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In Adult Breast Cancer Patients, the Effect of Compression Garments on Changes in the Volume of Breast Cancer lymphedema: A Literature Review

Received: 16 December 2022     Accepted: 3 January 2023     Published: 17 January 2023
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Abstract

Background About 21% of women treated for cancer develop breast cancer-associated lymphedema (BCRL), which could lead to negative changes in self-image, increased anxiety and reduced quality of life. Currently, there are a variety of treatments to improve lymphedema, and wearing compression garments is considered necessary, however, evidence is lacking to assess the effectiveness of BCRL compression garments. Purpose To evaluate the efficacy and safety of wearing compression garments for lymphedema volume in adult breast cancer patients. Methods By searching MEDLINE, PubMed, Psych Articles, Academic Search Complete, CINAHL and Cochrane Library, the search was limited to peer-reviewed literature published between 2017 and 2022 in English. Inclusion criteria were participants aged ≥18 years and the intervention was wearing a compression garment. The primary outcome was lymphedema volume change and adverse events. Results A total of 903 literature were obtained, and the literature were screened through the PRISMA flow chart, and five literature that met the criteria were finally included, all of which were randomized controlled trials (RCT). Risk of bias assessment and quality of evidence graded for these five RCTs were performed by two independent researchers using the Cochrane Risk of Bias Tool and the GRADE grading System. The five included RCTs were biased to varying degrees because the intervention was obvious, and the quality of the evidences were moderate, but wearing compression garment was effective and safe in all trials. Conclusion In adult breast cancer patients, wearing compression garments could significantly reduce the volume of lymphedema, and the longer the daily wear time, the better the effect, and the safer than Kinesio Taping. Future studies should conduct higher-quality, multicenter randomized controlled trials to further determine the optimal pressure range for compression garment use.

Published in American Journal of Nursing Science (Volume 12, Issue 1)
DOI 10.11648/j.ajns.20231201.12
Page(s) 7-13
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Breast Cancer, Breast Cancer Lymphedema, Compression Garments, Evidence-Based Nursing

References
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  • APA Style

    Yaoyao Long, Shaoju Xie, Qiao Li, Na Wang. (2023). In Adult Breast Cancer Patients, the Effect of Compression Garments on Changes in the Volume of Breast Cancer lymphedema: A Literature Review. American Journal of Nursing Science, 12(1), 7-13. https://doi.org/10.11648/j.ajns.20231201.12

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    ACS Style

    Yaoyao Long; Shaoju Xie; Qiao Li; Na Wang. In Adult Breast Cancer Patients, the Effect of Compression Garments on Changes in the Volume of Breast Cancer lymphedema: A Literature Review. Am. J. Nurs. Sci. 2023, 12(1), 7-13. doi: 10.11648/j.ajns.20231201.12

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    AMA Style

    Yaoyao Long, Shaoju Xie, Qiao Li, Na Wang. In Adult Breast Cancer Patients, the Effect of Compression Garments on Changes in the Volume of Breast Cancer lymphedema: A Literature Review. Am J Nurs Sci. 2023;12(1):7-13. doi: 10.11648/j.ajns.20231201.12

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  • @article{10.11648/j.ajns.20231201.12,
      author = {Yaoyao Long and Shaoju Xie and Qiao Li and Na Wang},
      title = {In Adult Breast Cancer Patients, the Effect of Compression Garments on Changes in the Volume of Breast Cancer lymphedema: A Literature Review},
      journal = {American Journal of Nursing Science},
      volume = {12},
      number = {1},
      pages = {7-13},
      doi = {10.11648/j.ajns.20231201.12},
      url = {https://doi.org/10.11648/j.ajns.20231201.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20231201.12},
      abstract = {Background About 21% of women treated for cancer develop breast cancer-associated lymphedema (BCRL), which could lead to negative changes in self-image, increased anxiety and reduced quality of life. Currently, there are a variety of treatments to improve lymphedema, and wearing compression garments is considered necessary, however, evidence is lacking to assess the effectiveness of BCRL compression garments. Purpose To evaluate the efficacy and safety of wearing compression garments for lymphedema volume in adult breast cancer patients. Methods By searching MEDLINE, PubMed, Psych Articles, Academic Search Complete, CINAHL and Cochrane Library, the search was limited to peer-reviewed literature published between 2017 and 2022 in English. Inclusion criteria were participants aged ≥18 years and the intervention was wearing a compression garment. The primary outcome was lymphedema volume change and adverse events. Results A total of 903 literature were obtained, and the literature were screened through the PRISMA flow chart, and five literature that met the criteria were finally included, all of which were randomized controlled trials (RCT). Risk of bias assessment and quality of evidence graded for these five RCTs were performed by two independent researchers using the Cochrane Risk of Bias Tool and the GRADE grading System. The five included RCTs were biased to varying degrees because the intervention was obvious, and the quality of the evidences were moderate, but wearing compression garment was effective and safe in all trials. Conclusion In adult breast cancer patients, wearing compression garments could significantly reduce the volume of lymphedema, and the longer the daily wear time, the better the effect, and the safer than Kinesio Taping. Future studies should conduct higher-quality, multicenter randomized controlled trials to further determine the optimal pressure range for compression garment use.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - In Adult Breast Cancer Patients, the Effect of Compression Garments on Changes in the Volume of Breast Cancer lymphedema: A Literature Review
    AU  - Yaoyao Long
    AU  - Shaoju Xie
    AU  - Qiao Li
    AU  - Na Wang
    Y1  - 2023/01/17
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    N1  - https://doi.org/10.11648/j.ajns.20231201.12
    DO  - 10.11648/j.ajns.20231201.12
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    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
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    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20231201.12
    AB  - Background About 21% of women treated for cancer develop breast cancer-associated lymphedema (BCRL), which could lead to negative changes in self-image, increased anxiety and reduced quality of life. Currently, there are a variety of treatments to improve lymphedema, and wearing compression garments is considered necessary, however, evidence is lacking to assess the effectiveness of BCRL compression garments. Purpose To evaluate the efficacy and safety of wearing compression garments for lymphedema volume in adult breast cancer patients. Methods By searching MEDLINE, PubMed, Psych Articles, Academic Search Complete, CINAHL and Cochrane Library, the search was limited to peer-reviewed literature published between 2017 and 2022 in English. Inclusion criteria were participants aged ≥18 years and the intervention was wearing a compression garment. The primary outcome was lymphedema volume change and adverse events. Results A total of 903 literature were obtained, and the literature were screened through the PRISMA flow chart, and five literature that met the criteria were finally included, all of which were randomized controlled trials (RCT). Risk of bias assessment and quality of evidence graded for these five RCTs were performed by two independent researchers using the Cochrane Risk of Bias Tool and the GRADE grading System. The five included RCTs were biased to varying degrees because the intervention was obvious, and the quality of the evidences were moderate, but wearing compression garment was effective and safe in all trials. Conclusion In adult breast cancer patients, wearing compression garments could significantly reduce the volume of lymphedema, and the longer the daily wear time, the better the effect, and the safer than Kinesio Taping. Future studies should conduct higher-quality, multicenter randomized controlled trials to further determine the optimal pressure range for compression garment use.
    VL  - 12
    IS  - 1
    ER  - 

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Author Information
  • Department of Oncology, The People’s Hospital of Deyang City, Deyang, China

  • Department of Oncology, The People’s Hospital of Deyang City, Deyang, China

  • Department of Oncology, The People’s Hospital of Deyang City, Deyang, China

  • Department of Oncology, The People’s Hospital of Deyang City, Deyang, China

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