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Article ; Online: Compressive taping to prevent postmastectomy seroma: patient adherence and satisfaction.

Fernandes, Maíra Carneiro / Fabro, Erica Alves Nogueira / Ximenes, Matheus Albino / Costa, Rejane Medeiros Medeiros / Soares, Nathalia Bordinhon / Aguiar, Suzana Sales de / Thuler, Luiz Claudio Santos / Bergmann, Anke

BMJ supportive & palliative care

2024

Abstract: Objective: Evaluate patient adherence and satisfaction concerning postmastectomy compressive taping.: Methods: This comprises a preintervention and postintervention study carried out with women ≥18 years old who underwent taping during the first 7 ... ...

Abstract	Objective: Evaluate patient adherence and satisfaction concerning postmastectomy compressive taping. Methods: This comprises a preintervention and postintervention study carried out with women ≥18 years old who underwent taping during the first 7 postoperative days at the Cancer Hospital III/National Cancer Institute. Good adherence was considered as taping maintenance for 7 days. Satisfaction levels were classified as satisfied and dissatisfied. Results: A total of 124 women with a mean age of 56.54 (±11.24) were included in the study. Most lived without a partner (58.1%), had more than 8 years of study (59.7%), referred to themselves as white (68.5%) and considered their health status to be good or very good (69.4%). Regarding treatment adherence, 90.3% patients displayed adherence. Patients with no bullous lesions were more likely to adhere to taping (OR 7.00; 95% CI 1.98 to 24.74; p=0.003). Regarding satisfaction, 78.2% of the patients felt satisfied. The absence of local discomfort (OR 4.51; 95% CI 1.73 to 11.74; p=0.002) and non-existence of self-reported oedema (OR 5.81; 95% CI 1.81 to 18, 66; p=0.003) were associated with greater patient satisfaction. Conclusion: Patients exhibited good adherence and felt very satisfied with the use of postmastectomy compressive taping. Trial registration number: NCT04471142.
Language	English
Publishing date	2024-05-17
Publishing country	England
Document type	Journal Article
ISSN	2045-4368
ISSN (online)	2045-4368
DOI	10.1136/spcare-2024-004912
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Article ; Online: Complex physical therapy employing self-adjusting garment (ReadyWrap®) in breast cancer-related lymphedema cases in Brazilian women: a protocol for a randomized controlled trial.

da Silva, Jéssica Malena Pedro / Araújo, Raul Denner Duarte / da Silva Santos, Francisca Cristina / Fabro, Erica Alves Nogueira / de Mello Pinto, Marcus Vinicius / de Aguiar, Suzana Sales / Thuler, Luiz Claudio Santos / Bergmann, Anke

Trials

2023 Volume 24, Issue 1, Page(s) 549

Abstract: Background: Lymphedema is a common complication following breast cancer treatment. The aim of this study is to evaluate the effectiveness of a self-adjusting compression garment (ReadyWrap®) in reducing (phase 1) and maintaining (phase 2) upper limb ... ...

Abstract	Background: Lymphedema is a common complication following breast cancer treatment. The aim of this study is to evaluate the effectiveness of a self-adjusting compression garment (ReadyWrap®) in reducing (phase 1) and maintaining (phase 2) upper limb volume in women presenting breast cancer-related lymphedema. Methods: This study will comprise a randomized, controlled, single-blind clinical trial concerning women with breast cancer-related lymphedema undergoing treatment at a public cancer treatment reference hospital in the city of Rio de Janeiro, Brazil. The intervention will be carried out by adapting self-dressing versus the standard treatment of compressive bandaging (phase 1) and compressive mesh (phase 2). Both groups will be assessed at the beginning and end of intensive treatment and followed up for up to 12 months to evaluate immediate and late outcomes. Assessments will be carried out by physical upper limb examination (inspection, palpation, volume, dynamometry, and thermography) and questionnaires application to assess patient's quality of life pertaining to the health, functionality, and symptoms of the affected upper limb, as well adverse effects and adherence to treatment. Data will be analyzed descriptively and analytically through univariate and multiple linear regressions. P values < 0.05 will be considered statistically significant. Discussion: This study will evaluate the effectiveness of a self-adjustable garment (ReadyWrap®) in the treatment of lymphedema secondary to breast cancer in Brazilian women compared to the gold standard treatment for limb volume reduction (phase 1) and maintenance (phase 2) phases comprising, respectively, a compressive bandaging and a compressive mesh. The outcome results will provide data based on both quantitative responses and self-reported participant outcomes. The study will also assess the cost-effectiveness of the ReadyWrap® treatment versus standard care. Finally, we expect to reaffirm one more product/therapy as a treatment for this extremely complex and impactful condition following the data analysis. Trial registration: NCT04934098 [Clinical trials phase 1]. Registered on June 22, 2021. NCT04881604 [Clinical trials phase 2]. Registered on May 11, 2021.
MeSH term(s)	Humans ; Female ; Brazil ; Breast Neoplasms/complications ; Quality of Life ; Single-Blind Method ; Physical Therapy Modalities ; Breast Cancer Lymphedema/diagnosis ; Breast Cancer Lymphedema/etiology ; Breast Cancer Lymphedema/therapy ; Lymphedema/diagnosis ; Lymphedema/etiology ; Lymphedema/therapy ; Randomized Controlled Trials as Topic
Language	English
Publishing date	2023-08-22
Publishing country	England
Document type	Clinical Trial Protocol ; Journal Article
ZDB-ID	2040523-6
ISSN	1745-6215 ; 1468-6694 ; 1745-6215
ISSN (online)	1745-6215
ISSN	1468-6694 ; 1745-6215
DOI	10.1186/s13063-023-07460-4
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Article ; Online: Effectiveness of mat pilates on fatigue in women with breast cancer submitted to adjuvant radiotherapy: randomized controlled clinical trial.

Torres, Daniele Medeiros / de Menezes Fireman, Kelly / Fabro, Erica Alves Nogueira / Thuler, Luiz Claudio Santos / Koifman, Rosalina Jorge / Bergmann, Anke / da Silva Santos, Sabrina

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

2023 Volume 31, Issue 6, Page(s) 362

Abstract: Purpose: This clinical trial aimed to evaluate the influence of Mat Pilates and time on the change in fatigue scores in women with breast cancer undergoing adjuvant radiotherapy (RT). Additionally, assess the adherence and adverse effects of Mat Pilates ...

Abstract	Purpose: This clinical trial aimed to evaluate the influence of Mat Pilates and time on the change in fatigue scores in women with breast cancer undergoing adjuvant radiotherapy (RT). Additionally, assess the adherence and adverse effects of Mat Pilates sessions and the association of the level of physical activity with severe fatigue symptoms. Methods: One hundred fifty-six patients with non-metastatic breast cancer were randomized to usual care or supervised Mat Pilates exercise. Fatigue and physical activity level were measured at baseline, end of RT, 30 days, 3 and 6 months after RT. The generalized estimating equation (GEE) with intention to treat was applied. Results: A significant difference in the fatigue mean between the end of RT and the baseline was found in patients of both groups. There was no adverse effect with the practice of Mat Pilates, and it was analyzed the reduction of the symptom pain after the end of RT in women of intervention group compared to the control. There was no significant effect on fatigue between the groups. Patients with severe fatigue after 3 and 6 months of RT reported a significantly lower level of physical activity in the last periods. Conclusion: Fatigue levels increased at the end of RT but returned to baseline values after 6 months. A lower level of physical activity was associated with severe fatigue symptoms. Mat Pilates was safe for these women and reduced the symptom pain after treatment, but it did not successfully reduce fatigue during adjuvant RT. Registration: NCT03333993. November 7, 2017. https://clinicaltrials.gov/ct2/show/NCT03333993?term=breast+cancer&cond=pilates&draw=2&rank=1 .
MeSH term(s)	Humans ; Female ; Exercise Movement Techniques ; Breast Neoplasms/radiotherapy ; Radiotherapy, Adjuvant/adverse effects ; Exercise Therapy ; Fatigue/etiology ; Fatigue/therapy ; Pain ; Quality of Life
Language	English
Publishing date	2023-05-30
Publishing country	Germany
Document type	Randomized Controlled Trial ; Journal Article
ZDB-ID	1134446-5
ISSN	1433-7339 ; 0941-4355
ISSN (online)	1433-7339
ISSN	0941-4355
DOI	10.1007/s00520-023-07824-1
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Article: Linfedema Secundário ao Tratamento do Câncer de Mama: Abordagem Fisioterapêutica em Tempos de Pandemia

Macedo, Flávia Oliveira Costa Rejane Medeiros Ferreira Flávia Orind Torres Daniele Medeiros Bergmann Anke Fabro Erica Alves Nogueira

Rev. bras. cancerol

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #881969
Database	COVID19

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Article ; Online: Clinical Experience with Compression Taping to Treat Seroma After Breast Cancer Surgery: A Medical Device Clinical Study.

Fabro, Erica Alves Nogueira / Teodózio, Clarice Gomes Chagas / Costa, Rejane Medeiros / Macedo, Flávia Oliveira / Cardoso, Aline Cecilia Drumond Dutra Luz Machado / Jacob, Raquel Barroso Evaldt / Thuler, Luiz Claudio Santos / Bergmann, Anke

Advances in skin & wound care

2022 Volume 35, Issue 7, Page(s) 1–6

Abstract: Objective: To evaluate the safety of compressive taping in patients with seroma secondary to breast cancer surgery.: Methods: This study was a nonrandomized clinical study of medical devices applied to women indicated for seroma aspiration puncture ... ...

Abstract	Objective: To evaluate the safety of compressive taping in patients with seroma secondary to breast cancer surgery. Methods: This study was a nonrandomized clinical study of medical devices applied to women indicated for seroma aspiration puncture after breast cancer surgery in a public reference hospital in Brazil. The intervention consisted of applying compressive taping over the seroma fluctuation area and maintained for 5 days. Evaluated outcomes comprised dermal changes caused by taping, subjective symptoms reported during the intervention period, and percent change in the punctured volume before and after the intervention. Results: A total of 35 women (mean age, 56.7 ± 12.2 years) were included. Most presented with an advanced disease stage (≥IIB; 62.9%). Although a 28.6% incidence of dermal changes caused by taping was observed, an average reduction in the aspirated volume of -28.2 mL was identified (95% confidence interval, -48.3 to -8.0; P = .008). Treatment adherence was high (91.4%), and most patients reported satisfaction with the treatment (85.7%). Conclusions: The use of compressive taping on seroma areas can be considered safe, is well accepted by patients, and might be used as a noninvasive treatment option for seroma developing after breast cancer surgery.
MeSH term(s)	Adult ; Aged ; Breast Neoplasms/epidemiology ; Breast Neoplasms/etiology ; Breast Neoplasms/surgery ; Drainage ; Female ; Humans ; Incidence ; Lymph Node Excision/adverse effects ; Middle Aged ; Seroma/epidemiology ; Seroma/etiology ; Seroma/therapy
Language	English
Publishing date	2022-06-16
Publishing country	United States
Document type	Clinical Trial ; Journal Article
ZDB-ID	2012792-3
ISSN	1538-8654 ; 1527-7941
ISSN (online)	1538-8654
ISSN	1527-7941
DOI	10.1097/01.ASW.0000831068.34587.3d
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Article ; Online: Shoulder amplitude movement does not influence postoperative wound complications after breast cancer surgery: a randomized clinical trial.

Teodózio, Clarice Gomes Chagas / Marchito, Liz de Oliveira / Fabro, Erica Alves Nogueira / Macedo, Flávia Oliveira / de Aguiar, Suzana Sales / Thuler, Luiz Claudio Santos / Bergmann, Anke

Breast cancer research and treatment

2020 Volume 184, Issue 1, Page(s) 97–105

Abstract: Purpose: The goal of this study is to evaluate the influence of shoulder exercises with restricted amplitude movement (RAM) or free amplitude movement (FAM) performed from the first postoperative day (1st POD) on the incidence of surgical wound ... ...

Abstract	Purpose: The goal of this study is to evaluate the influence of shoulder exercises with restricted amplitude movement (RAM) or free amplitude movement (FAM) performed from the first postoperative day (1st POD) on the incidence of surgical wound complications (SWC) in breast cancer. Methods: This study comprises a randomized clinical trial with an intention-to-treat analysis including 465 women aged 18 to 79, who underwent curative surgery for breast cancer. Participants were submitted to perform free amplitude movement (FAM) or restricted amplitude movement (RAM) shoulder exercises, until the 30th postoperative day. The outcome measures were the SWC: seroma, dehiscence, necrosis, infection, hematoma and bruise. Results: 461 participants completed the follow-up. Thirty days after surgery, 63.8% of the women presented some surgical wound complication, with necrosis (39.3%) and seroma (30.8%) as the most frequent. No statistically significant differences in SWC according to postoperative amplitude shoulder exercise (FAM vs RAM), even after a stratified analysis by type of surgery (segmentectomy vs mastectomy) or axillary approach (axillary lymphadenectomy versus sentinel lymph node biopsy) were observed. Conclusion: FAM exercises do not increase the incidence of postoperative wound complications compared to RAM exercises. Trial registration: NCT03796845.
MeSH term(s)	Axilla ; Breast Neoplasms/surgery ; Female ; Humans ; Lymph Node Excision ; Mastectomy/adverse effects ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Seroma/epidemiology ; Seroma/etiology ; Shoulder/surgery
Language	English
Publishing date	2020-08-17
Publishing country	Netherlands
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	604563-7
ISSN	1573-7217 ; 0167-6806
ISSN (online)	1573-7217
ISSN	0167-6806
DOI	10.1007/s10549-020-05826-9
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Article ; Online: Frequência e fatores associados à síndrome da mama fantasma em mulheres submetidas à mastectomia por câncer de mama.

Medina, Julia de Mello Ramirez / Fabro, Erica Alves Nogueira / Amaral e Silva, Blenda do / Thuler, Luiz Claudio Santos / Bergmann, Anke

Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia

2015 Volume 37, Issue 9, Page(s) 397–401

Abstract: Purpose: To evaluate the frequency and risk factors for the development of phantom breast syndrome in patients submitted to mastectomy after breast cancer treatment.: Methods: A cohort study of women undergoing treatment at the Hospital of Cancer III, ...

Title translation	Frequency and associated factors of phantom breast syndrome in women submitted to mastectomy for breast cancer.
Abstract	Purpose: To evaluate the frequency and risk factors for the development of phantom breast syndrome in patients submitted to mastectomy after breast cancer treatment. Methods: A cohort study of women undergoing treatment at the Hospital of Cancer III, National Cancer Institute José Alencar Gomes da Silva (INCA) from September 2008 to June 2009. PBS was considered based on report of phantom breast sensation and/or phantom breast pain. The study was approved by the Research Ethics Committee of the INCA (015/08). Descriptive analysis using absolute and relative frequency was performed. To evaluate the association between PBS and potential risk factors, univariate analysis was performed by means of odds ratios (OR) with respective 95% confidence intervals (95%CI). Results: A total of 88 patients were included. The frequency of PBS observed was 44.3 at 45 days (first follow-up) and 18.2% at 2 years (last follow-up). Most women reported phantom breast syndrome in all segments (37.1; 30.1 and 22%). During the six month follow-up, women under the age of 60 years had a 3.93 times higher risk of PBS (OR=3.9; 95%CI 1.4-10.5) and those with higher education (8 years or more of study) had a higher risk of developing PBS (OR=2.6; 95%CI 1.01-6.8). Conclusion: The study population had a high frequency of PBS, which decreased over postoperative follow-up. Its occurrence after six months was higher among younger and more educated women.
MeSH term(s)	Breast Neoplasms/surgery ; Cohort Studies ; Female ; Humans ; Mastectomy ; Middle Aged ; Pain, Postoperative/epidemiology ; Perceptual Disorders/epidemiology ; Postoperative Complications/epidemiology ; Risk Factors ; Syndrome
Language	Portuguese
Publishing date	2015-09
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2105176-8
ISSN	1806-9339 ; 0100-7203
ISSN (online)	1806-9339
ISSN	0100-7203
DOI	10.1590/SO100-720320150005353
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Article ; Online: Safety and tolerability of Kinesio Taping in patients with arm lymphedema: medical device clinical study.

Martins, Jacqueline de Carvalho / Aguiar, Suzana Sales / Fabro, Erica Alves Nogueira / Costa, Rejane Medeiros / Lemos, Thiago Vilela / de Sá, Vinicius Gienbinsky Guapyassú / de Abreu, Raphael Mello / Andrade, Mauro Figueiredo Carvalho de / Thuler, Luiz Claudio Santos / Bergmann, Anke

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

2016 Volume 24, Issue 3, Page(s) 1119–1124

Abstract: Purpose: The aim of this study is to assess the safety and tolerability of Kinesio Taping (KT) in patients with arm lymphedema.: Method: Medical device clinical study in women with arm lymphedema. Kinesio Tex Gold bandage was applied by the KT ... ...

Abstract	Purpose: The aim of this study is to assess the safety and tolerability of Kinesio Taping (KT) in patients with arm lymphedema. Method: Medical device clinical study in women with arm lymphedema. Kinesio Tex Gold bandage was applied by the KT technique. Assessments and interviews were carried out both at the beginning and 4 days after intervention. Skin disorders, reported tolerance and modification of limb volume and function after intervention were assessed. Changes in limb volume and functionality before and after intervention were compared by the Student's t test and the Wilcoxon Signed-Rank test, considering significant p value <0.05. Results: Twenty-four women were studied. After intervention, no patient had cutaneous lesions, vesicle or limb hyperthermia, and 4.2% presented skin peeling and redness. Most patients reported no change in social life and that they felt safer in the daily activity and were very pleased with the treatment. The patients presented improvement of upper limb functionality after intervention (p < 0.001). No difference of limb volume was found after intervention (p = 0.639). Conclusions: Kinesio Tex Gold bandage by the KT technique proved to be safe and tolerable in patients with lymphedema, with improved functionality and no change of the affected limb volume.
MeSH term(s)	Adult ; Arm/abnormalities ; Arm/pathology ; Bandages/utilization ; Breast Neoplasms/complications ; Female ; Humans ; Lymphedema/therapy ; Middle Aged ; Physical Therapy Modalities/utilization
Language	English
Publishing date	2016-03
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1134446-5
ISSN	1433-7339 ; 0941-4355
ISSN (online)	1433-7339
ISSN	0941-4355
DOI	10.1007/s00520-015-2874-7
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Article ; Online: Comment on "Safety and tolerability of Kinesio® Taping in patients with arm lymphedema: medical device clinical study". Taner Dandinoglu, Murat Karadeniz, Özgür Dandin, Ali Onay.

Martins, Jacqueline de Carvalho / de Aguiar, Suzana Sales / Fabro, Erica Alves Nogueira / Costa, Rejane Medeiros / Lemos, Thiago Vilela / Guapyassú de Sá, Vinicius Gienbinsky / de Abreu, Raphael Mello / de Andrade, Mauro Figueiredo Carvalho / Thuler, Luiz Claudio Santos / Bergmann, Anke

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

2016 Volume 24, Issue 8, Page(s) 3277–3278

Language	English
Publishing date	2016-08
Publishing country	Germany
Document type	Letter
ZDB-ID	1134446-5
ISSN	1433-7339 ; 0941-4355
ISSN (online)	1433-7339
ISSN	0941-4355
DOI	10.1007/s00520-016-3169-3
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Article ; Online: Comment on "Linfotaping with kinesio® tape to manage and treat lymphedema patients: safety and tolerability are more important the efficacy?".

de Carvalho Martins, Jacqueline / de Aguiar, Suzana Sales / Fabro, Erica Alves Nogueira / Costa, Rejane Medeiros / Lemos, Thiago Vilela / de Sá, Vinicius Gienbinsky Guapyassú / de Abreu, Raphael Mello / de Andrade, Mauro Figueiredo Carvalho / Thuler, Luiz Claudio Santos / Bergmann, Anke

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

2016 Volume 24, Issue 8, Page(s) 3281–3282

Language	English
Publishing date	2016-08
Publishing country	Germany
Document type	Letter
ZDB-ID	1134446-5
ISSN	1433-7339 ; 0941-4355
ISSN (online)	1433-7339
ISSN	0941-4355
DOI	10.1007/s00520-016-3266-3
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