Interhospital Variability in Programmes to Prevent Axillary Lymphadenectomy Sequels in Breast Cancer Patients.

Study Overview
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Brief Summary
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This study aims to determine the effectiveness of the different programmes of four Spanish hospitals about prevention of axillary lymphadenectomy sequels in breast cancer patients.

Detailed Description
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This study aims to describe the different programs for the prevention of sequels of axillary lymphadenectomy in patients with breast cancer in four Spanish hospitals, to determine the degree of compliance of these programs and to register the frecuency of lymphedema and limitation of mobility of the upper limb in breast cancer patients undergoing axillary lymphadenectomy between 2014 and 2016 in the four hospitals.

Official Title
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Interhospital Variability in Programmes to Prevent Axillary Lymphadenectomy Sequels in Breast Cancer Patients.

Conditions
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Breast Cancer Lymphedema, Shoulder Injury

Intervention / Treatment
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* Other: Fulfillment of a preventive programme
* Other: No fulfillment of a preventive programme


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Suffering from axillary lymphadenectomy due to breast cancer treatment between 1 january 2014 until 31 december 2016. Exclusion Criteria: Lymphedema prior to surgery in any of the upper limbs or any malformation or injury that prevents comparison of both upper limb volumes. Cognitive impairment or intellectual disability that would prevent understanding the instructions of the study, as well as the purpose of the same. Serious condition.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| axillary lymphadenectomy sequels<br>Patients who have suffered from axillary lymphadenectomy due to breast cancer between 2014 and 2016 and who have developed breast cancer-related lymphedema and/or shoulder disability who fulfill or not a preventive programme | Other: Fulfillment of a preventive programme<br>* Information about risk factors for breast cancer-related lymphedema and home-based exercise programme for shoulder<br>Other: No fulfillment of a preventive programme<br>* No fulfillment of the preventive programme: Information about risk factors for breast cancer-related lymphedema and home-based exercise programme for shoulder<br>|
| No axillary lymphadenectomy sequels<br>Patients who have suffered from axillary lymphadenectomy due to breast cancer between 2014 and 2016 and who have not develped breast cancer-related lymphedema and/or shoulder disability who fulfill or not a preventive programme. | Other: Fulfillment of a preventive programme<br>* Information about risk factors for breast cancer-related lymphedema and home-based exercise programme for shoulder<br>Other: No fulfillment of a preventive programme<br>* No fulfillment of the preventive programme: Information about risk factors for breast cancer-related lymphedema and home-based exercise programme for shoulder<br>|
| Fulfillment of a preventive programme<br>Patients who fulfil a preventive programme for axillary lymphadenectomy sequels | |
| No fulfillment of a preventive programme<br>Patients who do not fulfil a preventive programme for axillary lymphadenectomy sequels | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| breast cancer-related lymphedema | Truncated cone formula | The agreed date with the participant for the evaluation (second half of 2017) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| functional shoulder limitation | Shoulder Pain and Disability Index | The agreed date with the participant for the evaluation (second half of 2017) | 
| Symptoms associated with breast cancer-related lymphedema | Visual Analogic Scale | The agreed date with the participant for the evaluation (second half of 2017) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Breast cancer, Breast cancer-related lymphedema, Shoulder injury, Prevention, Educational activity, Physiotherapy