Pneumatic Compression in the Treatment of Post-Mastectomy Lymphedema: Systematic Review

Detalhes bibliográficos
Autor(a) principal: Rech, Juliane Barros dos Santos
Data de Publicação: 2010
Outros Autores: Nóbrega, Luciana, Lemos, Andréa
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/1471
Resumo: Despite the improvements in surgical techniques for breast cancer treatments, lymphedema is still a common complication. The objective of this systematic review was to assess the efficacy of the pneumatic compression in post-mastectomy lymphedema. Quasi-randomized controlled clinical trials published from 1966 to 2009 in the databases indexed in PubMed/Medline and SciELO were selected by using the key words pneumatic compression, lymphedema, mastectomy and breast cancer. The articles were evaluated according to the individual components of methodological quality assessment. Three studies of low methodological quality involving 156 women with postmastectomy lymphedema were included. One of the studies presented a significant difference (p<0.05) when the pneumatic compression was associated with complex physiotherapy. However, when compared to a control group and manual lymphatic drainage, there was no significant difference among the groups. There were no significant effects concerning skin tonicity, joint mobility and tension and heaviness sensations. Due to the low methodological quality of the studies included, there is not enough evidence about the efficacy of this treatment.
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spelling Pneumatic Compression in the Treatment of Post-Mastectomy Lymphedema: Systematic ReviewNeumáticos de Compresión en el Tratamiento de Linfedema Posmastectomía: Revisión SistemáticaCompressão Pneumática no Tratamento de Linfedema Pós-mastectomia: Revisão SistemáticaLinfedemaDispositivos de Compressão Pneumática IntermitenteMastectomiaLymphedemaIntermittent Pneumatic Compression DevicesMastectomyLinfedemaAparatos de Compresión Neumática IntermitenteMastectomíaDespite the improvements in surgical techniques for breast cancer treatments, lymphedema is still a common complication. The objective of this systematic review was to assess the efficacy of the pneumatic compression in post-mastectomy lymphedema. Quasi-randomized controlled clinical trials published from 1966 to 2009 in the databases indexed in PubMed/Medline and SciELO were selected by using the key words pneumatic compression, lymphedema, mastectomy and breast cancer. The articles were evaluated according to the individual components of methodological quality assessment. Three studies of low methodological quality involving 156 women with postmastectomy lymphedema were included. One of the studies presented a significant difference (p<0.05) when the pneumatic compression was associated with complex physiotherapy. However, when compared to a control group and manual lymphatic drainage, there was no significant difference among the groups. There were no significant effects concerning skin tonicity, joint mobility and tension and heaviness sensations. Due to the low methodological quality of the studies included, there is not enough evidence about the efficacy of this treatment.A pesar de los avances en las técnicas quirúrgicas para los tratamientos utilizados en el cáncer de mama, el linfedema, todavía, surge como una complicación frecuente. El objetivo de esta revisión sistemática fue evaluar la eficacia de la compresión neumática en el linfedema posmastectomía. Se seleccionaron los ensayos clínicos cuasialeatorios controlados publicados entre los anos de 1966 y 2009, en las bases de datos indexadas en PubMed/Medline, Lilacs y SciELO utilizando las principales palabras clave: linfedema, mastectomía y cáncer de mama. Los artículos fueron evaluados de acuerdo con los componentes individuales de evaluación de calidad metodológica. Tres estudios de calidad metodológica baja involucrando 156 mujeres con linfedema posmastectomía fueron incluidos. En uno de los estudios se observó una diferencia significativa (p<0,05) cuando la terapia de compresión neumática se asoció con terapia física compleja. Sin embargo, en comparación con un grupo control y con la terapia de drenaje linfático manual no difirió significativamente entre los grupos. No hubo ningún efecto significativo en relación con la tonicidad de la piel, movilidad de las articulaciones y las sensaciones de tensión y peso. Debido a la baja calidad metodológica de los estudios incluidos, no hay pruebas suficientes sobre la eficacia del tratamiento.Apesar dos avanços nas técnicas cirúrgicas para os tratamentos utilizados no câncer de mama, o linfedema ainda aparece como uma complicação frequente. O objetivo desta revisão sistemática foi analisar a eficácia da compressão pneumática em linfedemas pós-mastectomia. Foram selecionados ensaios clínicos quasi-randomizados controlados, publicados, entre os anos de 1966 e 2009, nas bases de dados indexadas no PubMed/Medline, Lilacs e SciELO , utilizando as principais palavras-chave: pneumatic compression, lymphedema, mastectomy e breast cancer. Os artigos foram analisados de acordo com componentes individuais de avaliação da qualidade metodológica. Três estudos de baixa qualidade metodológica envolvendo 156 mulheres com linfedema pós-mastectomia foram incluídos. Em um dos estudos, foi observada uma diferença significativa (p<0,05) quando a compressão pneumática foi associada à terapia física complexa. Contudo, quando comparada a um grupo controle e a terapia de drenagem linfática manual, não houve diferença significativa entre os grupos. Não houve efeito significativo em relação a tonicidade da pele, mobilidade articular e sensações de tensão e peso. Devido a baixa qualidade metodológica dos estudos incluídos, há evidências insuficientes sobre a eficácia desse tratamento.INCA2010-12-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRevisão de literaturaapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/147110.32635/2176-9745.RBC.2010v56n4.1471Revista Brasileira de Cancerologia; Vol. 56 No. 4 (2010): Oct./Nov./Dec.; 483-491Revista Brasileira de Cancerologia; Vol. 56 Núm. 4 (2010): oct./nov./dic.; 483-491Revista Brasileira de Cancerologia; v. 56 n. 4 (2010): out./nov./dez.; 483-4912176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/1471/861Rech, Juliane Barros dos Santos Nóbrega, Luciana Lemos, Andréa info:eu-repo/semantics/openAccess2021-11-29T20:17:45Zoai:rbc.inca.gov.br:article/1471Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:17:45Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Pneumatic Compression in the Treatment of Post-Mastectomy Lymphedema: Systematic Review
Neumáticos de Compresión en el Tratamiento de Linfedema Posmastectomía: Revisión Sistemática
Compressão Pneumática no Tratamento de Linfedema Pós-mastectomia: Revisão Sistemática
title Pneumatic Compression in the Treatment of Post-Mastectomy Lymphedema: Systematic Review
spellingShingle Pneumatic Compression in the Treatment of Post-Mastectomy Lymphedema: Systematic Review
Rech, Juliane Barros dos Santos
Linfedema
Dispositivos de Compressão Pneumática Intermitente
Mastectomia
Lymphedema
Intermittent Pneumatic Compression Devices
Mastectomy
Linfedema
Aparatos de Compresión Neumática Intermitente
Mastectomía
title_short Pneumatic Compression in the Treatment of Post-Mastectomy Lymphedema: Systematic Review
title_full Pneumatic Compression in the Treatment of Post-Mastectomy Lymphedema: Systematic Review
title_fullStr Pneumatic Compression in the Treatment of Post-Mastectomy Lymphedema: Systematic Review
title_full_unstemmed Pneumatic Compression in the Treatment of Post-Mastectomy Lymphedema: Systematic Review
title_sort Pneumatic Compression in the Treatment of Post-Mastectomy Lymphedema: Systematic Review
author Rech, Juliane Barros dos Santos
author_facet Rech, Juliane Barros dos Santos
Nóbrega, Luciana
Lemos, Andréa
author_role author
author2 Nóbrega, Luciana
Lemos, Andréa
author2_role author
author
dc.contributor.author.fl_str_mv Rech, Juliane Barros dos Santos
Nóbrega, Luciana
Lemos, Andréa
dc.subject.por.fl_str_mv Linfedema
Dispositivos de Compressão Pneumática Intermitente
Mastectomia
Lymphedema
Intermittent Pneumatic Compression Devices
Mastectomy
Linfedema
Aparatos de Compresión Neumática Intermitente
Mastectomía
topic Linfedema
Dispositivos de Compressão Pneumática Intermitente
Mastectomia
Lymphedema
Intermittent Pneumatic Compression Devices
Mastectomy
Linfedema
Aparatos de Compresión Neumática Intermitente
Mastectomía
description Despite the improvements in surgical techniques for breast cancer treatments, lymphedema is still a common complication. The objective of this systematic review was to assess the efficacy of the pneumatic compression in post-mastectomy lymphedema. Quasi-randomized controlled clinical trials published from 1966 to 2009 in the databases indexed in PubMed/Medline and SciELO were selected by using the key words pneumatic compression, lymphedema, mastectomy and breast cancer. The articles were evaluated according to the individual components of methodological quality assessment. Three studies of low methodological quality involving 156 women with postmastectomy lymphedema were included. One of the studies presented a significant difference (p<0.05) when the pneumatic compression was associated with complex physiotherapy. However, when compared to a control group and manual lymphatic drainage, there was no significant difference among the groups. There were no significant effects concerning skin tonicity, joint mobility and tension and heaviness sensations. Due to the low methodological quality of the studies included, there is not enough evidence about the efficacy of this treatment.
publishDate 2010
dc.date.none.fl_str_mv 2010-12-31
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Revisão de literatura
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/1471
10.32635/2176-9745.RBC.2010v56n4.1471
url https://rbc.inca.gov.br/index.php/revista/article/view/1471
identifier_str_mv 10.32635/2176-9745.RBC.2010v56n4.1471
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/1471/861
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 56 No. 4 (2010): Oct./Nov./Dec.; 483-491
Revista Brasileira de Cancerologia; Vol. 56 Núm. 4 (2010): oct./nov./dic.; 483-491
Revista Brasileira de Cancerologia; v. 56 n. 4 (2010): out./nov./dez.; 483-491
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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