, culturally tailored education, and self-care skill development were identified as important for Latina survivors. Conclusion: Latina survivors may benefit from culturally tailored BCRL education programs and self-management interventions. Health care professionals and researchers should consider cultural influences when developing clinical intervention strategies to enhance outcomes for Latinas at risk for living with BCRL. In addition, including family members and/or peers in such strategies may be helpful to Latina survivors.

GIS, Spatial Analysis, and Modeling

2019 ◽  
pp. 1284-1297
Author(s):  
Khadijeh Rouzbehani ◽  
Ghazaleh Sajjadi ◽  
Mohamad Rahim Hatami
Keyword(s):  
Breast Cancer ◽  
United States ◽  
At Risk ◽  
The United States ◽  
Background Information ◽  
Health Related Research ◽  
Health Related ◽  
Physical Environmental Factors ◽  
International Strategies

Breast cancer is a major health issue in all countries affecting thousands of women. Its causes are unknown and the national and international strategies to reduce its morbidity and mortality levels are based on early detection of cancer through screening and treatment according to clinical guidelines. Thus, knowledge of which women are at risk and why they are at risk is therefore essential component of disease prevention and screening. In 2015, an estimated 231,840 new cases of invasive breast cancer are expected to be diagnosed in women in the United States, along with 60,290 new cases of non-invasive (in situ) breast cancer. The purpose of this study is to provide a more detailed analysis of the breast cancer distribution in the United States by comparing the spatial distribution of breast cancer cases against physical environmental factors using Geographic Information System (GIS). Further, it gives background information to the GIS and its applications in health-related research.

GIS, Spatial Analysis, and Modeling

2017 ◽  
pp. 16-29
Author(s):  
Khadijeh Rouzbehani ◽  
Ghazaleh Sajjadi ◽  
Mohamad Rahim Hatami
Keyword(s):  
Breast Cancer ◽  
United States ◽  
At Risk ◽  
The United States ◽  
Background Information ◽  
Health Related Research ◽  
Health Related ◽  
Physical Environmental Factors ◽  
International Strategies

Breast cancer is a major health issue in all countries affecting thousands of women. Its causes are unknown and the national and international strategies to reduce its morbidity and mortality levels are based on early detection of cancer through screening and treatment according to clinical guidelines. Thus, knowledge of which women are at risk and why they are at risk is therefore essential component of disease prevention and screening. In 2015, an estimated 231,840 new cases of invasive breast cancer are expected to be diagnosed in women in the United States, along with 60,290 new cases of non-invasive (in situ) breast cancer. The purpose of this study is to provide a more detailed analysis of the breast cancer distribution in the United States by comparing the spatial distribution of breast cancer cases against physical environmental factors using Geographic Information System (GIS). Further, it gives background information to the GIS and its applications in health-related research.

scholarly journals Integrating Symptoms Into the Diagnostic Criteria for Breast Cancer–Related Lymphedema: Applying Results From a Prospective Surveillance Program

2020 ◽  
Vol 100 (12) ◽  
pp. 2186-2197
Author(s):  
Cheryl L Brunelle ◽  
Sacha A Roberts ◽  
Nora K Horick ◽  
Tessa C Gillespie ◽  
Jamie M Jacobs ◽  
...  
Keyword(s):  
Breast Cancer ◽  
At Risk ◽  
Early Intervention ◽  
Diagnostic Criteria ◽  
Multivariable Analysis ◽  
Primary Study ◽  
Surveillance Program ◽  
Patients At Risk ◽  
Breast Cancer Related Lymphedema ◽  
Prospective Longitudinal

Abstract Objective The objectives of this study were to determine whether patients reporting symptoms are more likely to develop lymphedema and to describe the temporal relationship between symptom onset and lymphedema. Methods This was a prospective longitudinal cohort study of 647 women treated for breast cancer and screened for lymphedema using arm volume measurements and subjective questionnaires (n = 647; 2284 questionnaires [median 3.5 per patient, range = 1–24]). Primary study outcome was lymphedema (relative volume change ≥10%). The Kaplan–Meier method was used to estimate cumulative lymphedema incidence. Cox proportional hazards models were used to assess the relationship between symptoms, other risk factors, and lymphedema. Results A total of 64 patients (9.9%) developed lymphedema. On multivariable analysis, patients reporting increased arm size (hazard ratio = 3.09, 95% CI = 1.62–5.89) were more likely to progress to lymphedema than those who did not report this symptom. Of those who developed lymphedema, 37 (58%) reported an increased arm size a median of 6.1 months before lymphedema onset (range = 68.6 months before to 50.2 months after lymphedema onset). Conclusion Patients at risk of lymphedema who report increased arm size might do so prior to lymphedema onset and are at 3 times the risk of lymphedema as patients not reporting this symptom. Even without objective or observable edema, these patients should be followed vigilantly and considered for early intervention. Symptoms should be incorporated into screening and diagnostic criteria for lymphedema. Impact This study shows that patients at risk for breast cancer–related lymphedema who report increased arm size should be considered at high risk for progression to lymphedema—even without edema on measurement or clinical examination—and should be followed vigilantly, with consideration of early intervention. Lay summary If you are at risk of lymphedema and you feel as though your arm size has increased, you might develop lymphedema, and you are at 3 times the risk of lymphedema as patients not reporting this symptom. Even without measurable or observable edema, you should be followed vigilantly and consider early intervention.

Breast Cancer in Women with Cystic Disease of the Breast

1965 ◽  
Vol 51 (4) ◽  
pp. 227-236
Author(s):  
Umberto Veronesi ◽  
Giorgio Pizzocaro ◽  
Aldo Vittorio Bono
Keyword(s):  
Breast Cancer ◽  
United States ◽  
At Risk ◽  
National Cancer Institute ◽  
Metropolitan Areas ◽  
The United States ◽  
Contralateral Breast ◽  
Cystic Disease

From 1937 to 1960, 1051 women with cystic disease of the breast were hospitalized at the National Cancer Institute of Milan; 1008 of them were followed for a period ranging from 1 to 26 years, with an average of 8.5 years. All cases were histologically proved. Twenty-one of the patients developed a cancer of the breast; 16 in the breast with the cystic disease, 5 in the contralateral breast. In 667 cases the disease was histologically classified as «simple cystic disease »; 12 of these cases had a breast cancer. In 384 cases the disease was classififed as «hyperplastic cystic disease»; 9 of these developed a cancer of the breast. The follow-up of the 1008 cases provided 8539 person-years at risk; the number of the expected breast cases was calculated on the basis of the Dorn and Cutler data on morbidity of cancer in 10 metropolitan areas of the United States. The number of expected breast cancer was 12.2; the number of observed cases was 21, the ratio between observed and expected cases being 1.71.

scholarly journals Design and Development of a Mobile App Framework to Facilitate Breast Cancer-Preventive Behaviors (m-BCPB) in the At-Risk Women: Qualitative Study

2020 ◽  
Author(s):  
Parvaneh Taymoori ◽  
Maryam Khazaee-Pool ◽  
Tahereh Pashaei ◽  
Koen Ponnet
Keyword(s):  
Breast Cancer ◽  
At Risk ◽  
Qualitative Study ◽  
Literature Review ◽  
Mobile App ◽  
Preventive Behaviors ◽  
Extended Action ◽  
Regulation Model ◽  
App Design ◽  
User Centered

Abstract Background Smartphone apps are becoming a gradually universal template for an offering of preventive behavior interventions among women who are at risk of getting breast cancer. Although, only limited methodological procedures on mixing model, document, and qualitative study for their developments are presented. Thus, this study was aimed to design and develop a model-based, document-driven, and user-centered mobile app framework to facilitate breast cancer preventive behaviors targeting at-risk women. Methods The present study explains how intervention progress may be enriched with a theoretic foundation, literature review, and qualitative research. A semi-structural individual interview and focus group dissection (FGD) were accomplished to combine the user’s participation in the development. Participants were employed using a purposing sampling method. All interviews were audio-recorded, transcribed verbatim, and coded by applying the software MAXQDA. The thematic analysis method was employed for developing themes and sub-themes. Results The ASSISTS model, self-regulation model, and the self-control model were chosen to design the app framework. Data from the literature review presented the most influential document for the designing of the programs. Nineteen women were invited to participate in a semi-structured interview and FGDs. The following five main themes revealed: content, interactive performance, template, extended action and output, and motivational nature. Mobile apps are a useful tool for learning self-care tips, suitable and healthy lifestyles, and stress management, due to their user-friendly and easy feature. The mobile app framework that developed in the present study includes culture-appropriate, user-centered, and reliable content. The mobile app design should include beautiful, visualized features, and interactive multimedia. Conclusions By applying three phases way combining a model basis, the document from the literature review, and qualitative study from the target group can be held as a pattern for the prospective app design.

scholarly journals Trends in Health Behavior and Weight Outcomes Following Enhanced Afterschool Programming Participation: A Pragmatic Quasi-experimental Study

2020 ◽  
Author(s):  
Jessica Rieder ◽  
Jee-Young Moon ◽  
Joanna Joels ◽  
Viswanathan Shankar ◽  
Paul Meissner ◽  
...  
Keyword(s):  
Physical Activity ◽  
At Risk ◽  
The United States ◽  
Composite Score ◽  
Healthy Weight ◽  
Z Score ◽  
Target Behaviors ◽  
Weight Outcomes ◽  
Quasi Experimental ◽  
Afterschool Programming

Abstract Background: The United States needs to increase access to effective obesity prevention and treatment programming for impoverished youth at risk for health disparities. Although interventions targeting schools are recommended, schools rarely implement evidence-based obesity programing.Methods: Using a pragmatic quasi-experimental design, we report on the effectiveness of adding structured nutrition education and minimum physical activity (PA) requirements to standard middle school onsite afterschool programming. Programming was evaluated over three school years (2016- 2018) to determine: 1) impact on healthy weight and target healthy behavior attainment; and 2) whether target behavior improvement was associated with afterschool program attendance and weight change.Results: In response to 601 recruitment letters 13% (76 students) enrolled (62% Hispanic, 46% girls, 72% with BMI > 85 th %ile, 49% with BMI > 95 th %ile). With low baseline attainment of 7 target behaviors including:1) daily breakfast and lunch (32%); 2) 2-3 servings fruit/day (53%); 3) > 3 servings vegetables/day (29%); 4) 8 cups sugar-free beverages (SFB)/day and <1 cup sugary beverage/day (9%); 5) > 8 hours sleep/night (75%); 6) > 7 hours PA/week (21%); and 7) < 1 unhealthy snack (US) and <1 fast food meal/week (25%), the calculated composite score was 2.5 out of 7. Of students with BMI > 85 th %ile, 44% maintained or decreased BMI Z-score. There were non-significant trends in improvements in BMI Z-score and target consumption of: fruit, vegetables, SFB, and US food. Students with higher afterschool attendance ( > 75%) had greater non-significant improvements in composite score, BMI Z-score, and in most target behaviors (5/7) compared to students with lower afterschool attendance (<75%). Although not significant, improvements in composite score attainment and most target behaviors (5/7) were associated with decreases in BMI Z-score. Sleep improvements were significantly associated with BMI Z-score decrease (Beta=-0.05, 95% CI (-0.1,-0.003), p=0.038.) Conclusions : Enhancement of existing afterschool programming with health oriented elements and minimum physical activity requirements demonstrates trends toward improvement in several health behaviors and weight outcomes. Addition of enhanced programming increases access to health activities and may bring us closer to solving issue of obesity in at-risk youth in impoverished communities.Trial registration: ClinicalTrials.gov identifier (NCT number): NCT03565744. Registered 21 June 2018 – Retrospectively registerd, https://register.clinicaltrials.gov/prs/app/action/LoginUser?ts=1&cx=-jg9qo4.

Sign in / Sign up

Export Citation Format

Share Document