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A pilot study of lower extremity lymphedema, lower extremity function, and quality of life in women after minimally invasive endometrial cancer staging surgery.

Publication ,  Journal Article
Watson, CH; Lopez-Acevedo, M; Broadwater, G; Kim, AH; Ehrisman, J; Davidson, BA; Lee, PS; Valea, F; Berchuck, A; Havrilesky, LJ
Published in: Gynecol Oncol
May 2019

OBJECTIVE: The primary aim of this study was to pilot the use of an objective measurement technique to prospectively evaluate the incidence of lower extremity lymphedema (LEL) after minimally invasive staging surgery for endometrial cancer. Secondary objectives included observation of changes in lower extremity function and quality of life in this patient population. METHODS: A prospective evaluation of LEL was performed in 97 women who underwent minimally invasive staging surgery for endometrial cancer using comparative circumferential volume measurements. Postoperative changes in lower extremity function and global quality of life were also assessed using patient-reported outcome measures. RESULTS: Ninety-seven patients were included for lymphedema analysis. The rate of LEL was 25% at 4-6 weeks, 19% at 6-9 months, and 27% at 12-18 months postoperatively. The presence of LEL was associated with a significant worsening from baseline Lower Extremity Functional Scale (LEFS) scores at 4-6 weeks (-27.0% vs -3.7%, p = 0.02) and 6-9 months (-13.0% vs 0%, p = 0.01). LEL was not associated with a change in patient-reported global quality of life. CONCLUSIONS: Up to one in four women experience lymphedema following surgical staging for endometrial cancer, and its presence is associated with diminished lower extremity function. Larger, prospective trials using the objective methodology piloted in this study should better clarify risk factors and long-term outcomes of this morbidity.

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Published In

Gynecol Oncol

DOI

EISSN

1095-6859

Publication Date

May 2019

Volume

153

Issue

2

Start / End Page

399 / 404

Location

United States

Related Subject Headings

  • Quality of Life
  • Prospective Studies
  • Pilot Projects
  • Oncology & Carcinogenesis
  • Neoplasm Staging
  • Minimally Invasive Surgical Procedures
  • Middle Aged
  • Lymphedema
  • Longitudinal Studies
  • Leg
 

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Watson, C. H., Lopez-Acevedo, M., Broadwater, G., Kim, A. H., Ehrisman, J., Davidson, B. A., … Havrilesky, L. J. (2019). A pilot study of lower extremity lymphedema, lower extremity function, and quality of life in women after minimally invasive endometrial cancer staging surgery. Gynecol Oncol, 153(2), 399–404. https://doi.org/10.1016/j.ygyno.2019.02.021
Watson, Catherine H., Micael Lopez-Acevedo, Gloria Broadwater, Amy H. Kim, Jessie Ehrisman, Brittany A. Davidson, Paula S. Lee, Fidel Valea, Andrew Berchuck, and Laura J. Havrilesky. “A pilot study of lower extremity lymphedema, lower extremity function, and quality of life in women after minimally invasive endometrial cancer staging surgery.Gynecol Oncol 153, no. 2 (May 2019): 399–404. https://doi.org/10.1016/j.ygyno.2019.02.021.
Watson CH, Lopez-Acevedo M, Broadwater G, Kim AH, Ehrisman J, Davidson BA, et al. A pilot study of lower extremity lymphedema, lower extremity function, and quality of life in women after minimally invasive endometrial cancer staging surgery. Gynecol Oncol. 2019 May;153(2):399–404.
Watson, Catherine H., et al. “A pilot study of lower extremity lymphedema, lower extremity function, and quality of life in women after minimally invasive endometrial cancer staging surgery.Gynecol Oncol, vol. 153, no. 2, May 2019, pp. 399–404. Pubmed, doi:10.1016/j.ygyno.2019.02.021.
Watson CH, Lopez-Acevedo M, Broadwater G, Kim AH, Ehrisman J, Davidson BA, Lee PS, Valea F, Berchuck A, Havrilesky LJ. A pilot study of lower extremity lymphedema, lower extremity function, and quality of life in women after minimally invasive endometrial cancer staging surgery. Gynecol Oncol. 2019 May;153(2):399–404.
Journal cover image

Published In

Gynecol Oncol

DOI

EISSN

1095-6859

Publication Date

May 2019

Volume

153

Issue

2

Start / End Page

399 / 404

Location

United States

Related Subject Headings

  • Quality of Life
  • Prospective Studies
  • Pilot Projects
  • Oncology & Carcinogenesis
  • Neoplasm Staging
  • Minimally Invasive Surgical Procedures
  • Middle Aged
  • Lymphedema
  • Longitudinal Studies
  • Leg