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Assessment of Child Anthropometry in a Large Epidemiologic Study
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Axillary web syndrome assessment using a self-assessment questionnaire: a prospective cohort study
F Baggi1, Luiz Felipe Nevola Teixeira2, S Gandini3
1Physiotherapy Department, European Institute of Oncology, Via Ripamonti 435, 20141, Milan, Italy.
Summary
Axillary web syndrome (AWS) affects over half of breast cancer patients post-surgery, often appearing within 4 weeks. Younger, normal-weight patients experienced higher detection rates, indicating a need for extended monitoring.
Area of Science:
- Oncology
- Surgical Complications
- Rehabilitation
Background:
- Breast cancer surgery can lead to axillary web syndrome (AWS), characterized by fibrotic cords in the arm.
- Current diagnosis relies on physical evaluation, necessitating improved early detection methods.
Purpose of the Study:
- To assess the incidence and enable early detection of axillary web syndrome (AWS) in breast cancer patients.
- To identify patient factors associated with AWS development and persistence.
Main Methods:
- A cohort of 370 breast cancer patients was monitored from July 2013 to July 2014.
- Self-assessment questionnaires were utilized for early AWS detection.
- Statistical analyses (univariate and multivariate) identified associations between patient demographics, BMI, and AWS.
Main Results:
- Axillary web syndrome (AWS) incidence was 51.1%, with 94.1% of cases appearing within 4 weeks post-surgery.
- 43.5% of patients did not recover within 8 weeks.
- Younger age (<50 years) and normal BMI (≤25) were significantly associated with higher AWS detection.
Conclusions:
- Axillary web syndrome (AWS) is a common complication following breast cancer surgery, particularly in the initial post-operative month.
- Extended follow-up and evaluation are recommended due to delayed recovery in some patients.
- Younger patients and those with normal weight require particular attention for AWS monitoring.
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