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

Yaoyao Long; Shaoju Xie; Qiao Li; Na Wang

doi:doi:10.11648/j.ajns.20231201.12

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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

Yaoyao Long, Shaoju Xie, Qiao Li, Na Wang

Published in American Journal of Nursing Science (Volume 12, Issue 1)

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), 2024. Published by Science Publishing Group

Keywords

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

References

[1]	Campbell, K. L., Pusic, A. L., Zucker, D. S., McNeely, M. L., Binkley, J. M., Cheville, A. L. and Harwood, K. J., 2012. A prospective model of care for breast cancer rehabilitation: Function. Cancer, 118 (8), pp. 2300–2311. https://doi.org/10.1002/cncr.27464.
[2]	Casley-Smith, J. R., 1995. Alterations of untreated lymphedema and its grades over time. Lymphology, 28 (4), pp. 174–185.
[3]	Chi, C. F., Lin, C. H. and Yang, H. S., 2008. The causal analysis of requested alterations for pressure garments. Journal of Burn Care & Research: Official Publication of the American Burn Association, 29 (6), pp. 965–974. https://doi.org/10.1097/BCR.0b013e31818ba12a.
[4]	DiSipio, T., Rye, S., Newman, B. and Hayes, S., 2013. Incidence of unilateral arm lymphoedema after breast cancer: a systematic review and meta-analysis. Lancet Oncology, 14 (6), pp. 500–15. http://dx.doi.org/10.1016/S1470-2045(13)70076-7.
[5]	Executive Committee, 2016. The Diagnosis and Treatment of Peripheral Lymphedema: 2016 Consensus Document of the International Society of Lymphology. Lymphology, 49 (4), pp. 170–184.
[6]	Executive Committee of the International Society of Lymphology, 2020. The diagnosis and treatment of peripheral lymphedema: 2020 Consensus Document of the International Society of Lymphology. Lymphology, 53 (1), pp. 3–19.
[7]	Finnane, A., Janda, M. and Hayes, S. C., 2015. Review of the evidence of lymphedema treatment effect. American journal of physical medicine & rehabilitation, 94 (6), pp. 483–498. https://doi.org/10.1097/PHM.0000000000000246.
[8]	Guyatt, G. H., Oxman, A. D., Vist, G. E., Kunz, R., Falck-Ytter, Y., Alonso-Coello, P. and Schünemann, H. J., 2008. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ : British Medical Journal, 336 (7650), pp. 924–926. https://doi.org/10.1136/bmj.39489.470347.AD.
[9]	Higgins, J. P. T., Altman, D. G., Gøtzsche, P. C., Jüni, P., Moher, D., Oxman, A. D., Savović, J., Schulz, K. F., Weeks, L. and Sterne, J. A. C., 2011. The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. The BMJ, 343, p. d5928. https://doi.org/10.1136/bmj.d5928.
[10]	Jungi, W. F., 1981. The prevention and management of lymphoedema after treatment for breast cancer. International Rehabilitation Medicine, 3 (3), pp. 129–134. https://doi.org/10.3109/03790798109166789.
[11]	Lawenda, B. D., Mondry, T. E. and Johnstone, P. A. S., 2009. Lymphedema: a primer on the identification and management of a chronic condition in oncologic treatment. CA: a cancer journal for clinicians, 59 (1), pp. 8–24. https://doi.org/10.3322/caac.20001.
[12]	McNeely, M. L., Campbell, K. L., Webster, M., Kuusk, U., Tracey, K. and Mackey, J., 2016. Efficacy of night-time compression for breast cancer related lymphedema (LYNC): protocol for a multi-centre, randomized controlled efficacy trial. BMC Cancer, 16, p.601. https://doi.org/10.1186/s12885-016-2648-8.
[13]	McNeely, M. L., Dolgoy, N. D., Rafn, B. S., Ghosh, S., Ospina, P. A., Al Onazi, M. M., Radke, L., Shular, M., Kuusk, U., Webster, M., Campbell, K. L. and Mackey, J. R., 2022. Nighttime compression supports improved self-management of breast cancer–related lymphedema: A multicenter randomized controlled trial. Cancer, 128 (3), pp. 587–596. https://doi.org/10.1002/cncr.33943.
[14]	Moher, D., Liberati, A., Tetzlaff, J. and Altman, D. G., 2009. Reprint-Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. Physical Therapy, 89 (9), pp. 873–80. http://dx.doi.org/10.1093/ptj/89.9.873.
[15]	Nolan, S. J., Hambleton, I. and Dwan, K., 2016. The Use and Reporting of the Cross-Over Study Design in Clinical Trials and Systematic Reviews: A Systematic Assessment. PLoS ONE, 11 (7), p. e0159014. https://doi.org/10.1371/journal.pone.0159014.
[16]	Ochalek, K., Gradalski, T. and Partsch, H., 2017. Preventing Early Postoperative Arm Swelling and Lymphedema Manifestation by Compression Sleeves After Axillary Lymph Node Interventions in Breast Cancer Patients: A Randomized Controlled Trial. Journal of Pain and Symptom Management, 54 (3), pp. 346–354. https://doi.org/10.1016/j.jpainsymman.2017.04.014.
[17]	Ozsoy-Unubol, T., Sanal-Toprak, C., Bahar-Ozdemir, Y. and Akyuz, G., 2019. Efficacy of kinesio taping in early stage breast cancer associated lymphedema: A randomized single blinded study. Lymphology, 52 (4), pp. 166–176.
[18]	Pajero Otero, V., García Delgado, E., Martín Cortijo, C., Romay Barrero, H. M., de Carlos Iriarte, E. and Avendaño-Coy, J., 2019. Kinesio taping versus compression garments for treating breast cancer-related lymphedema: a randomized, cross-over, controlled trial. Clinical Rehabilitation, 33 (12), pp. 1887–1897. https://doi.org/10.1177/0269215519874107.
[19]	Paskett, E. D., Dean, J. A., Oliveri, J. M. and Harrop, J. P., 2012. Cancer-related lymphedema risk factors, diagnosis, treatment, and impact: a review. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 30 (30), pp. 3726–3733. https://doi.org/10.1200/JCO.2012.41.8574.
[20]	Ripper, S., Renneberg, B., Landmann, C., Weigel, G. and Germann, G., 2009. Adherence to pressure garment therapy in adult burn patients. Burns: Journal of the International Society for Burn Injuries, 35 (5), pp. 657–664. https://doi.org/10.1016/j.burns.2009.01.011.
[21]	Senn, S. S., 2002. Cross-over Trials in Clinical Research. John Wiley & Sons.
[22]	Siegel, R. L., Miller, K. D., Fuchs, H. E. and Jemal, A., 2022. Cancer statistics, 2022. [online] Available at: [Accessed 17 February 2022].
[23]	Tantawy, S. A., Abdelbasset, W. K., Nambi, G. and Kamel, D. M., 2019. Comparative Study Between the Effects of Kinesio Taping and Pressure Garment on Secondary Upper Extremity Lymphedema and Quality of Life Following Mastectomy: A Randomized Controlled Trial. Integrative Cancer Therapies, 18, p. 1534735419847276. https://doi.org/10.1177/1534735419847276.

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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
PY  - 2023
N1  - https://doi.org/10.11648/j.ajns.20231201.12
DO  - 10.11648/j.ajns.20231201.12
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 7
EP  - 13
PB  - Science Publishing Group
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

Yaoyao Long

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

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

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

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

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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}
}

Copy | Download

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
PY  - 2023
N1  - https://doi.org/10.11648/j.ajns.20231201.12
DO  - 10.11648/j.ajns.20231201.12
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 7
EP  - 13
PB  - Science Publishing Group
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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