Effectiveness of a precast adjustable compression system compared to multilayered compression bandages in the treatment of breast cancer-related lymphoedema: a randomized, single-blind clinical trial

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• dc.contributor.author Pujol-Blaya, Vicenta
• dc.contributor.author Salinas-Huertas, Sira
• dc.contributor.author Catasús, M Luisa
• dc.contributor.author Pascual, Teresa
• dc.contributor.author Belmonte Martinez, Roser
• dc.date.accessioned 2019-03-28T07:39:02Z
• dc.date.available 2019-03-28T07:39:02Z
• dc.date.issued 2019
• dc.description.abstract OBJECTIVE: To compare the effectiveness of a precast adjustable compression system with that of multilayered compression bandages in the treatment of breast cancer-related lymphoedema. DESIGN: Multicenter, randomized, single-blind parallel-group clinical trial. SETTING: The rehabilitation services of four general university hospitals. SUBJECTS: Patients with upper limb breast cancer-related lymphoedema. INTERVENTIONS: All the patients received manual lymphatic drainage, followed by a precast adjustable compression system or multilayered compression bandages, according to the group allocation. The treatment included 10 consecutive sessions over a two-week period from Monday to Friday, followed by some sessions on three alternate days per week, until the patient received a tailored compression garment. PRIMARY MEASUREMENTS: The patients were evaluated just before the treatment, after 10 sessions and at three months posttreatment. The primary outcome was the change in excess lymphoedema volume. Secondary outcomes were changes in the symptoms of pain, heaviness, tightness and hardness. Analyses were performed using an intention-to-treat approach. RESULTS: In all, 42 patients were included; there were 22 in the precast adjustable compression system group and 20 in the multilayered compression bandages group. Both groups exhibited significant decreases in excess volume and symptoms after 10 sessions and at three months. There were no significant differences regarding excess volume or symptoms between the precast adjustable compression system and multilayered compression bandages groups after 10 sessions and at the three-month follow-up exam. CONCLUSION: The precast adjustable compression system and the multilayered compression bandages have similar efficacy for the reduction of excess lymphoedema volume or symptoms.
• dc.format.mimetype application/pdf
• dc.identifier.citation Pujol-Blaya V, Salinas-Huertas S, Catasús ML, Pascual T, Belmonte R. Effectiveness of a precast adjustable compression system compared to multilayered compression bandages in the treatment of breast cancer-related lymphoedema: a randomized, single-blind clinical trial. Clin Rehabil. 2019 Apr;33(4):631-641. DOI: 10.1177/0269215518821785
• dc.identifier.doi http://dx.doi.org/10.1177/0269215518821785
• dc.identifier.issn 0269-2155
• dc.identifier.uri http://hdl.handle.net/10230/36993
• dc.language.iso eng
• dc.publisher SAGE Publications
• dc.relation.ispartof Clinical Rehabilitation. 2019 Apr;33(4):631-41
• dc.rights Pujol-Blaya V, Salinas-Huertas S, Catasús ML, Pascual T, Belmonte R. Effectiveness of a precast adjustable compression system compared to multilayered compression bandages in the treatment of breast cancer-related lymphoedema: a randomized, single-blind clinical trial. Clin Rehabil. 2019 Apr;33(4):631-641. Copyright © 2019. DOI: 10.1177/0269215518821785.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.subject.keyword Breast cancer
• dc.subject.keyword Rehabilitation interventions
• dc.subject.keyword Conservative therapies
• dc.subject.keyword Lymphoedema
• dc.subject.other Mama -- Càncer
• dc.title Effectiveness of a precast adjustable compression system compared to multilayered compression bandages in the treatment of breast cancer-related lymphoedema: a randomized, single-blind clinical trial
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/acceptedVersion