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Ultrasonographic Evaluation of Breast Cancer-related Lymphedema

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Using the STRIDE algorithm for compression selection in upper-body lymphoedema.

Suzie Ehmann¹, Brandy McKeown², Sandi Davis³

¹McLeod Health Seacoast, Little River, SC, USA.

Journal of Wound Care

|November 11, 2025

Summary

This summary is machine-generated.

The STRIDE algorithm, an evidence-based approach for compression selection, has been updated to include the upper limb, trunk, and breast. It offers a patient-centered method for choosing compression garments based on swelling, tissue, and individual needs.

Keywords:

Breast and truncal oedema Compression garment selection Daytime and night-time compression Evidence-based clinical framework Individualised management Patient-centred therapy STRIDE algorithm Textile stiffness and containment Tissue texture assessment Upper-body lymphoedema

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Area of Science:

Medical Devices
Clinical Algorithms
Lymphedema Management

Background:

Compression therapy is crucial for managing edema.
Existing compression selection methods may lack comprehensive patient-specific considerations.
The STRIDE algorithm was previously developed for lower limb edema.

Purpose of the Study:

To present the second iteration of the STRIDE algorithm for compression selection.
To extend the STRIDE algorithm's application to the upper limb, trunk, and breast.
To provide practical tools for applying the STRIDE algorithm in clinical practice.

Main Methods:

The STRIDE algorithm is evidence-based and patient-centered.
It incorporates factors like swelling characteristics (site, shape, size), tissue texture, 24-hour fluid refill patterns, and patient-specific issues.
Pressure dosage and textile properties are key considerations, alongside edema etiology and staging.

Main Results:

The STRIDE algorithm has been successfully extended to encompass the upper limb, trunk, and breast.
The algorithm integrates multiple clinical and patient factors for informed compression selection.
Practical tools for applying the algorithm are detailed in the article.

Conclusions:

The updated STRIDE algorithm provides a comprehensive, evidence-based framework for compression selection across multiple body areas.
It facilitates a personalized approach to compression therapy, considering complex patient and condition-specific factors.
The availability of practical tools supports the clinical implementation of the STRIDE algorithm for improved patient outcomes.