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SF-36 Shows Increased Quality of Life Following Complete Reduction of Postmastectomy Lymphedema with Liposuction

Hoffner, Mattias LU ; Bagheri, Shirin; Hansson, Emma LU ; Manjer, Jonas LU ; Troëng, Thomas and Brorson, Håkan LU (2017) In Lymphatic Research and Biology 15(1). p.87-98
Abstract

Background: Arm lymphedema after breast cancer surgery affects women both from physical and psychological points of view. Lymphedema leads to adipose tissue deposition. Liposuction and controlled compression therapy (CCT) reduces the lymphedema completely. Methods and Results: Sixty female patients with arm lymphedema were followed for a 1-year period after surgery. The 36-item short-form health survey (SF-36) was used to assess health-related quality of life (HRQoL). Patients completed the SF-36 questionnaire before liposuction, and after 1, 3, 6, and 12 months. Preoperative excess arm volume was 1365 ± 73 mL. Complete reduction was achieved after 3 months and was sustained during follow-up. The adipose tissue volume removed at surgery... (More)

Background: Arm lymphedema after breast cancer surgery affects women both from physical and psychological points of view. Lymphedema leads to adipose tissue deposition. Liposuction and controlled compression therapy (CCT) reduces the lymphedema completely. Methods and Results: Sixty female patients with arm lymphedema were followed for a 1-year period after surgery. The 36-item short-form health survey (SF-36) was used to assess health-related quality of life (HRQoL). Patients completed the SF-36 questionnaire before liposuction, and after 1, 3, 6, and 12 months. Preoperative excess arm volume was 1365 ± 73 mL. Complete reduction was achieved after 3 months and was sustained during follow-up. The adipose tissue volume removed at surgery was 1373 ± 56 mL. One month after liposuction, better scores were found in mental health. After 3 months, an increase in physical functioning, bodily pain, and vitality was detected. After 1 year, an increase was also seen for social functioning. The physical component score was higher at 3 months and thereafter, while the mental component score was improved at 3 and 12 months. Compared with SF-36 norm data for the Swedish population, only physical functioning showed lower values than the norm at baseline. After liposuction, general health, bodily pain, vitality, mental health, and social functioning showed higher values at various time points. Conclusions: Liposuction of arm lymphedema in combination with CCT improves patients HRQoL as measured with SF-36. The treatment seems to target and improve both the physical and mental health domains.

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author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Breast cancer, Liposuction, Lymphedema, Quality of life, SF-36
in
Lymphatic Research and Biology
volume
15
issue
1
pages
12 pages
publisher
Mary Ann Liebert, Inc.
external identifiers
  • scopus:85016129199
  • pmid:28135120
ISSN
1539-6851
DOI
10.1089/lrb.2016.0035
language
English
LU publication?
no
id
bbc86ae1-d4e9-4937-93d9-36cd7a813eee
alternative location
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5369397/
date added to LUP
2017-04-23 14:54:09
date last changed
2018-01-07 12:00:32
@article{bbc86ae1-d4e9-4937-93d9-36cd7a813eee,
  abstract     = {<p>Background: Arm lymphedema after breast cancer surgery affects women both from physical and psychological points of view. Lymphedema leads to adipose tissue deposition. Liposuction and controlled compression therapy (CCT) reduces the lymphedema completely. Methods and Results: Sixty female patients with arm lymphedema were followed for a 1-year period after surgery. The 36-item short-form health survey (SF-36) was used to assess health-related quality of life (HRQoL). Patients completed the SF-36 questionnaire before liposuction, and after 1, 3, 6, and 12 months. Preoperative excess arm volume was 1365 ± 73 mL. Complete reduction was achieved after 3 months and was sustained during follow-up. The adipose tissue volume removed at surgery was 1373 ± 56 mL. One month after liposuction, better scores were found in mental health. After 3 months, an increase in physical functioning, bodily pain, and vitality was detected. After 1 year, an increase was also seen for social functioning. The physical component score was higher at 3 months and thereafter, while the mental component score was improved at 3 and 12 months. Compared with SF-36 norm data for the Swedish population, only physical functioning showed lower values than the norm at baseline. After liposuction, general health, bodily pain, vitality, mental health, and social functioning showed higher values at various time points. Conclusions: Liposuction of arm lymphedema in combination with CCT improves patients HRQoL as measured with SF-36. The treatment seems to target and improve both the physical and mental health domains.</p>},
  author       = {Hoffner, Mattias and Bagheri, Shirin and Hansson, Emma and Manjer, Jonas and Troëng, Thomas and Brorson, Håkan},
  issn         = {1539-6851},
  keyword      = {Breast cancer,Liposuction,Lymphedema,Quality of life,SF-36},
  language     = {eng},
  month        = {03},
  number       = {1},
  pages        = {87--98},
  publisher    = {Mary Ann Liebert, Inc.},
  series       = {Lymphatic Research and Biology},
  title        = {SF-36 Shows Increased Quality of Life Following Complete Reduction of Postmastectomy Lymphedema with Liposuction},
  url          = {http://dx.doi.org/10.1089/lrb.2016.0035},
  volume       = {15},
  year         = {2017},
}